SPREAD V Ed.

Methodology

10 years of SPREAD Collaboration

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Collaborations
Authors
Introduction
Methodology
Epidemiology
Diagnostic work-up
Risk factors
Primary prevention
Acute stroke: pre-hospital
Acute stroke: diagnosis
Acute stroke: treatment
Acute stroke: steady-state
Secondary prevention
Surgical treatment
Organising rehabilitation
Rehabilitation
Post-stroke sequels
Juvenile-uncommon causes

Methodology
 

S 2-1 These guidelines have been formulated following a multidisciplinary approach in order to be:
bulletapplicable to the Italian setting;
bulletbased on the best available research evidence;
bulletupdated to the most recent scientific developments;
bulletpropositional and flexible.
S 2-2 The sources of evidence to formulate these recommendations have been the Cochrane Database of Systematic Reviews and electronic medical literature databases (e.g. MEDLINE), as well as data from both Italian and international researches directly available to the experts involved in the guidelines formulation. Documented consensus on developing topics was also taken into account.
S 2-3 The recommendations are always explained by the scientific work-up which they derive from, in order to provide formative teaching to the reader. These guidelines in fact aim to help, not to replace, the clinical judgement necessary in each single case.
S 2-4 For each recommendation a formal consent was sought on:
bulletvalidity;
bulletreliability;
bulletclinical relevance;
bulletapplicability;
bulletcomprehensibility;
bulletflexibility;
bulletrespect of persons.
Documented dissent is also reported.
S 2-5 For the developmental process and consensus achievement on these guidelines, electronic communications, general meetings or meetings involving the single area participants have been used, according to the specific decisional task.
S 2-6 In order to make these guidelines a practical tool, each recommendation has been formulated taking into account:
bulletflexibility;
bulletclearness;
bulletminimal intrusion into the clinical practice.
S 2-7 The conscious decision of not complying with a recommendation cannot be considered as a specific blame. Nevertheless, complying with the recommendations of a guideline is usually the most effective clinical behaviour.
S 2-8 These guidelines are being disseminated through:
bulletpamphlet for quick consultation of the main recommendations;
bulletsummary of all recommendations for use in the daily clinical practice;
bulletcomprehensive textbook containing all the scientific material produced;
bulletelectronic version accessible via Internet.
S 2-9 These guidelines will be tested by specialists and general physicians by applying them on a general population sample to evaluate their applicability.