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September 1, 2021Bulletin of the World Health OrganizationOpen Access

Quality of stroke guidelines in low- and middle-income countries: a systematic review

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Authors

JYJoseph YariaUniversity of IbadanAGArtyom GilAga Khan UniversityAMAkintomiwa MakanjuolaUniversity College Hospital, Ibadan

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Overview

Systematic review reveals gaps in stroke guideline development across low- and middle-income nations, highlighting the need for context-appropriate interventions and broader stakeholder engagement.

Key Points

  • To assess the quality and clinical applicability of stroke management guidelines developed in low- and middle-income countries.
  • Conducted a systematic review identifying stroke clinical practice guidelines across low- and middle-income settings.
  • Evaluated guideline methodology, stakeholder and healthcare provider involvement, and the adaptability of recommendations to local healthcare contexts.
  • Stroke guidelines frequently omit key categories of healthcare providers and relevant community stakeholders during the development process.
  • Guidelines consistently lack a full spectrum of translatable, context-appropriate interventions tailored to local healthcare infrastructure and resource constraints.

Cite This Study

Yaria et al. (2021) studied this question.

synapsesocial.com/papers/69deb7c0afb501b9b6558a8bhttps://doi.org/10.2471/blt.21.285845
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 20152016 · 635 citations
  2. 22014 Chinese guidelines for secondary prevention of ischemic stroke and transient ischemic attack2017 · 136 citations
  3. 3The Effect of Riding as an Alternative Treatment for Children with Cerebral Palsy: A Systematic Review and Meta-Analysis2015 · 18,668 citations