Assessment of the quality and content of clinical practice guidelines for post-stroke rehabilitation of aphasia

Medicine
Yu WangLuping Yang

Abstract

The purpose of this study was to evaluate the quality of guidelines for rehabilitation of post-stroke aphasia using the Appraisal of Guidelines for Research and Evaluation (AGREE-II) instrument and identify consistency of different guidelines. A systematic search was undertaken from inception to October 2018. Two reviewers independently screened all titles and abstracts, and assessed eligible guidelines using the AGREE-II. Agreement among reviewers was measured by using intra-class correlation coefficient (ICC). From 5008 records screened, 8 guidelines met the inclusion criteria. The quality of guidelines was heterogeneous. Three guidelines were rated high (6.5) across; the highest rated domain was "scope and purpose' (median score 95.8%); the lowest rated domain was "rigor of development' (median score 67.2%). An overall high degree of agreement among reviewers to each domain was observed (ICC ranged from 0.60 to 0.99). The speech language therapy was recommended in 3 guidelines. Four guidelines described group treatment was beneficial for the continuum of care. However, other therapies for aphasia varied in the level of detail across guidelines. Our study indicated the quality of guidelines for post-stroke aphasia needed to b...Continue Reading

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Citations

Apr 15, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Seth TurnerChristian Martin-Gill
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Nov 21, 2020·American Journal of Physical Medicine & Rehabilitation·Marcel P DijkersScott R Millis

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

My AGREE PLUS
Google Scholar
Appraisal of Guidelines for Research and Evaluation II ( AGREE
AGREE

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