Evidence map›Paper›PMID 35943014›Full record

ArticleArchives of Iranian medicine2022

Adopting Clinical Practice Guidelines for Pharmacologic Management of Acute Spinal Cord Injury from a Developed World Context to a Developing Global Region.

Seyed Behnam Jazayeri, Seyed Farzad Maroufi, Zahra Ghodsi, Heshmatollah Ghawami, Ahmad Pourrashidi, Abbas Amirjamshidi, Mojtaba Mojtahedzadeh, Jalil Arabkheradmand, Farzin Farahbakhsh, Maryam Shabany and 5 more

Abstract read
In one paragraph

Article in Archives of Iranian medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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

15 authors.

Seyed Behnam JazayeriSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-2860-6496
Seyed Farzad MaroufiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Zahra GhodsiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Heshmatollah GhawamiNeuropsychology Division, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Ahmad PourrashidiSina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Abbas AmirjamshidiSina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mojtaba MojtahedzadehSina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Jalil ArabkheradmandDirector, Defence Health Research C, Tehran, Iran.
Farzin FarahbakhshSports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Maryam ShabanyFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Morteza Faghih-JouibariDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Michael G FehlingsUniversity of Toronto Spine Program and Toronto Western Hospital, Toronto, Ontario, Canada.
Brian K KwonInternational Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
James S HarropDepartment of Neurological and Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Vafa Rahimi-MovagharSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-7347-8767

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProper utilization of high-quality clinical practice guidelines (CPGs) eliminates the dependence of patients' outcomes on the ability and knowledge of "individual" health care providers and reduces unwarranted variation in care. The aim of this study was to adapt/adopt two CPGs for pharmacologic management of acute spinal cord injury (SCI) using guideline adaptation methods.

methodsThis study was conducted based on the ADAPTE process. Following establishment of an organizing committee and choosing the health topics, we appraised the quality of the CPGs using the Appraisal of Clinical Guidelines for Research & Evaluation II (AGREE II). Then, the authors extracted and categorized suggestions according to Population, Intervention, Professions, Outcomes and Health care setting (PIPOH). The decision-making process was based on systemic evaluation of each suggestion, utilizing a combination of AGREE II scores, the quality of supporting evidence for or against each suggestion and the triad of feasibility, acceptance and adoptability for the Iranian health-care context.

resultsTwo guidelines were included in the adaptation process. Based on high-quality of these guidelines and the feasibility and adoptability evaluation of the organizing committee, we decided to adopt the suggestion of both guidelines. Overall, seven suggestions were extracted from the source guidelines.

conclusionThis work provides a framework to apply guidelines for acute SCI to the developing regions of the world. Attempts should be made to implement these suggestions in order to improve the health outcomes of Iranian SCI patients.

Indexed as

Spinal Cord InjuriesHumansIranClinical practice guidelinePharmacologic managementSpinal cord injury

Identifiers

PMID35943014
PMCPMC11904267

What OpenQuestion holds

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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.