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Living guidelines no longer a dream


Kelvin Hill, Loyal Pattuwage and Chris Lassig celebrating with glasses of sparkling mineral water
The Living Guidelines Project Team (minus Peta Bates) raise glasses of sparkling mineral water to celebrate the move to living mode. L-R: Kelvin Hill, Loyal Pattuwage and Chris Lassig

With the start of monthly searches for new evidence, our Clinical guidelines for Stroke Management have officially entered living mode. They are now the first guidelines in Australia – and indeed the world – based on a new search every month.

Up to now, our living guidelines team has been focused on catching up on developments since the last revision of the guidelines in 2017. Using the online software Covidence, we have screened over 10,000 clinical trials and systematic reviews, published up until the end of February 2019.

With that task complete, we’re now switching to monthly evidence surveillance. This first month will capture everything published since February, as we get into the rhythm of regular reviews.

Peta Bates, Living Guidelines Project Coordinator
The fourth member of our team, Peta Bates, Living Guidelines Project Coordinator

Improvements in stroke care keep coming

The need for living guidelines is demonstrated by the significant changes picked up in the most recent round of updates. These include the doubling of the time for thrombolysis to nine hours, and a new recommendation for closure of patent foramen ovale (PFO) in young stroke survivors where no other cause is found.

These new and updated recommendations recently completed their public consultation period. Thank you to everyone who commented; we are now digesting all the feedback so we can seek approval from the NHMRC.

Meanwhile, our content working groups are digesting the remaining studies found in our last search, covering topics such as rehabilitation and managing complications. With so much valuable material to sort through, we’re expecting more changes for consultation soon.

Stay tuned to InformMe for more living guideline updates.