RT Journal Article
SR Electronic
T1 Clinical practice guideline recommendations for pediatric injury care: protocol for a systematic review
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e060054
DO 10.1136/bmjopen-2021-060054
VO 12
IS 4
A1 Lynne Moore
A1 Gabrielle Freire
A1 Anis Ben Abdeljelil
A1 Melanie Berube
A1 Pier-Alexandre Tardif
A1 Eunice Gnanvi
A1 Henry Thomas Stelfox
A1 Marianne Beaudin
A1 Sasha Carsen
A1 Antonia Stang
A1 Suzanne Beno
A1 Matthew Weiss
A1 Melanie Labrosse
A1 Roger Zemek
A1 Isabelle J Gagnon
A1 Emilie Beaulieu
A1 Simon Berthelot
A1 Terry Klassen
A1 Alexis F Turgeon
A1 François Lauzier
A1 Ian Pike
A1 Alison Macpherson
A1 Belinda J Gabbe
A1 Natalie Yanchar
YR 2022
UL http://bmjopen.bmj.com/content/12/4/e060054.abstract
AB Introduction Evidence suggests the presence of deficiencies in the quality of care provided to up to half of all paediatric trauma patients in Canada, the USA and Australia. Lack of adherence to evidence-based recommendations may be driven by lack of knowledge of clinical practice guidelines (CPGs), heterogeneity in recommendations or concerns about their quality. We aim to systematically review CPG recommendations for paediatric injury care and appraise their quality.Methods and analysis We will identify CPG recommendations through a comprehensive search strategy including Medical Literature Analysis and Retrieval System Online, Excerpta Medica dataBASE, Cochrane library, Web of Science, ClinicalTrials and websites of organisations publishing recommendations on paediatric injury care. We will consider CPGs including at least one recommendation targeting paediatric injury populations on any diagnostic or therapeutic intervention from the acute phase of care with any comparator developed in high-income countries in the last 15 years (January 2007 to a maximum of 6 months prior to submission). Pairs of reviewers will independently screen titles, abstracts and full text of eligible articles, extract data and evaluate the quality of CPGs and their recommendations using Appraisal of Guidelines Research and Evaluation (AGREE) II and AGREE Recommendations Excellence instruments, respectively. We will synthesise evidence on recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence-to-Decision framework and present results within a recommendations matrix.Ethics and dissemination Ethics approval is not a requirement as this study is based on available published data. The results of this systematic review will be published in a peer-reviewed journal, presented at international scientific meetings and distributed to healthcare providers.PROSPERO registration number International Prospective Register of Systematic Reviews (CRD42021226934).