Quality of Stroke Guidelines in Low- and Middle-Income Countries: A Systematic Review

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aut.relation.endpage652E
aut.relation.issue9en_NZ
aut.relation.journalBull World Health Organen_NZ
aut.relation.startpage640
aut.relation.volume99en_NZ
aut.researcherFeigin, Valery
dc.contributor.authorYaria, Jen_NZ
dc.contributor.authorGil, Aen_NZ
dc.contributor.authorMakanjuola, Aen_NZ
dc.contributor.authorOguntoye, Ren_NZ
dc.contributor.authorMiranda, JJen_NZ
dc.contributor.authorLazo-Porras, Men_NZ
dc.contributor.authorZhang, Pen_NZ
dc.contributor.authorTao, Xen_NZ
dc.contributor.authorAhlgren, JÁen_NZ
dc.contributor.authorBernabe-Ortiz, Aen_NZ
dc.contributor.authorMoscoso-Porras, Men_NZ
dc.contributor.authorMalaga, Gen_NZ
dc.contributor.authorSvyato, Ien_NZ
dc.contributor.authorOsundina, Men_NZ
dc.contributor.authorGianella, Cen_NZ
dc.contributor.authorBello, Oen_NZ
dc.contributor.authorLawal, Aen_NZ
dc.contributor.authorTemitope, Aen_NZ
dc.contributor.authorAdebayo, Oen_NZ
dc.contributor.authorLakkhanaloet, Men_NZ
dc.contributor.authorBrainin, Men_NZ
dc.contributor.authorJohnson, Wen_NZ
dc.contributor.authorThrift, AGen_NZ
dc.contributor.authorPhromjai, Jen_NZ
dc.contributor.authorMueller-Stierlin, ASen_NZ
dc.contributor.authorPerone, SAen_NZ
dc.contributor.authorVarghese, Cen_NZ
dc.contributor.authorFeigin, Ven_NZ
dc.contributor.authorOwolabi, MOen_NZ
dc.contributor.authorStroke Experts Collaboration Groupen_NZ
dc.date.accessioned2021-09-10T02:02:04Z
dc.date.available2021-09-10T02:02:04Z
dc.date.copyright2021-09-01en_NZ
dc.date.issued2021-09-01en_NZ
dc.description.abstractObjective: To identify gaps in national stroke guidelines that could be bridged to enhance the quality of stroke care services in low- and middle-income countries. Methods: We systematically searched medical databases and websites of medical societies and contacted international organizations. Country-specific guidelines on care and control of stroke in any language published from 2010 to 2020 were eligible for inclusion. We reviewed each included guideline for coverage of four key components of stroke services (surveillance, prevention, acute care and rehabilitation). We also assessed compliance with the eight Institute of Medicine standards for clinical practice guidelines, the ease of implementation of guidelines and plans for dissemination to target audiences. Findings: We reviewed 108 eligible guidelines from 47 countries, including four low-income, 24 middle-income and 19 high-income countries. Globally, fewer of the guidelines covered primary stroke prevention compared with other components of care, with none recommending surveillance. Guidelines on stroke in low- and middle-income countries fell short of the required standards for guideline development; breadth of target audience; coverage of the four components of stroke services; and adaptation to socioeconomic context. Fewer low- and middle-income country guidelines demonstrated transparency than those from high-income countries. Less than a quarter of guidelines encompassed detailed implementation plans and socioeconomic considerations. Conclusion: Guidelines on stroke in low- and middle-income countries need to be developed in conjunction with a wider category of health-care providers and stakeholders, with a full spectrum of translatable, context-appropriate interventions.en_NZ
dc.identifier.citationBulletin of the World Health Organization, 99 (‎9)‎: 640 - 652E
dc.identifier.doi10.2471/BLT.21.285845en_NZ
dc.identifier.issn1564-0604en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14491
dc.languageengen_NZ
dc.publisherWorld Health Organization (WHO)
dc.relation.urihttps://apps.who.int/iris/handle/10665/344869
dc.rightsAttribution 3.0 IGO (CC BY 3.0 IGO)
dc.rights.accessrightsOpenAccessen_NZ
dc.titleQuality of Stroke Guidelines in Low- and Middle-Income Countries: A Systematic Reviewen_NZ
dc.typeJournal Article
pubs.elements-id440001
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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