Developing prehospital clinical practice guidelines for resource limited settings: why re-invent the wheel?

Simple item page
dc.contributor.authorMcCaul, Michael
dc.contributor.authorde Waal, Ben
dc.contributor.authorHodkinson, Peter
dc.contributor.authorPigoga, Jennifer L
dc.contributor.authorYoung, Taryn
dc.contributor.authorWallis, Lee A
dc.date.accessioned2018-04-18T07:36:42Z
dc.date.available2018-04-18T07:36:42Z
dc.date.issued2018-02-05
dc.date.updated2018-04-09T15:07:03Z
dc.description.abstractObjectives: Methods on developing new (de novo) clinical practice guidelines (CPGs) have received substantial attention. However, the volume of literature is not matched by research into alternative methods of CPG development using existing CPG documents—a specific issue for guideline development groups in low- and middle-income countries. We report on how we developed a context specific prehospital CPG using an alternative guideline development method. Difficulties experienced and lessons learnt in applying existing global guidelines’ recommendations to a national context are highlighted. Results: The project produced the first emergency care CPG for prehospital providers in Africa. It included > 270 CPGs and produced over 1000 recommendations for prehospital emergency care. We encountered various difficulties, including (1) applicability issues: few pre-hospital CPGs applicable to Africa, (2) evidence synthesis: heterogeneous levels of evidence classifications and (3) guideline quality. Learning points included (1) focusing on key CPGs and evidence mapping, (2) searching other resources for CPGs, (3) broad representation on CPG advisory boards and (4) transparency and knowledge translation. Re-inventing the wheel to produce CPGs is not always feasible. We hope this paper will encourage further projects to use existing CPGs in developing guidance to improve patient care in resource-limited settings.
dc.identifier.apacitationMcCaul, M., de Waal, B., Hodkinson, P., Pigoga, J. L., Young, T., & Wallis, L. A. (2018). Developing prehospital clinical practice guidelines for resource limited settings: why re-invent the wheel?. <i>BMC Res Notes</i>, http://hdl.handle.net/11427/27801en_ZA
dc.identifier.chicagocitationMcCaul, Michael, Ben de Waal, Peter Hodkinson, Jennifer L Pigoga, Taryn Young, and Lee A Wallis "Developing prehospital clinical practice guidelines for resource limited settings: why re-invent the wheel?." <i>BMC Res Notes</i> (2018) http://hdl.handle.net/11427/27801en_ZA
dc.identifier.citationMcCaul, M., Waal, B., Hodkinson, P., Pigoga, J. L., Young, T., & Wallis, L. A. (2018). Developing prehospital clinical practice guidelines for resource limited settings: why re-invent the wheel?. BMC research notes, 11(1), 97.
dc.identifier.ris TY - Journal Article AU - McCaul, Michael AU - de Waal, Ben AU - Hodkinson, Peter AU - Pigoga, Jennifer L AU - Young, Taryn AU - Wallis, Lee A AB - Objectives: Methods on developing new (de novo) clinical practice guidelines (CPGs) have received substantial attention. However, the volume of literature is not matched by research into alternative methods of CPG development using existing CPG documents—a specific issue for guideline development groups in low- and middle-income countries. We report on how we developed a context specific prehospital CPG using an alternative guideline development method. Difficulties experienced and lessons learnt in applying existing global guidelines’ recommendations to a national context are highlighted. Results: The project produced the first emergency care CPG for prehospital providers in Africa. It included > 270 CPGs and produced over 1000 recommendations for prehospital emergency care. We encountered various difficulties, including (1) applicability issues: few pre-hospital CPGs applicable to Africa, (2) evidence synthesis: heterogeneous levels of evidence classifications and (3) guideline quality. Learning points included (1) focusing on key CPGs and evidence mapping, (2) searching other resources for CPGs, (3) broad representation on CPG advisory boards and (4) transparency and knowledge translation. Re-inventing the wheel to produce CPGs is not always feasible. We hope this paper will encourage further projects to use existing CPGs in developing guidance to improve patient care in resource-limited settings. DA - 2018-02-05 DB - OpenUCT DO - 10.1186/s13104-018-3210-3 DP - University of Cape Town J1 - BMC Res Notes LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Developing prehospital clinical practice guidelines for resource limited settings: why re-invent the wheel? TI - Developing prehospital clinical practice guidelines for resource limited settings: why re-invent the wheel? UR - http://hdl.handle.net/11427/27801 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s13104-018-3210-3
dc.identifier.urihttp://hdl.handle.net/11427/27801
dc.identifier.vancouvercitationMcCaul M, de Waal B, Hodkinson P, Pigoga JL, Young T, Wallis LA. Developing prehospital clinical practice guidelines for resource limited settings: why re-invent the wheel?. BMC Res Notes. 2018; http://hdl.handle.net/11427/27801.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDivision of Emergency Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s)
dc.sourceBMC Res Notes
dc.source.urihttps://bmcresnotes.biomedcentral.com/
dc.subject.otherPrehospital
dc.subject.otherEmergency medicine
dc.subject.otherEmergency care
dc.subject.otherClinical practice guidelines
dc.subject.otherGuidelines
dc.subject.otherGuideline development
dc.subject.otherAdaptation
dc.titleDeveloping prehospital clinical practice guidelines for resource limited settings: why re-invent the wheel?
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
McCaul_2018_Article.pdf
Size:
736.98 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal Articles