Evidence map›Paper›PMID 37943755›Full record

ArticlePloS one2023

Clinical Practice Guidelines (CPGs) for stroke rehabilitation from Low- and Middle-Income Countries (LMICs): Protocol for systematic review.

Aditi Hombali, Amreen Mahmood, Dorcas B C Gandhi, Sureshkumar Kamalakannan, Nistara S Chawla, Jennifer D'souza, Gerard Urimubenshi, Ivy A Sebastian, John M Solomon, Global Consortium of Stroke Rehabilitation (GCSR)

Abstract read
In one paragraph

Article in PloS one, 2023. 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. 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

10 authors.

Aditi HombaliVisible Analytics and Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Amreen MahmoodDepartment of Health Professions, Manchester Metropolitan University, Manchester, United Kingdom.ORCID 0000-0002-2803-3598
Dorcas B C GandhiDepartment of Neurology & College of Physiotherapy, Christian Medical College & Hospital, Ludhiana, Punjab, India.ORCID 0000-0002-9616-7870
Sureshkumar KamalakannanDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle Upon Tyne, United Kingdom.ORCID 0000-0003-4407-7838
Nistara S ChawlaDepartment of Neurology & College of Physiotherapy, Christian Medical College & Hospital, Ludhiana, Punjab, India.ORCID 0000-0001-7274-1076
Jennifer D'souzaDepartment of Physiotherapy, St. John's Medical College Hospital, Bangalore, Karnataka, India.ORCID 0000-0002-1260-3015
Gerard UrimubenshiDepartment of Physiotherapy, School of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.ORCID 0000-0002-0319-2912
Ivy A SebastianDepartment of Neurology, St. Stephen's Hospital, New Delhi, India.
John M SolomonDepartment of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Global Consortium of Stroke Rehabilitation (GCSR)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStroke rehabilitation guidelines promoteclinical decision making, enhance quality of healthcare delivery, minimize healthcare costs, and identify gaps in current knowledge to guide future research. However, there are no published reviews that have exclusively evaluated the quality of existing Clinical Practice Guidelines (CPGs) for stroke rehabilitation from Low- and Middle-Income Countries (LMICs) or provided any insights into the cultural variation, adaptations, or gaps in implementation specific to LMICs.

objectivesTo identify CPGs developed by LMICs for stroke rehabilitation and evaluate their quality using AGREE-II and AGREE-REX tool.

methodsThe review protocol is prepared in accordance with the PRISMA-P guidelines and the review was registered in PROSPERO (CRD42022382486). The search was run in Medline, EMBASE, CINHAL, PEDro for guidelines published between 2000 till July 2022. Additionally, SUMSearch, Google, and other guideline portals and gray literature were searched. The included studies were then subjected to data extraction for the following details: Study ID, title of the CPG, country of origin, characteristics of CPG (Scope-national/regional, level of care, multidisciplinary/uni-disciplinary), and information on stroke rehabilitation relevant recommendations. The quality of the included CPGs will be subsequently evaluated using AGREE-II and AGREE-REX tool. RESULTS &

conclusionThis systematic review aims to explore the gaps in existing CPGs specific to LMICs and will aid in development/adaptation/contextualization of CPGs for implementation in LMICs.

Indexed as

Stroke RehabilitationDelivery of Health CareDeveloping CountriesHumansMeta-Analysis as TopicSystematic Reviews as Topic

Identifiers

PMID37943755
PMCPMC10635447

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.