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Guidelines development process

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.

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

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

Further general, non-technical information about guideline development is documented in our Living Guidelines Methods and Processes.

Living guideline methods are also described in our paper, Feasibility of national living guideline methods: The Australian Stroke Guidelines, published in the Journal of Clinical Epidemiology.

(Hill K, English C, Campbell BCV, McDonald S, Pattuwage L, Bates P, Lassig C, Turner T; Living Stroke Guidelines Executive Group and Content Development Group. Feasibility of national living guideline methods: The Australian Stroke Guidelines. J Clin Epidemiol. 2022 Feb;142:184-193. doi: 10.1016/j.jclinepi.2021.11.020. Epub 2021 Nov 14. PMID: 34785347).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

Guideline process documents

The 2016 NHMRC Standards for Guidelines outline requirements to document all guideline development processes, which are submitted for approval along with changes to recommendations.

Technical reports

A record of the evidence review process for our living stroke guidelines is now detailed in MAGICapp.

For each topic, you can view the clinical questions, PICO (population, intervention, comparator and outcomes), included references, evidence profile and summary. These feed into the rationale and evidence to decision for each recommendation, outlining benefits and harms, certainty of the evidence, preferences and values, and resources and other considerations.

To see these details, follow the links to topics in the Clinical Guidelines for Stroke Management, and click the tabs below each recommendation.

Administrative reports

Administrative reports are also produced for each guideline update submitted to NHMRC, with information specific to the topics updated. This includes which members of the Content Development Group were involved, and any conflicts of interest they have reported.

Public consultation submission summaries

Details of public consultation submissions and our responses are documented for each guideline update submitted to NHMRC.

Other documents

Additional documents listed below support our guideline development and implementation.

 

People involved in guideline development

The following lists members of our Content Development Group (comprising a Steering Committee, ten Working Groups and a Consumer Panel) and Project Development Team. Further information on project governance is in the Administrative Report above.

Content Steering Committee

  • Prof Bruce Campbell (Co-Chair) / Acute Medical
    Neurologist and Research Fellow - The Royal Melbourne Hospital
  • A/Prof Elizabeth Lynch (Co-Chair) / Physiotherapy
    Senior Research Fellow, Matthew Flinders Fellow, College of Nursing and Health Sciences - Flinders University
  • Dr Laura Joliffe (deputy co-chair) / Occupational Therapy
    Allied Health Research Lead; lecturer - Peninsula Health, Monash University
  • Prof Anna Ranta (deputy co-chair) / Acute medical
    Consultant neurologist - Capital & Coast District Health Board (NZ)
  • Antonia (Toni) Arfaras / Lived experience
    Lived experience expert
  • Prof Dominique Cadilhac / Economics
    Head, Translational Public Health Unit - Monash University
  • Kevin English / Lived experience
    Lived experience expert
  • Prof Steven Faux / Rehabilitation Medicine
    Rehabilitation physician - St Vincent's Hospital
  • Prof Maree Hackett / Psychology
    Head, Mental Health and Chronic Disease Program, Neurological & Mental Health Division - The George Institute for Global Health
  • Prof Natasha Lannin / Occupational Therapy
    Researcher and lecturer - Alfred Health and Monash University
  • Prof Sandy Middleton / Nursing
    Director, Nursing Research Institute - SVHA & ACU Nursing Research Institute
  • Dr Lisa Murphy / Other
    CEO - Stroke Foundation
  • Dr John Pierce / Speech Pathology
    Postdoctoral Fellow - La Trobe University
  • Prof Anna Ranta / Acute Medical
    Consultant neurologist - Capital & Coast District Health Board
  • Dr Fiona Simpson / Dietetics
    Clinical Specialist & Research Dietitian & Clinical Senior Lecturer - Sydney University
  • Prof Nigel Stocks / Rehabilitation Medicine
    Discipline of General Practice - University of Adelaid

Content Working Groups

Acute Medical

  • A/Prof Amal Abou-Hamden
    Vascular neurosurgery - Royal Adelaide Hospital
  • Dr Andrew Gauden
    Cerebrovascular and endovascular neurosurgeon -  Monash Health
    A/Prof Andrew Wong
    Director, Neurology and Stroke - Royal Brisbane & Women's Hospital
  • Dr Cecilia Cappelen-Smith
    Senior Staff Specialist Neurologist - Liverpool Hospital
  • Dr Chloe Mutimer
    Neurology Advanced Trainee - Royal Melbourne Hospital
  • Prof Chris Bladin
    Director, Victorian Stroke Telemedicine (VST) Service Ambulance Victoria
  • A/Prof Darshan Ghia
    Consultant Neurologist & Clinical Senior Lecturer - FSH and SJOG Subiaco hospitals, UWA School of Medicine and Pharmacology
  • Dr Duncan Maddox
    Stroke Fellow, Advanced trainee - The Princess Alexandra Hospital
  • Dr Felix Ng
    Neurologist (clinician & academic) - Royal Melbourne Hospital
  • Dr Ferdinand Miteff
    Researcher - University of Newcastle
  • Dr Henry Zhao
    Neurologist - Royal Melbourne Hospital
  • Dr Hilary Madder
    Consultant, Department of Anaesthesiology and Perioperative Medicine - Alfred Hospital
  • Prof Hugh Grantham
    Professor of Paramedics - Researcher Curtin University; Flinders Medical centre
  • A/Prof John Laidlaw
    Head of neurovascular disorders clinic - Royal Melbourne Hospital
  • Dr John Ly
    Consultant neurologist - Monash Health and Infinite Neurology
  • Prof Ken Butcher
    Director of Clinical Neurosciences - Prince of Wales Clinical school, UNSW
  • Dr Lauren Sanders
    Stroke Neurologist - St Vincent’s Hospital
  • Dr Martin Punter
    Senior medical officer and clinical lead for stroke, clinical senior lecturer - Capital & Coast District Health Board, Uni of Otago Wellington (NZ)
  • A/Prof Nawaf Yassi
    Neurologist and Stroke Research Fellow - Royal Melbourne Hospital
  • Prof Peter Mitchell
    Director NeuroIntervention Service - Royal Melbourne Hospital
  • A/Prof Philip M.C. Choi
    Consultant Neurologist - Box Hill Hospital
  • A/Prof Ramesh Sahathevan
    Neurologist - Ballarat Health Service
  • A/Prof Ronil Chandra
    Neurointerventional radiologist - Monash Health
  • Dr Sarah Aitken
    Consultant vascular surgeon, chair and Associate Professor of Head of Surgery Specialty - Concord Repatriation General Hospital and The University of Sydney
  • A/Prof Stacey Jankelowitz
    Clinical Associate Professor - University of Sydney
  • Dr Teddy Wu
    Neurologist - Christchurch Hospital (NZ)
  • Prof Thanh Phan
    Head, Stroke Unit - Monash Medical Centre
  • Prof Tim Kleinig
    Director, Stroke Unit - Royal Adelaide Hospital
  • Dr Wayne Loudon
    Critcal care paramedic - Metro North Ambulance Metro North, QLD
  • Dr Yash Gawarikar
    Founder and neurologist - Canberra Region Neurology and Pain Centre

Dietetics 

  • A/Prof Amanda Patterson
    Senior Lecturer; Program Convenor Bachelor Nutrition and Dietetics - Uni of Newcastle
  • Ms Lesley MacDonald-Wicks
    Snr lecturer, Nutrition and Dietetics - University of Newcastle
  • Tiffany Vuong
    Clinical Dietitian - Liverpool Hospital

Nursing

  • Ms Aylissa Canning
    Clinical Nurse Consultant - Princess Alexandra Hospital
  • Dr Bindu Joseph
    Lecturer / Course co-ordinator Federation - University Australia
  • Prof Caleb Ferguson
    Director of Post Graduate Western Sydney University
  • Mr Danny Kinsella
    Neuroscience Nurse Educator - Alfred Hospital
  • Ms Donna Jay
    Clinical Nurse Consultant,Rural Stroke Coordinator - Shoalhaven District Memorial Hospital
  • Mr Fahad Shaikh
    PhD student / Pharmacist - Western Sydney University
  • Ms Gillian Edmonds
    Clinical Nurse Specialist, acute stroke - Fiona Stanley Hospital
  • A/Prof Janet Bray
    Senior Research Fellow, Associate Director: Australian Resuscitation Outcomes Consortium (Aus-ROC)  NHMRC Centre of Research Excellence - Monash University
  • Dr Katie Nesbitt
    Research associate - Flinders University
  • Ms Kelly Coughlan
    T3 Trial Assistant - SVHA & ACU Nursing Research Institute
  • Ms Kerry Boyle
    Stroke Coordinator and project officer - Hunter New England Health, Stroke service
  • Ms Kristine Caprecho
    Stroke Care Coordinator - Queanbeyan Hospital and Health District
  • Lai-Kin Wong
    Clinical nurse specialist, stroke - Wellington Hospital
  • Dr Langduo Chen
    Nurse Unit Manager, Tobruk Rehab Ward - Flinders Medical Centre
  • Ms Lien Lombardo
    Registered nurse, PhD candidate, Manager, Product Development and Projects - Chrysalis Advisory
  • Melissa Brooks
    Acute Stroke Clinical Nurse Consultant - Princess Alexandra Hospital
  • Natalie Govind
    Lecturer, Nursing - University of technology, Sydney
  • Mrs Nicola (Nikki) Chappelow
    Clinical Nurse Consultant Liverpool Hospital
  • Ms Sandra Lever
    CNC Rehabilitation - Ryde Hospital
  • Ms Simeon Dale
    Clinical Research Fellow T3 Trial Project Manager - SVHA & ACU Nursing Research Institute

Occupational therapy

  • Ashleigh Glynn
    Senior occupational therapist Caulfield hospital - Alfred Hospital
  • Ms Brittni Nielsen
    Occupational therapist - Caulfield Hospital
  • Prof Carolyn Unsworth
    Professor of occupational therapy Dept of Neuroscience - Monash Uni
  • Dr Claire Lynch
    Lecturer, Victoria Professional Practice Coordinator  - Australian Catholic University
  • Ms Danielle Sansonetti
    Grade 4 Occupational Therapist ABI Rehabilitation Centre - Caulfield Hospital
  • Dr Deirdre Cooke
    Occupational therapist - Function for Life
  • Dr Emily Dalton
    Occupational therapist - University of Melbourne
  • Dr Emma Schneider
    Grade 4 Occupational Therapist - Alfred Health and Swinburne University
  • Dr Freyr Patterson
    Lecturer and occupational therapist - University of Queensland
  • Hayley Scott
    PhD Student - Western Health
  • Jane O'Connell
    Snr Occupational therapist - Gold Coast Health
  • Miss Jaslyn Nash
    Occupational therapist - Royal North Shore Hospital
  • Ms Jocelyn White
    Occupational therapist - Clarity Occupational Therapy
  • Dr Kate D'Cruz
    Senior research fellow - Summer Foundation and La Trobe University
  • Prof Kate Laver
    Post-Doctoral Research Fellow, Rehabilitation Aged and Extended Care - Flinders University
  • Katherine Delany
    Project manager - Princess Alexandra Hospital
  • Katherine Sewell
    LaTrobe University
  • Kathleen (Kate) Makroglou
    Senior occupational therapist - St George Hospital
  • Dr Kylie Wales
    Senior lecturer - Australian Catholic University
  • Laura De Lacy
    Occupational therapist - Alfred Health, St Vincents Hospital
  • Dr Lauren Christie
    Senior implementation science research fellow - allied health - St Vincent's Hospital Sydney and Australian Catholic University
  • Dr Liana Cahill
    Lecturer in Occupational therapy School of Allied health - Australian Catholic University
  • Dr Margaret McGrath
    Head of Discipline: Occupational therapy - The University of Sydney
  • Mrs Melanie Hoyle
    Lecturer - University of Queensland
  • Dr Miia Rahja
    Senior Research Fellow - Rehabilitation, Aged and Palliative Care - Flinders University
  • Ms Minh Tran
    Occupational therapist - Rehabilitation in the Home
  • Ms Serena Alves-Stein
    Senior occupational therapist, Clinical trial coordinator - Caulfield hospital
  • Sinéad O'Halloran
    Occupational therapist - AT & Middlemore Hospital (NZ)
  • Sophie O'Keefe
    PhD candidate and occupational therapist - Monash University and Alfred Hospital
  • Prof Stacey George
    Occupational Therapist / Clinical / Academic specialist - Flinders University
  • Dr Tamara Tse
    Discipline Lead - LaTrobe university
  • Dr Tenelle Hodson
    Occupational therapist and lecturer - Griffith University
  • Yvonne Yee Kwan Mak-Yuen
    Occupational therapist, research lead St  - Vincent's Hospital, La Trobe University

Physiotherapy

  • Prof Coralie English
    Professor, Physiotherapy - University of Newcastle
  • Danielle Gould
    Senior Physiotherapist - Eastern Health
  • Dr Davide de Sousa
    Senior Physiotherapist - Ryde Hospital
  • Dr Dawn Simpson
    Lecturer in Physiotherapy - University of Newcastle
  • Dr Di Marsden
    Education - John Hunter Hospital
  • Dr Genevieve Tole
    Physiotherapist - Victorian Neurorehabilitation Network and Melbourne University
  • Dr Heidi Janssen
    Physiotherapist and Researcher - Hunter Medical Research Institute
  • Dr Ines Serrada
    Lecturer - Uni South Australia
  • Dr Jessica Nolan
    Physiotherapist - Curtin University
  • Prof Karen Liu
    Associate Dean (research), OT - Western Sydney University
  • A/Prof Kate Hayward
    Snr research fellow in stroke recovery Dept Physiotherapy - Uni of Melb
  • Kate Newton
    Physiotherapist and physiotherapy industry clinical educator - University of Newcastle
  • A/Prof Kate Scrivener
    Lecturer - Macquarie University
  • Katrina Kenah
    Physiotherapist (Rehabilitation in the Home Program) - Monash Health
  • Dr Kelly Bower
    Senior lecturer Dept of Physiotherapy - Uni of Melbourne
  • Mrs Laura Donnelly
    Neurosciences Physiotherapy Clinical Lead - Wollongong Hospital
  • Ms Lauren Abbot
    Physiotherapist - Tasmanian Health Service
  • Dr Maria Sammut
    PhD candidate  -University of Newcastle
  • Dr Marie-Claire Smith
    Lecturer, Physiotherapy - University of Auckland (NZ)
  • Prof Marie-Louise Bird
    Academic Lead Allied Health Discipline, Senior Lecturer Federation - University Australia
  • Matthew Wingfield
    PhD student / physiotherapist - University of Melbourne, Epworth Healthcare
  • Megan Banky
    Physiotherapist and research fellow - Epworth health and Uni of Melbourne
  • Dr Michelle McDonnell
    Senior Clinician - Modbury Hospital
  • Dr Natalie Fini
    Academic, Physiotherapy - Uni Melbourne
  • Prof Prue Morgan
    Head of Physiotherapy - Monash University
  • Ryan Gallagher
    Research physiotherapist, senior therapisit and project officer, and conjoint senior lecturer - John Hunter Hospital and University of Newcastle
  • Miss Sarah Ashcroft
    PhD candidate and exercise physiologist - Australian Catholic University
  • Dr Sharon Kramer
    Postdoctoral Researcher and Student Manager AVERT team - Deakin University
  • Dr Simone Dorsch
    Lecturer in Physiotherapy - Australian Catholic University
  • Ms Sophie Watt
    Senior Rehabilitation physiotherapist - Logan Hospital
  • Dr Tamina Levy
    Physiotherapist (advanced practitioner) and lecturer - Flinders Medical Centre and Flinders University
  • Dr Thoshen Kandasamy
    Advanced Education Research Lead for Allied Health - SA Health and Flinders University
  • Mrs Zara Youngblutt
    Acute Neuroscience Physiotherapist - St George Hospital

Psychology

  • A/Prof Dana Wong
    Snr lecturer in neuropsychology - LaTrobe university
  • Mrs Madeleine Stone
    Clinical psychologist - St Vincent's hospital, Sydney
  • A/Prof Rene Stolwyk
    Lecturer - Monash University
  • Dr Sabine Allida
    Research fellow - University of Wollongong & Western Sydney Local Health District

Rehabilitation Medicine

  • Prof Beata Bajorek
    Responsible Academic Officer – Clinical University of Technology
  • Dr Carl Hanger
    Geriatrician - The Princess Margaret Hospital, Health New Zealand-Te Whatu Ora (NZ)
  • Dr Juan Rois
    Rehabilitation Physician - Ipswich Hospital
  • Dr Peter Sturgess
    Acting head of department, staff specialist and PhD candidate - Prince of Wales Hospital, Royal North Shore Hospital, Royal Rehab
  • Dr Ann (Annie) Winkler
    Rehabilitation medicine physician - Northern Rivers NeuroRehab

Speech Pathology

  • Ms Anne-Louise (Annie) Dent
    Speech Pathologist - Neurosciences RPA Hospital
  • Dr Dijana Dragicevich
    National Allied Health Manager and Speech Pathologist - Bloom Healthcare
  • Dr Emily Brogan
    Post Doctoral Research Fellow Centre of Research Excellence in Aphasia Recovery and Rehabilitation - Edith Cowan University
  • Emily Neal Senior
    Speech Pathologist - Prince of Wales Hospital
  • Dr Emma Finch
    Research fellow - University of Queensland
  • Prof Emma Power
    Lecturer, Speech Pathology - University of Technology, Sydney
  • A/Prof Erin Godecke
    Clinical Director, Very Early Rehabilitation in SpeEch (VERSE) Trial for Aphasia after Stroke - Edith Cowan University
  • Dr Jo Murray
    Lecturer, Speech Pathology - Flinders University
  • Julia Gorton
    Speech pathologist - Royal Melbourne Hospital
  • Katina (Kate) Swan
    Lecturer Edith - Cowan University
  • Dr Kirstine Shrubsole
    Lecturer School of Health and human sciences - Southern Cross University
  • Prof Natalie Ciccone
    Course Coordinator, Bachelor of Speech Pathology - Edith Cowan University
  • A/Prof Petrea Cornwell
    Associate Professor, Speech Pathology - Menzies Health Institute
  • Dr Rachel Wenke
    Senior speech pathologist/Research fellow - Gold Coast Health
  • Dr Sonia Brownsett
    Speech pathology Post doc - University of Queensland
  • Ms Susan Starr
    Speech pathologist - St Vincent's Hospital, Sydney

Other

  • Mr Brendon Haslam / Central post-stroke pain 
    Physiotherapist, Pain management - University of Melbourne
  • Dr Ibrahim Jatau Abubakar / Pharmacy 
    Pharmacist Royal Hobart Hospital
  • Dr Joosup Kim / Economics 
    Translational Public Health Unit - Monash University
  • Dr Lyndal Hickey / Other 
    Snr Project officer, Evidence base in family services - Dept Health and Human Services
  • Ms Mali Newman-Plant / Social Work 
    Social worker - Sacred Heart Rehabilitation Service
  • Ms Michelle Courtney-Harris  / Other 
    University of technology, Sydney
  • Prof Tissa Wijeratne / Pain 
    Western health Melbourne

Lived experience Panel

  • Ms. Toni Arfaras - Stroke survivor
  • Ms. Karen Bayly - Stroke survivor
  • Ms. Kim Beesley - Carer (of daughter)
  • Mr. Brian Beh - Stroke survivor
  • Ms. Brenda Booth - Stroke survivor
  • Ms. Letisha Living - Stroke survivor
  • Ms. Amy Jennings - Stroke survivor
  • Ms. Sally Byatt - Stroke survivor
  • Mr. Eric Knapp - Stroke survivor
  • Ms. Hannah Derwent - Stroke survivor
  • Mrs. Jessica D'Lima - Carer (of husband)
  • Ms. Joan Douglas-Haynes - Carer (of husband)
  • Mr. Paul Douglas-Haynes - Stroke survivor
  • Ms. Kim Draper - Stroke survivor
  • Mrs. Helen Ebzery - Carer (of mum)
  • Mr. Martin Pace - Stroke survivor
  • Mr. Tony Finneran - Stroke survivor
  • Ms. Kylie Head - Stroke survivor
  • Mr. Clive Kempson - Stroke survivor
  • Mr. Duncan Mitchell - Stroke survivor
  • Ms. Elisha Deegan - Stroke survivor
  • Ms. Samantha Owen - Stroke survivor
  • Ms. Christine Owens - Carer (of brother)
  • Ms. Jouna Kolose - Stroke survivor
  • Ms. Priya Sharma - Stroke survivor
  • Ms Barbara Wolfenden - Stroke survivor
  • Ms. Nichola Browning - Carer (of daughter)
  • Ms. Rebecca Moore - Stroke survivor
  • Ms. Joanne Hardcastle - Stroke survivor
  • Ms. Alison Reidy - Stroke survivor
  • Ms. Kerrie-Anne Teo - Carer (of husband)
  • Mr. Luke Davies - Stroke survivor
  • Mr. Brian Mulhern - Stroke survivor
  • Mr. Gary Kagan - Stroke survivor
  • Ms. Rosalynd O'Shannassy - Stroke survivor

Project Development Team

  • Ms. Melita Stirling
    Interim National Manager, Evidence, Quality and Research - Stroke Foundation
  • Ms. Heidi Li
    Guidelines Coordinator - Stroke Foundation
  • Dr. Chris Lassig
    Knowledge Translation Coordinator - Stroke Foundation
  • Mr. Kelvin Hill
    Interim Executive Director Stroke Programs, Research and Innovation - Stroke Foundation

Contact

For more information or to consider volunteering in the expert working group, please contact guidelines@strokefoundation.org.au