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  1. Article ; Online: Evidence surveillance for a living clinical guideline: Case study of the Australian stroke guidelines.

    McDonald, Steve / Hill, Kelvin / Li, Heidi Z / Turner, Tari

    Health information and libraries journal

    2023  

    Abstract: Background: Continual evidence surveillance is an integral feature of living guidelines. The Australian Stroke Guidelines include recommendations on 100 clinical topics and have been 'living' since 2018.: Objectives: To describe the approach for ... ...

    Abstract Background: Continual evidence surveillance is an integral feature of living guidelines. The Australian Stroke Guidelines include recommendations on 100 clinical topics and have been 'living' since 2018.
    Objectives: To describe the approach for establishing and evaluating an evidence surveillance system for the living Australian Stroke Guidelines.
    Methods: We developed a pragmatic surveillance system based on an analysis of the searches for the 2017 Stroke Guidelines and evaluated its reliability by assessing the potential impact on guideline recommendations. Search retrieval and screening workload are monitored monthly, together with the frequency of changes to the guideline recommendations.
    Results: Evidence surveillance was guided by practical considerations of efficiency and sustainability. A single PubMed search covering all guideline topics, limited to systematic reviews and randomised trials, is run monthly. The search retrieves about 400 records a month of which a sixth are triaged to the guideline panels for further consideration. Evaluations with Epistemonikos and the Cochrane Stroke Trials Register demonstrated the robustness of adopting this more restrictive approach. Collaborating with the guideline team in designing, implementing and evaluating the surveillance is essential for optimising the approach.
    Conclusion: Monthly evidence surveillance for a large living guideline is feasible and sustainable when applying a pragmatic approach.
    Language English
    Publishing date 2023-11-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2045997-X
    ISSN 1471-1842 ; 1471-1834
    ISSN (online) 1471-1842
    ISSN 1471-1834
    DOI 10.1111/hir.12515
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Preventing postpartum weight retention following antenatal lifestyle intervention: One year postpartum follow up of the Healthy Lifestyles in Pregnancy (HeLP-her) randomised controlled trial.

    Li, Heidi Z / Boyle, Jacqueline A / Harrison, Cheryce L

    The Australian & New Zealand journal of obstetrics & gynaecology

    2021  Volume 62, Issue 2, Page(s) 319–322

    Abstract: Antenatal lifestyle interventions optimise gestational weight gain, yet longer-term efficacy on postpartum weight retention is unclear. Overall, 228 pregnant women <15 weeks gestation were randomised to intervention (four behavioural self-management ... ...

    Abstract Antenatal lifestyle interventions optimise gestational weight gain, yet longer-term efficacy on postpartum weight retention is unclear. Overall, 228 pregnant women <15 weeks gestation were randomised to intervention (four behavioural self-management sessions) or control (generic health information). Median weight retention at 12 months postpartum was significantly reduced in the intervention with a between group difference of -2.3 (-2.8 (-5.9 to 0.35) vs -0.5 (-2.6 to 2.1) kg, respectively P < 0.05, (n = 75) ± 6.3 kg vs -0.5 ± 4.7 kg, respectively, P < 0.05) and associated increased self-weighing behaviours, compared with the control group (regular weighing: 68% vs 43%, P < 0.01). Results demonstrate the efficacy of a low-intensity, behavioural lifestyle intervention in limiting postpartum weight retention.
    MeSH term(s) Female ; Follow-Up Studies ; Gestational Weight Gain ; Healthy Lifestyle ; Humans ; Life Style ; Obesity/prevention & control ; Postpartum Period ; Pregnancy ; Pregnancy Complications/prevention & control ; Weight Gain
    Language English
    Publishing date 2021-12-11
    Publishing country Australia
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 390815-x
    ISSN 1479-828X ; 0004-8666
    ISSN (online) 1479-828X
    ISSN 0004-8666
    DOI 10.1111/ajo.13463
    Database MEDical Literature Analysis and Retrieval System OnLINE

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