ArticleBMJ evidence-based medicine2020
Clinical practice guideline adaptation methods in resource-constrained settings: four case studies from South Africa.
Article in BMJ evidence-based medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- The Dilemmas and Opportunities of Co-Creating Health Interventions to Fit Local Contexts: An Ethnographic Study on the Adaptation of Clinical Guidelines in Tanzania.Health expectations : an international journal of public participation in health care and health policy · 2024Trial
- Adapting international clinical practice guidelines for rehabilitation management of acute spinal cord injury in Iran.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- National guideline development and adaptation, Egypt.Bulletin of the World Health Organization · 2026Article
- Coadaptation and implementation of intrapartum clinical guidelines to save lives during childbirth: Protocol for an adapted PartoMa intervention in Eastern Ethiopia.BMC health services research · 2026Article
- Emergency, critical and operative care in Afghanistan: pathways to overcoming fragmentation and strengthening access in a post-conflict setting-a mixed-method study.BMJ public health · 2026Article
- Healing beyond the physical: Ethical approaches to emotional support in post-stroke recovery.African journal of disability · 2026Article
- Pathway to developing paediatric non-communicable disease guidelines in Malawi: a scoping review.BMC health services research · 2025Article
- Contextualizing guidelines for the health system of Cyprus: Experiences and lessons learnt.Clinical and public health guidelines · 2025Article
- Prostate cancer diagnosis and management: current practices in Africa a consultant-based survey.Frontiers in urology · 2025Article
- Midwives' compliance with post-exposure prophylaxis guidelines in Tshwane District, South Africa.Curationis · 2024Article
- A synthesis of qualitative evidence of barriers and facilitators in implementing guidelines for TB testing in healthcare settings.Implementation science communications · 2024Review
- Newborn and child health national and provincial clinical practice guidelines in South Africa, Nigeria and Malawi: a scoping review.BMC health services research · 2024Article
- Review of an international pilot project to adapt the Canadian Adult Obesity Clinical Practice Guideline.Obesity pillars · 2023Review
- Article
- Patient and public involvement in implementation of evidence-based guidance for musculoskeletal conditions: a scoping review of current advances and gaps.BMC rheumatology · 2022Article
- Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach.BMJ global health · 2022Article
- Estimating the emergency care workforce in South Africa.African journal of primary health care & family medicine · 2021Article
- Current practices and challenges in adaptation of clinical guidelines: a qualitative study based on semistructured interviews.BMJ open · 2021Article
- Evaluation of the reporting quality of clinical practice guidelines on prostate cancer using the RIGHT checklist.Annals of translational medicine · 2021Article
- Evaluation of the reporting quality of clinical practice guidelines on pancreatic cancer using the RIGHT checklist.Annals of translational medicine · 2021Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Developing a clinical practice guideline (CPG) is expensive and time-consuming and therefore often unrealistic in settings with limited funding or resources. Although CPGs form the cornerstone of providing synthesised, systematic, evidence-based guidance to patients, healthcare practitioners and managers, there is no added benefit in developing new CPGs when there are accessible, good-quality, up-to-date CPGs available that can be adapted to fit local needs. Different approaches to CPG development have been proposed, including adopting, adapting or contextualising existing high-quality CPGs to make recommendations relevant to local contexts. These approaches are attractive where technical and financial resources are limited and high-quality guidance already exists. However, few examples exist to showcase such alternative approaches to CPG development. The South African Guidelines Excellence project held a workshop in 2017 to provide an opportunity for dialogue regarding different approaches to guideline development with key examples and case studies from the South African setting. Four CPGs represented the topics: mental health, health promotion, chronic musculoskeletal pain and prehospital emergency care. Each CPG used a different approach, however, using transparent, reportable methods. They included advisory groups with representation from content experts, CPG users and methodologists. They assessed CPGs and systematic reviews for adopting or adapting. Each team considered local context issues through qualitative research or stakeholder engagement. Lessons learnt include that South Africa needs fit-for-purpose guidelines and that existing appropriate, high-quality guidelines must be taken into account. Approaches for adapting guidelines are not clear globally and there are lessons to be learnt from existing descriptions of approaches from South Africa.
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