Evidence map›Paper›PMID 36171036›Full record

ArticleBMJ open2022

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

Dylan Griswold, Sara Venturini, Nancy Carney, Andres M Rubiano, Peter John Hutchinson, Angelos G Kolias

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Navigating challenges in resource-stratification of supportive care clinical guidelines for cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Tackling disease-related malnutrition in resource-limited settings: An international position paper based on expert consensus.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Article
  5. Review
  6. 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.

Dylan GriswoldNIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK dylgris@gmail.com.ORCID 0000-0003-0291-8360
Sara VenturiniNIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Nancy CarneyDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA.
Andres M RubianoNIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Peter John HutchinsonNIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.ORCID 0000-0002-2796-1835
Angelos G KoliasNIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.ORCID 0000-0003-3992-0587

Funding

Department of Health
6 · The paper itself

Abstract

introductionNearly 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.

methodsThe 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. ETHICS AND DISSEMINATION: Ethical approval is not required for this review. The plan for dissemination is to publish review findings in a peer-reviewed journal.

Indexed as

Delivery of Health CareDeveloping CountriesHumansIncomePovertyResearch DesignScoping Reviews as Topicinternational health servicesprotocols & guidelinesquality in health care

Identifiers

PMID36171036
PMCPMC9528583

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.