Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for Rehabilitation
Abstract Background The identification of existing rehabilitation interventions and related evidence represents a crucial step along the development of the World Health Organization’s (WHO) Package of Interventions for Rehabilitation (PIR). The methods for such identification have been developed by...
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doaj-0841e8d0faa24a3ca3553deca66716592020-11-25T04:09:41ZengSpringerOpenJournal of Orthopaedics and Traumatology1590-99211590-99992020-11-0121111210.1186/s10195-020-00560-wSystematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for RehabilitationFrancesca Gimigliano0Sara Liguori1Antimo Moretti2Giuseppe Toro3Alexandra Rauch4Stefano Negrini5other members of the Technical Working GroupClaudio Curci6Michele Patrini7Livia Peschi8Sanaz Pournajaf9Maria Sgarbanti10Giovanni Iolascon11Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”Rehabilitation Programme World Health OrganizationIRCCS Istituto Ortopedico GaleazziNeurorehabilitation Unit, Policlinico San Marco, Gruppo San DonatoIRCCS Fondazione Don Carlo GnocchiDepartment of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”Neurorehabilitation Research Laboratory, IRCCS San Raffaele PisanaDepartment of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”Abstract Background The identification of existing rehabilitation interventions and related evidence represents a crucial step along the development of the World Health Organization’s (WHO) Package of Interventions for Rehabilitation (PIR). The methods for such identification have been developed by the WHO Rehabilitation Programme and Cochrane Rehabilitation under the guidance of the WHO’s Guideline Review Committee secretariat. The aim of this paper is to report on the results of the systematic search for clinical practice guidelines (CPGs) relevant to the rehabilitation of adults with fractures and to present the current state of evidence available from the identified CPGs. Methods This paper is part of the Best Evidence for Rehabilitation (be4rehab) series, developed according to the methodology presented in the World Health Organization’s (WHO) Package of Interventions for Rehabilitation (PIR) introductory paper. It is a systematic review of existing CPGs on fractures in adult population published from 2009 to 2019. Results We identified 23 relevant CPGs after title and abstract screening. According to inclusion/exclusion criteria, we selected 13 CPGs. After checking for quality, publication time, multiprofessionality, and comprehensiveness, we finally included five CPGs dealing with rehabilitative management of fractures in adult population, two CPGs addressing treatment of distal radius fracture and three the treatment of femoral/hip fracture. Conclusion The selected CPGs on management of distal radius and femoral/hip fracture include few recommendations regarding rehabilitation, with overall low to very low quality of evidence and weak/conditional strength of recommendation. Moreover, several gaps in specific rehabilitative topics occur. Further high-quality trials are required to upgrade the quality of the available evidence. Level of evidence Level 1.http://link.springer.com/article/10.1186/s10195-020-00560-wFracturesAdult populationClinical practice guidelinesRehabilitationWorld Health Organization |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Francesca Gimigliano Sara Liguori Antimo Moretti Giuseppe Toro Alexandra Rauch Stefano Negrini other members of the Technical Working Group Claudio Curci Michele Patrini Livia Peschi Sanaz Pournajaf Maria Sgarbanti Giovanni Iolascon |
spellingShingle |
Francesca Gimigliano Sara Liguori Antimo Moretti Giuseppe Toro Alexandra Rauch Stefano Negrini other members of the Technical Working Group Claudio Curci Michele Patrini Livia Peschi Sanaz Pournajaf Maria Sgarbanti Giovanni Iolascon Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for Rehabilitation Journal of Orthopaedics and Traumatology Fractures Adult population Clinical practice guidelines Rehabilitation World Health Organization |
author_facet |
Francesca Gimigliano Sara Liguori Antimo Moretti Giuseppe Toro Alexandra Rauch Stefano Negrini other members of the Technical Working Group Claudio Curci Michele Patrini Livia Peschi Sanaz Pournajaf Maria Sgarbanti Giovanni Iolascon |
author_sort |
Francesca Gimigliano |
title |
Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for Rehabilitation |
title_short |
Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for Rehabilitation |
title_full |
Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for Rehabilitation |
title_fullStr |
Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for Rehabilitation |
title_full_unstemmed |
Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for Rehabilitation |
title_sort |
systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the who’s package of interventions for rehabilitation |
publisher |
SpringerOpen |
series |
Journal of Orthopaedics and Traumatology |
issn |
1590-9921 1590-9999 |
publishDate |
2020-11-01 |
description |
Abstract Background The identification of existing rehabilitation interventions and related evidence represents a crucial step along the development of the World Health Organization’s (WHO) Package of Interventions for Rehabilitation (PIR). The methods for such identification have been developed by the WHO Rehabilitation Programme and Cochrane Rehabilitation under the guidance of the WHO’s Guideline Review Committee secretariat. The aim of this paper is to report on the results of the systematic search for clinical practice guidelines (CPGs) relevant to the rehabilitation of adults with fractures and to present the current state of evidence available from the identified CPGs. Methods This paper is part of the Best Evidence for Rehabilitation (be4rehab) series, developed according to the methodology presented in the World Health Organization’s (WHO) Package of Interventions for Rehabilitation (PIR) introductory paper. It is a systematic review of existing CPGs on fractures in adult population published from 2009 to 2019. Results We identified 23 relevant CPGs after title and abstract screening. According to inclusion/exclusion criteria, we selected 13 CPGs. After checking for quality, publication time, multiprofessionality, and comprehensiveness, we finally included five CPGs dealing with rehabilitative management of fractures in adult population, two CPGs addressing treatment of distal radius fracture and three the treatment of femoral/hip fracture. Conclusion The selected CPGs on management of distal radius and femoral/hip fracture include few recommendations regarding rehabilitation, with overall low to very low quality of evidence and weak/conditional strength of recommendation. Moreover, several gaps in specific rehabilitative topics occur. Further high-quality trials are required to upgrade the quality of the available evidence. Level of evidence Level 1. |
topic |
Fractures Adult population Clinical practice guidelines Rehabilitation World Health Organization |
url |
http://link.springer.com/article/10.1186/s10195-020-00560-w |
work_keys_str_mv |
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