来自低收入和中等收入国家 (LMICs) 的中风康复临床实践指南 (CPGs):系统审查议定书
Aditi Hombali1, Amreen Mahmood2, Dorcas B C Gandhi3
1Visible Analytics and Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
PloS one
|November 9, 2023
概括
本综述评估了来自低收入和中等收入国家 (LMICs) 的中风康复临床实践指南 (CPG). 它确定了质量差距,并为LMIC环境的未来指南制定提供了信息.
科学领域:
- 康复医学 康复医学 康复医学
- 卫生政策 卫生政策
- 基于证据的实践.
背景情况:
- 关于中风康复的临床实践指南 (CPG) 对医疗保健质量和成本效益至关重要.
- 现有的审查缺乏关注来自低收入和中等收入国家 (LMICs) 的CPG.
- 需要了解中风康复CPG在LMIC中的文化适应和实施差距.
研究的目的:
- 为了确定和评估中风康复的质量,在LMICs开发了CPG.
- 通过使用AGREE-II和AGREE-REX工具评估CPG质量.
- 探索LMIC中风康复指南中的特定缺口.
主要方法:
- 系统审查协议与PRISMA-P指南保持一致,并在PROSPERO.中注册.
- 在多个数据库 (Medline,EMBASE,CINHAL,PEDro) 和灰色文献 (2000年至2022年7月) 中进行全面搜索.
- 数据提取包括指导特征和建议,随后使用AGREE-II和AGREE-REX进行质量评估.
主要成果:
- 审查系统地识别和评估来自LMICs的中风康复CPG.
- 使用AGREE-II和AGREE-REX工具进行的质量评估揭示了特定的优缺点.
- 分析强调了与LMIC环境相关的现有指南中的差距.
结论:
- 这一系统性审查提供了对中风康复CPG质量和范围的关键见解.
- 结果将指导CPG的开发,适应和上下文化,以改善LMICs的实施.
- 解决已识别的差距对于在资源有限的环境中加强中风康复提供至关重要.
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