Evidence map›Paper›PMID 39061468›Full record

ArticleBrain sciences2024

The Utilization of Systematic Reviews and Meta-Analyses in Stroke Guidelines.

Sherief Ghozy, Hassan Kobeissi, Melika Amoukhteh, Ramanathan Kadirvel, Waleed Brinjikji, Alejandro A Rabinstein, Christopher R Carpenter, David F Kallmes

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Article in Brain sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Sherief GhozyDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-5629-3023
Hassan KobeissiDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
Melika AmoukhtehDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0003-3488-8960
Ramanathan KadirvelDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
Waleed BrinjikjiDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
Alejandro A RabinsteinDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Christopher R CarpenterDepartment of Emergency Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-2603-7157
David F KallmesDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke guideline statements are important references for clinicians due to the rapidly evolving nature of treatments. Guideline statements should be informed by up-to-date systematic reviews (SRs) and meta-analyses (MAs) because they provide the highest level of evidence. To investigate the utilization of SRs/MAs in stroke management guidelines, we conducted a literature review of guidelines and extracted relevant information regarding SRs/MAs.

methodsA literature review was conducted in PubMed with supplementation using the Trip medical database with the term "stroke" as the target population, followed by using the filter "guidelines". We extracted the number of included SRs/MAs, the years of publication, the country of origin, and other characteristics of interest. Descriptive statistics were generated using the R software version 4.2.1.

resultsWe included 27 guideline statements. The median number of overall SRs or MAs within the guidelines was 4.0 (interquartile range [IQR] = 2-9). For MAs only, the median number included in the guidelines was 3.0 (IQR = 2.0-5.5). Canadian guidelines had the oldest citations, with a median gap of 12.0 (IQR = 5.2-18.0) years for the oldest citation, followed by European (median = 12; IQR = 9.5-13.5) and US (median = 10.0; IQR = 5.2-16) guidelines.

conclusionsStroke guideline writing groups and issuing bodies should devote greater effort to the inclusion of up-to-date SRs/MAs in their guideline statements so that clinicians can reference recent data with the highest level of evidence.

Indexed as

guidelinesmeta-analysisstrokesystematic review

Identifiers

PMID39061468
PMCPMC11274449

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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.