Evidence surveillance for a living clinical guideline: Case study of the Australian stroke guidelines.

IF 2.2 4区医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE

Health Information and Libraries Journal Pub Date : 2023-11-09 DOI:10.1111/hir.12515

Steve McDonald, Kelvin Hill, Heidi Z Li, Tari Turner

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引用次数: 0

Abstract

Background: Continual evidence surveillance is an integral feature of living guidelines. The Australian Stroke Guidelines include recommendations on 100 clinical topics and have been 'living' since 2018.

Objectives: To describe the approach for establishing and evaluating an evidence surveillance system for the living Australian Stroke Guidelines.

Methods: We developed a pragmatic surveillance system based on an analysis of the searches for the 2017 Stroke Guidelines and evaluated its reliability by assessing the potential impact on guideline recommendations. Search retrieval and screening workload are monitored monthly, together with the frequency of changes to the guideline recommendations.

Results: Evidence surveillance was guided by practical considerations of efficiency and sustainability. A single PubMed search covering all guideline topics, limited to systematic reviews and randomised trials, is run monthly. The search retrieves about 400 records a month of which a sixth are triaged to the guideline panels for further consideration. Evaluations with Epistemonikos and the Cochrane Stroke Trials Register demonstrated the robustness of adopting this more restrictive approach. Collaborating with the guideline team in designing, implementing and evaluating the surveillance is essential for optimising the approach.

Conclusion: Monthly evidence surveillance for a large living guideline is feasible and sustainable when applying a pragmatic approach.

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活体临床指南的证据监测：澳大利亚中风指南的案例研究。

背景：持续的证据监测是生活指南的一个组成部分。《澳大利亚卒中指南》包括关于100个临床主题的建议，自2018年以来一直是“活的”。目的：描述为《活的澳大利亚中风指南》建立和评估证据监测系统的方法。方法：我们基于对2017年卒中指南搜索的分析，开发了一个实用的监测系统，并评估了其通过评估对准则建议的潜在影响来评估可靠性。每月监测搜索检索和筛选工作量，以及指南建议的更改频率。结果：证据监督以效率和可持续性的实际考虑为指导。PubMed每月进行一次搜索，涵盖所有指南主题，仅限于系统综述和随机试验。搜索每月检索约400条记录，其中六分之一被分到指导小组进行进一步考虑。Epistemonikos和Cochrane中风试验登记的评估证明了采用这种更具限制性的方法的稳健性。与指导团队合作设计、实施和评估监督对于优化方法至关重要。结论：当采用务实的方法时，大型生活指南的月度证据监测是可行和可持续的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Information and Libraries Journal INFORMATION SCIENCE & LIBRARY SCIENCE-

CiteScore

6.70

自引率

10.50%

发文量

期刊介绍： Health Information and Libraries Journal (HILJ) provides practitioners, researchers, and students in library and health professions an international and interdisciplinary forum. Its objectives are to encourage discussion and to disseminate developments at the frontiers of information management and libraries. A major focus is communicating practices that are evidence based both in managing information and in supporting health care. The Journal encompasses: - Identifying health information needs and uses - Managing programmes and services in the changing health environment - Information technology and applications in health - Educating and training health information professionals - Outreach to health user groups