TY - JOUR
T1 - Development of the Canadian Spinal Cord Injury Best Practice (Can-SCIP) Guideline
T2 - Methods and overview
AU - the Can-SCIP Guideline Expert Panel
AU - Patsakos, Eleni M.
AU - Bayley, Mark T.
AU - Kua, Ailene
AU - Cheng, Christiana
AU - Eng, Janice
AU - Ho, Chester
AU - Noonan, Vanessa K.
AU - Querée, Matthew
AU - Craven, B. Catharine
AU - Townson, Andrea
AU - Richard-Denis, Andréanne
AU - Krassioukov, Andrei
AU - Welk, Blayne
AU - Kwon, Brian
AU - Short, Christine
AU - West, Christopher
AU - O’Connell, Colleen
AU - Forney, Daryl
AU - Lala, Deena
AU - Hill, Denise
AU - Jones, Graham
AU - Flett, Heather
AU - Milligan, Jamie
AU - Wilson, Jeff
AU - Smith, Joanne
AU - Chernesky, John
AU - Cobb, John
AU - Shepherd, John
AU - Ethans, Karen
AU - Burns, Katharina Kovacs
AU - Musselman, Kristin
AU - Cowley, Kristine
AU - Bouyer, Laurent
AU - Ritchie, Leanna
AU - Bélanger, Lise
AU - Russo, Louise
AU - Laramée, Marie Thérèse
AU - Fehlings, Michael
AU - Popovic, Milos
AU - Houghton, Pamela
AU - Athanasopoulos, Peter
AU - Fox, Richard
AU - Christie, Sean
AU - Nicosia, Sera
AU - McCullum, Shane
AU - Hocaloski, Shea
AU - McVeigh, Sonja
AU - Elliot, Stacy
AU - Casha, Steve
AU - Kalsi-Ryan, Sukhvinder
N1 - Funding Information:
Funding This work was supported by the Praxis Spinal Cord Institute (former Rick Hansen Institute) [grant number G2019-11].
Funding Information:
Declaration of interest Dr. B. Catharine Craven acknowledges support from the Toronto Rehab Foundation as the Toronto Rehabilitation Institute Chair in Spinal Cord Injury Rehabilitation, and receipt of consulting fees from the Praxis Spinal Cord Institute. Vanessa Noonan and Christiana Cheng are employees of the Praxis Spinal Cord Institute. Eleni Patsakos, Janice Eng, Matthew Querée, Chester Ho and Ailene Kua report no conflicts of interest. Dr. M. Bayley receives a stipend from UHN- Toronto Rehabilitation Institute for his role as Medical Director but has no other conflicts of interests.
Publisher Copyright:
© 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Introduction: Spinal cord injury (SCI) is a life-altering injury that leads to a complex constellation of changes in an individual’s sensory, motor, and autonomic function which is largely determined by the level and severity of cord impairment. Available SCI-specific clinical practice guidelines (CPG) address specific impairments, health conditions or a segment of the care continuum, however, fail to address all the important clinical questions arising throughout an individual’s care journey. To address this gap, an interprofessional panel of experts in SCI convened to develop the Canadian Spinal Cord Injury Best Practice (Can-SCIP) Guideline. This article provides an overview of the methods underpinning the Can-SCIP Guideline process. Methods: The Can-SCIP Guideline was developed using the Guidelines Adaptation Cycle. A comprehensive search for existing SCI-specific CPGs was conducted. The quality of eligible CPGs was evaluated using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. An expert panel (n = 52) convened, and groups of relevant experts met to review and recommend adoption or refinement of existing recommendations or develop new recommendations based on evidence from systematic reviews conducted by the Spinal Cord Injury Research Evidence (SCIRE) team. The expert panel voted to approve selected recommendations using an online survey tool. Results: The Can-SCIP Guideline includes 585 total recommendations from 41 guidelines, 96 recommendations that pertain to the Components of the Ideal SCI Care System section, and 489 recommendations that pertain to the Management of Secondary Health Conditions section. Most recommendations (n = 281, 48%) were adopted from existing guidelines without revision, 215 (36.8%) recommendations were revised for application in a Canadian context, and 89 recommendations (15.2%) were created de novo. Conclusion: The Can-SCIP Guideline is the first living comprehensive guideline for adults with SCI in Canada across the care continuum.
AB - Introduction: Spinal cord injury (SCI) is a life-altering injury that leads to a complex constellation of changes in an individual’s sensory, motor, and autonomic function which is largely determined by the level and severity of cord impairment. Available SCI-specific clinical practice guidelines (CPG) address specific impairments, health conditions or a segment of the care continuum, however, fail to address all the important clinical questions arising throughout an individual’s care journey. To address this gap, an interprofessional panel of experts in SCI convened to develop the Canadian Spinal Cord Injury Best Practice (Can-SCIP) Guideline. This article provides an overview of the methods underpinning the Can-SCIP Guideline process. Methods: The Can-SCIP Guideline was developed using the Guidelines Adaptation Cycle. A comprehensive search for existing SCI-specific CPGs was conducted. The quality of eligible CPGs was evaluated using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. An expert panel (n = 52) convened, and groups of relevant experts met to review and recommend adoption or refinement of existing recommendations or develop new recommendations based on evidence from systematic reviews conducted by the Spinal Cord Injury Research Evidence (SCIRE) team. The expert panel voted to approve selected recommendations using an online survey tool. Results: The Can-SCIP Guideline includes 585 total recommendations from 41 guidelines, 96 recommendations that pertain to the Components of the Ideal SCI Care System section, and 489 recommendations that pertain to the Management of Secondary Health Conditions section. Most recommendations (n = 281, 48%) were adopted from existing guidelines without revision, 215 (36.8%) recommendations were revised for application in a Canadian context, and 89 recommendations (15.2%) were created de novo. Conclusion: The Can-SCIP Guideline is the first living comprehensive guideline for adults with SCI in Canada across the care continuum.
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U2 - 10.1080/10790268.2021.1953312
DO - 10.1080/10790268.2021.1953312
M3 - Article
C2 - 34779719
AN - SCOPUS:85119662738
SN - 1079-0268
VL - 44
SP - S52-S68
JO - Journal of Spinal Cord Medicine
JF - Journal of Spinal Cord Medicine
IS - S1
ER -