Evidence map›Paper›PMID 29402334›Full record

ArticleBMC research notes2018

Developing prehospital clinical practice guidelines for resource limited settings: why re-invent the wheel?

Michael McCaul, Ben de Waal, Peter Hodkinson, Jennifer L Pigoga, Taryn Young, Lee A Wallis

Abstract read
In one paragraph

Article in BMC research notes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Strengthening prehospital clinical practice guideline development in South Africa: Reflections from guideline experts.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021
    Article
  6. Guidance we can trust? The status and quality of prehospital clinical guidance in sub-Saharan Africa: A scoping review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Waveform capnography in a South African prehospital service: Knowledge assessment of paramedics.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019
    Article
  13. Article
  14. Global emergency care clinical practice guidelines: A landscape analysis.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Michael McCaulCentre for Evidence-based Health Care, Division of Epidemiology and Biostatistics, Stellenbosch University, Cape Town, South Africa. mmccaul@sun.ac.za.ORCID http://orcid.org/0000-0002-2730-6478
Ben de WaalDepartment of Emergency Medical Sciences, Cape Peninsula University of Technology, Cape Town, South Africa.
Peter HodkinsonDivision of Emergency Medicine, University of Cape Town, Cape Town, South Africa.
Jennifer L PigogaDivision of Emergency Medicine, University of Cape Town, Cape Town, South Africa.
Taryn YoungCentre for Evidence-based Health Care, Division of Epidemiology and Biostatistics, Stellenbosch University, Cape Town, South Africa.
Lee A WallisDivision of Emergency Medicine, University of Cape Town, Cape Town, South Africa.

Funding

Health Professions Council of South Africa N/AUK aid, Effective Health Care Research Consortium 5242
6 · The paper itself

Abstract

objectivesMethods on developing new (de novo) clinical practice guidelines (CPGs) have received substantial attention. However, the volume of literature is not matched by research into alternative methods of CPG development using existing CPG documents-a specific issue for guideline development groups in low- and middle-income countries. We report on how we developed a context specific prehospital CPG using an alternative guideline development method. Difficulties experienced and lessons learnt in applying existing global guidelines' recommendations to a national context are highlighted.

resultsThe project produced the first emergency care CPG for prehospital providers in Africa. It included > 270 CPGs and produced over 1000 recommendations for prehospital emergency care. We encountered various difficulties, including (1) applicability issues: few pre-hospital CPGs applicable to Africa, (2) evidence synthesis: heterogeneous levels of evidence classifications and (3) guideline quality. Learning points included (1) focusing on key CPGs and evidence mapping, (2) searching other resources for CPGs, (3) broad representation on CPG advisory boards and (4) transparency and knowledge translation. Re-inventing the wheel to produce CPGs is not always feasible. We hope this paper will encourage further projects to use existing CPGs in developing guidance to improve patient care in resource-limited settings.

Indexed as

Practice Guidelines as TopicDeveloping CountriesEmergency Medical ServicesEvidence-Based MedicineHealth Knowledge, Attitudes, PracticeHumansSouth AfricaAdaptationClinical practice guidelinesEmergency careEmergency medicineGuideline developmentGuidelinesPrehospital

Identifiers

PMID29402334
PMCPMC5800053

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.