Clinical guidelines recommending prosthetics and orthotics in Sweden: Agreement between national and regional guidelines

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Clinical guidelines recommending prosthetics and orthotics in Sweden : Agreement between national and regional guidelines

Hellstrand Tang, Ulla, 1956 (author): Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics

Jarl, Gustav, 1978- (author): Region Örebro län,Örebro universitet, Institutionen för hälsovetenskaper,Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden

Eriksson, Marie (author): Karolinska Institutet

Johannesson, G Anton (author): Össur Clinics Scandinavia, Stockholm, Sweden

Rusaw, David, 1978- (author): Jönköping University,HHJ, Avdelningen för rehabilitering,HHJ. Studies on Integrated Health and Welfare (SIHW)

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Sage Publications, 2024
2024
English.
In: Prosthetics and Orthotics International. - : Sage Publications. - 0309-3646 .- 1746-1553. ; 48:3, s. 284-289

Related links:: https://urn.kb.se/re...; show more...; https://doi.org/10.1...; https://urn.kb.se/re...; http://kipublication...; https://gup.ub.gu.se...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

BACKGROUND: Despite the presence of both national and regional clinical practical guidelines (CPGs) in Sweden, no previous studies have investigated the quality of CPGs or the level of agreement between national and regional CPGs.OBJECTIVES: This study aimed to assess the quality of national CPGs recommending prosthetics and orthotics (P&O) and quantify the agreement between national and regional CPGs in Sweden.STUDY DESIGN: Literature Review.METHODS: National and regional CPGs were identified in public databases and by surveyed local nurse practitioners. Quality of the national guidelines was assessed by using AGREE II. Agreement between recommendations in the national and regional CPGs was quantified on a 4-grade rating scale ("similar," "partially similar," "not similar/not present," and "different").RESULTS: Of 18 national CPGs, 3 CPGs (CPGs of Diabetes, Musculoskeletal disorders, and Stroke) had 9 recommendations related to P&O. The Musculoskeletal disorders and Stroke CPGs had quality scores .60% in all domains, and the Diabetes CPG had scores .60% in 5 of 6 domains according to AGREE II. Seven regional CPGs for P&O treatment were identified. Three national recommendations (in Diabetes CPGs) showed "similar" content for all regions, and 2 national recommendations (in Diabetes CPGs) showed "not similar" content for all regions. The remaining recommendations (Diabetes, Musculoskeletal disorders, and Stroke CPGs) had varying agreement with regional CPGs. CONCLUSIONS: There is a limited number of national recommendations for treatment within P&O. There was variation in the agreement of P&O-related recommendations in national and regional CPGs, which might lead to unequal care throughout the national healthcare system.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)

Keyword

orthotic device
prosthetic limb
practice guidelines
guidelines
healthcare management
orthotic device prosthetic limb practice guidelines guidelines healthcare management

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ref (subject category)
art (subject category)

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By the author/editor: Hellstrand Tang, ...; Jarl, Gustav, 19 ...; Eriksson, Marie; Johannesson, G A ...; Rusaw, David, 19 ...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Orthopaedics

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Other Medical an ...; and Other Medical an ...

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By the university: Örebro University; Jönköping University; Karolinska Institutet; University of Gothenburg

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