ArticleHealth information and libraries journal2025
Evidence surveillance for a living clinical guideline: Case study of the Australian stroke guidelines.
Article in Health information and libraries journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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.
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Who cites it
6 citing papers in PubMed.
- The Phases of Living Evidence Synthesis Using AI AI: Living Evidence Synthesis (Version 1).Journal of medical Internet research · 2026Article
- The Monash learning health system maturity matrix: codesign of a tool to measure and guide improvement in complex health system behaviour.BMC health services research · 2026Article
- Evidence surveillance for a living clinical guideline: Case study of the Australian stroke guidelines.Health information and libraries journal · 2025Article
- Automated citation searching in systematic review production: A simulation study.Research synthesis methods · 2025Article
- A living critical interpretive synthesis to yield a framework on the production and dissemination of living evidence syntheses for decision-making.Implementation science : IS · 2024Review
- Designing, refining and reflecting on 3 years of daily evidence surveillance for Australia's living national COVID-19 guidelines.Cochrane evidence synthesis and methods · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundContinual evidence surveillance is an integral feature of living guidelines. The Australian Stroke Guidelines include recommendations on 100 clinical topics and have been 'living' since 2018.
objectivesTo describe the approach for establishing and evaluating an evidence surveillance system for the living Australian Stroke Guidelines.
methodsWe developed a pragmatic surveillance system based on an analysis of the searches for the 2017 Stroke Guidelines and evaluated its reliability by assessing the potential impact on guideline recommendations. Search retrieval and screening workload are monitored monthly, together with the frequency of changes to the guideline recommendations.
resultsEvidence surveillance was guided by practical considerations of efficiency and sustainability. A single PubMed search covering all guideline topics, limited to systematic reviews and randomised trials, is run monthly. The search retrieves about 400 records a month of which a sixth are triaged to the guideline panels for further consideration. Evaluations with Epistemonikos and the Cochrane Stroke Trials Register demonstrated the robustness of adopting this more restrictive approach. Collaborating with the guideline team in designing, implementing and evaluating the surveillance is essential for optimising the approach.
conclusionMonthly evidence surveillance for a large living guideline is feasible and sustainable when applying a pragmatic approach.
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Registered trials
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