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09-Jun-2015 14:21

New clinical guidelines on stroke and low back pain which had been published internationally in the last 3 years were identified using a search of electronic databases.The methodological quality of each guideline was assessed using the i CAHE Guideline Quality Checklist, and only those guidelines which provided full text references, evidence hierarchy and quality appraisal of the included literature, were included in the PARM update.This dovetails with its writing guide, which underpinned its foundational work in contextualizing guidelines for stroke and low back pain (LBP) in 2011.Working groups of Filipino rehabilitation physicians and allied health practitioners met to reconsider and modify, where indicated, the ‘typical’ Filipino patient care pathways established in the foundation guidelines.(Int J Technol Assess Health Care 19(4):646–655, ) and then modified to incorporate wording from the foundational PARM writing guide.The new updating tool was debated, pilot-tested and agreed upon by the PARM working groups, before being applied to the guideline updating process.Ten new guidelines on stroke and eleven for low back pain were identified.

Consequently only five stroke and four low back pain guidelines were included.The modified PARM updating guide was applied by all working groups to ensure standardization of the wording of updated recommendations and the underpinning evidence bases.



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