Janine Margarita R. Dizon, PhD Research Supervisor Center for Health Research and Movement Science University of Santo Tomas, Philippines

Objectives Lecture –To present the steps in searching, retrieving and appraising of the guidelines Practical work –To develop a search strategy to exhaust existing clinical guidelines relevant to the topic –To apply the search strategy in various relevant guideline sites: –To evaluate the quality of the guidelines using the iCAHE guideline tool 2

Designing the search Comprehensive guideline is needed Clinical guidelines + P (population with the condition) + I (intervention) 4

Keywords Keywords for the stroke guideline –clinical guidelines AND stroke OR occlusive vascular diseases OR transient ischemic attacks AND rehabilitation. Keywords for the low back pain guideline –clinical guidelines AND low back pain OR acute/sub-acute/chronic low back pain AND rehabilitation. 5

Search engines National Institute for Health and Clinical Excellence (NICE), Scottish Intercollegiate Guidelines Network (SIGN) National Health and Medical Research Center (NHMRC) New Zealand Guidelines Group (NZGG) National Guidelines Clearinghouse (NGC) Google, Google Scholar and Professional websites (general search) Locally published clinical guidelines 6

Inclusion criteria 1. Includes rehabilitation as part of the guideline 2. Is written in English 3. Publication date from 2006 –

Retrieval Retrieval of the guidelines was done during the 2-day workshop Updated search and retrieval all through out the period of writing the guidelines 9

Critical appraisal of the guidelines Important to assess guideline quality iCAHE guideline tool – practical and easy to use guideline checklist 11

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Main components Availability Dates Underlying evidence Guideline developers Guideline purpose and users Ease of use iCAHEtool.pdf 13