Development, implementation and validation of resource-stratified guidelines in low-income and middle-income countries: a scoping review protocol.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
28 09 2022
Historique:
entrez: 28 9 2022
pubmed: 29 9 2022
medline: 1 10 2022
Statut: epublish

Résumé

Nearly every field of medicine has some form of clinical practice guidelines. However, only within the past 5-10 years has the medical community acknowledged the need for well-developed guidelines tailored to the local healthcare needs and the resources available. In most low-income and middle-income countries (LMICs), healthcare workers depend on guidelines developed in high-income countries (HICs), yet many interventions validated in a HIC are ineffective when implemented in an LMIC. The variation in infrastructure, medical personnel, technology and environmental conditions exhibited in LMICs relative to HICs necessitates a careful appraisal of the evidence base used in clinical guideline recommendations. This review aims to map the use of resource-stratified guidelines across all fields of medicine. The review seeks to answer three questions for the identified guidelines: (1) what was the method of development, (2) have they been implemented and, if so, (3) have they been validated. The search strategy will aim to locate studies from inception to November 2021. An initial limited search of PubMed and Scopus was undertaken to identify articles on the topic. The text words contained in the titles and abstracts of relevant articles, and the index terms used to describe the articles were used to develop a full search strategy for PubMed and Scopus. This scoping review will be conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews. Data to be extracted from each study will include population characteristics of both developers and intended implementation population, medical specialty, validation status, method of guideline development, whether the study is consensus or evidence-based in addition to a summary of recommendations for practice. Ethical approval is not required for this review. The plan for dissemination is to publish review findings in a peer-reviewed journal.

Identifiants

pubmed: 36171036
pii: bmjopen-2021-059603
doi: 10.1136/bmjopen-2021-059603
pmc: PMC9528583
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e059603

Subventions

Organisme : Department of Health
Pays : United Kingdom

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Dylan Griswold (D)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK dylgris@gmail.com.
School of Medicine, Stanford Medical School, Stanford, CA, USA.
Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

Sara Venturini (S)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

Nancy Carney (N)

Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA.

Andres M Rubiano (AM)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Neurosciences Institute, Universidad El Bosque, Bogota, Colombia.

Peter John Hutchinson (PJ)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

Angelos G Kolias (AG)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

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Classifications MeSH