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Living guidelines for stroke management


The Stroke Foundation’s Clinical Guidelines for Stroke Management are evolving into living guidelines as a next-generation solution for health evidence translation.

This three-year pilot project will build and evaluate a world-first, online, dynamically updating summary of stroke evidence to guide clinical practice and policy development.

Project update – April 2019

We have recently finished screening publications using the online tool Covidence, to identify research developments since the guidelines were last updated in 2017. Relevant articles are being sent to our expert working groups, who will assess whether they change our guideline recommendations.

Topics being considered by the working groups include treatment of patent foramen ovale, oxygen therapy, and stroke survivor self-management.

The working groups also include our new consumer panel, which has now been inducted into our project's processes. The consumer panel will provide input from stroke survivors and carers at every stage of the living guidelines process.

We are also continuing to work on evidence-based knowledge translation strategies, following on from the workshop we help in February.

How living guidelines work

The living guidelines use ‘evidence surveillance’ systems that continually scan for relevant new research, incorporate it into evidence summaries and rapidly update guideline recommendations whenever there is a substantial change in the evidence.

The ultimate goal is to create a near real-time, closed-loop evidence system in which global evidence and local data are integrated for insight and health decision making.

This work will be supported by new evidence systems from Cochrane Australia, including artificial intelligence, the Cochrane Crowd citizen science community, and the Covidence online systematic review platform.

Guideline recommendations will continue to be developed and published using the MAGICapp platform.

For the latest recommendations, see the Clinical Guidelines for Stroke Management.

Diagram of how the evidence summaries turn newly published research and clinical practice data into updated recommendations, which then feed into clinical practice and policy

Contact

For more information, please contact guidelines@strokefoundation.org.au

This project is a partnership between the Stroke Foundation and Cochrane Australia, and is supported by the Australian government’s Medical Research Future Fund.

Cochrane Australia