Guideline Recommendations for Oral Care After Acquired Brain Injury: Protocol for a Systematic Review

Background Oral care is important to prevent buccal and systemic infections after an acquired brain injury (ABI). Despite recent advancements in the development of ABI clinical practice guidelines, recommendations for specific clinical processes and actions to attain adequate oral care often lack information. Objective This systematic review will (1) identify relevant ABI clinical practice guidelines and (2) appraise the oral care recommendations existing in the selected guidelines. Methods A search strategy was developed based on a recent systematic review of clinical practice guidelines for ABI. The protocol includes a search of MEDLINE, EMBASE, and DynaMed Plus databases, as well as organizational and best-practice websites and reference lists of accepted guidelines. Search terms will include medical subject headings and user-defined terms. Guideline appraisal will involve the Appraisal of Guidelines for Research and Evaluation II ratings, followed by a descriptive synopsis for oral care recommendations according to the National Health and Medical Research Council evidence levels. Results This project started in April 2019, when we developed the search strategy. The preliminary search of databases and websites yielded 863 and 787 citations, respectively, for a total of 1650 citations. Data collection will start in August 2020 and we expect to begin disseminating the results in May 2021. Conclusions Nursing staff may not have detailed recommendations on how to provide oral care for neurologically impaired patients. The findings of this review will explore the evidence for oral care in existing guidelines and improve outcomes for patients with ABI. We expect to provide adequate orientations to clinicians, inform policy and guidelines for best practices, and contribute to future directions for research in the ABI realm. International Registered Report Identifier (IRRID) PRR1-10.2196/17249

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Guideline Recommendations for Oral Care After Acquired Brain Injury: Protocol for a Systematic Review (Preprint)

10.2196/preprints.17249 ◽

2019 ◽

Author(s):

Nalia Gurgel-Juarez ◽

Marie-France Perrier ◽

Tammy Hoffmann ◽

Natasha Lannin ◽

Laura Jolliffe ◽

...

Keyword(s):

Systematic Review ◽

Clinical Practice ◽

Brain Injury ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Best Practice ◽

Search Strategy ◽

Oral Care ◽

Acquired Brain Injury ◽

Medical Subject Headings

BACKGROUND Oral care is important to prevent buccal and systemic infections after an acquired brain injury (ABI). Despite recent advancements in the development of ABI clinical practice guidelines, recommendations for specific clinical processes and actions to attain adequate oral care often lack information. OBJECTIVE This systematic review will (1) identify relevant ABI clinical practice guidelines and (2) appraise the oral care recommendations existing in the selected guidelines. METHODS A search strategy was developed based on a recent systematic review of clinical practice guidelines for ABI. The protocol includes a search of MEDLINE, EMBASE, and DynaMed Plus databases, as well as organizational and best-practice websites and reference lists of accepted guidelines. Search terms will include medical subject headings and user-defined terms. Guideline appraisal will involve the Appraisal of Guidelines for Research and Evaluation II ratings, followed by a descriptive synopsis for oral care recommendations according to the National Health and Medical Research Council evidence levels. RESULTS This project started in April 2019, when we developed the search strategy. The preliminary search of databases and websites yielded 863 and 787 citations, respectively, for a total of 1650 citations. Data collection will start in August 2020 and we expect to begin disseminating the results in May 2021. CONCLUSIONS Nursing staff may not have detailed recommendations on how to provide oral care for neurologically impaired patients. The findings of this review will explore the evidence for oral care in existing guidelines and improve outcomes for patients with ABI. We expect to provide adequate orientations to clinicians, inform policy and guidelines for best practices, and contribute to future directions for research in the ABI realm. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/17249

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Systematic review of clinical practice guidelines to identify recommendations for rehabilitation after stroke and other acquired brain injuries

BMJ Open ◽

10.1136/bmjopen-2017-018791 ◽

2018 ◽

Vol 8 (2) ◽

pp. e018791 ◽

Cited By ~ 26

Author(s):

Laura Jolliffe ◽

Natasha A Lannin ◽

Dominique A Cadilhac ◽

Tammy Hoffmann

Keyword(s):

Systematic Review ◽

Clinical Practice ◽

Brain Injury ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Brain Injuries ◽

Acquired Brain Injury ◽

Inpatient Rehabilitation ◽

Agree Ii ◽

Registration Number

ObjectivesRehabilitation clinical practice guidelines (CPGs) contain recommendation statements aimed at optimising care for adults with stroke and other brain injury. The aim of this study was to determine the quality, scope and consistency of CPG recommendations for rehabilitation covering the acquired brain injury populations.DesignSystematic review.InterventionsIncluded CPGs contained recommendations for inpatient rehabilitation or community rehabilitation for adults with an acquired brain injury diagnosis (stroke, traumatic or other non-progressive acquired brain impairments). Electronic databases (n=2), guideline organisations (n=4) and websites of professional societies (n=17) were searched up to November 2017. Two independent reviewers used the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument, and textual syntheses were used to appraise and compare recommendations.ResultsFrom 427 papers screened, 20 guidelines met the inclusion criteria. Only three guidelines were rated high (>75%) across all domains of AGREE-II; highest rated domains were ‘scope and purpose’ (85.1, SD 18.3) and ‘clarity’ (76.2%, SD 20.5). Recommendations for assessment and for motor therapies were most commonly reported, however, varied in the level of detail across guidelines.ConclusionRehabilitation CPGs were consistent in scope, suggesting little difference in rehabilitation approaches between vascular and traumatic brain injury. There was, however, variability in included studies and methodological quality.PROSPERO registration numberCRD42016026936.

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A Systematic Critical Appraisal of Evidence-Based Clinical Practice Guidelines for the Rehabilitation of Children With Moderate or Severe Acquired Brain Injury

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2018.05.031 ◽

2019 ◽

Vol 100 (4) ◽

pp. 711-723 ◽

Cited By ~ 3

Author(s):

Sarah Knight ◽

Michael Takagi ◽

Elizabeth Fisher ◽

Vicki Anderson ◽

Natasha A. Lannin ◽

...

Keyword(s):

Clinical Practice ◽

Brain Injury ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Critical Appraisal ◽

Acquired Brain Injury ◽

Evidence Based ◽

Severe Acquired Brain Injury

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What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review

British Journal of Sports Medicine ◽

10.1136/bjsports-2018-099878 ◽

2019 ◽

Vol 54 (2) ◽

pp. 79-86 ◽

Cited By ~ 66

Author(s):

Ivan Lin ◽

Louise Wiles ◽

Rob Waller ◽

Roger Goucke ◽

Yusuf Nagree ◽

...

Keyword(s):

Systematic Review ◽

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Best Practice ◽

Quality Care ◽

Surgical Care ◽

High Quality ◽

Eligibility Criteria ◽

Evidence Database

ObjectivesTo identify common recommendations for high-quality care for the most common musculoskeletal (MSK) pain sites encountered by clinicians in emergency and primary care (spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis [OA] and shoulder) from contemporary, high-quality clinical practice guidelines (CPGs).DesignSystematic review, critical appraisal and narrative synthesis of MSK pain CPG recommendations.Eligibility criteriaIncluded MSK pain CPGs were written in English, rated as high quality, published from 2011, focused on adults and described development processes. Excluded CPGs were for: traumatic MSK pain, single modalities (eg, surgery), traditional healing/medicine, specific disease processes (eg, inflammatory arthropathies) or those that required payment.Data sourcesFour scientific databases (MEDLINE, Embase, CINAHL and Physiotherapy Evidence Database) and four guideline repositories.Results6232 records were identified, 44 CPGs were appraised and 11 were rated as high quality (low back pain: 4, OA: 4, neck: 2 and shoulder: 1). We identified 11 recommendations for MSK pain care: ensure care is patient centred, screen for red flag conditions, assess psychosocial factors, use imaging selectively, undertake a physical examination, monitor patient progress, provide education/information, address physical activity/exercise, use manual therapy only as an adjunct to other treatments, offer high-quality non-surgical care prior to surgery and try to keep patients at work.ConclusionThese 11 recommendations guide healthcare consumers, clinicians, researchers and policy makers to manage MSK pain. This should improve the quality of care of MSK pain.

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How to prepare a systematic review of economic evaluations for clinical practice guidelines: database selection and search strategy development (part 2/3)

Expert Review of Pharmacoeconomics & Outcomes Research ◽

10.1080/14737167.2016.1246962 ◽

2016 ◽

Vol 16 (6) ◽

pp. 705-721 ◽

Cited By ~ 28

Author(s):

FW Thielen ◽

GAPG Van Mastrigt ◽

LT Burgers ◽

WM Bramer ◽

HJM Majoie ◽

...

Keyword(s):

Systematic Review ◽

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Search Strategy ◽

Strategy Development ◽

Economic Evaluations ◽

Database Selection

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11 Best-Practice-Empfehlungen für die muskuloskelettale Therapie

manuelletherapie ◽

10.1055/a-1085-8960 ◽

2020 ◽

Vol 24 (01) ◽

pp. 6-6

Author(s):

Arne Vielitz

Keyword(s):

Systematic Review ◽

Clinical Practice ◽

Musculoskeletal Pain ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Best Practice ◽

High Quality ◽

Practice Care

Lin I, Wiles L, Waller R et al. What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. Br J Sports Med. 2019 Mar 2. pii: bjsports-2018–099878. doi: 10.1136/bjsports-2018–099878. [Epub ahead of print]

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