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. 2021;44(sup1):S52-S68.
doi: 10.1080/10790268.2021.1953312.

Development of the Canadian Spinal Cord Injury Best Practice (Can-SCIP) Guideline: Methods and overview

Eleni M Patsakos  1 , Mark T Bayley  1   2 , Ailene Kua  1 , Christiana Cheng  3 , Janice Eng  4   5 , Chester Ho  6 , Vanessa K Noonan  3 , Matthew Querée  7 , B Catharine Craven  1   2 ; Can-SCIP Guideline Expert Panel  1
Affiliations

Development of the Canadian Spinal Cord Injury Best Practice (Can-SCIP) Guideline: Methods and overview

Eleni M Patsakos et al. J Spinal Cord Med. 2021.

Abstract

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.

Keywords: Clinical practice guidelines; Evidence-based practice; Knowledge translation; Spinal cord injury.

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Figures

Figure 1
Figure 1
Can-SCIP recommendations adaptation and development cycle.
Figure 2
Figure 2
PRISMA study flow diagram.
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References

    1. Hitzig SL, Escobar EMR, Noreau L, Craven BC.. Validation of the reintegration to normal living index for community-dwelling persons with chronic spinal cord injury. Arch Phys Med Rehabil 2012;93(1):108–14. - PubMed
    1. Carr JJ, Kendall MB, Amsters DI, Pershouse KJ, Kuipers P, Buettner P, et al. . Community participation for individuals with spinal cord injury living in Queensland, Australia. Spinal Cord 2017;55(2):192–7. - PubMed
    1. Guilcher SJT, Catharine Craven B, Bassett-Gunter RL, Cimino SR, Hitzig SL.. An examination of objective social disconnectedness and perceived social isolation among persons with spinal cord injury/dysfunction: a descriptive cross-sectional study. Disabil Rehabil 2019;43(1):1–7. - PubMed
    1. Craven BC, Balioussis C, Verrier M.. The tipping point: perspectives on SCI rehabilitation service gaps in Canada. Int J Phys Med Rehabil 2013;1(8):1–4.
    1. DeVivo MJ, Savic G, Frankel HL, Jamous MA, Soni BM, Charlifue S, et al. . Comparison of statistical methods for calculating life expectancy after spinal cord injury. Spinal Cord 2018;56(7):666–73. - PubMed

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