Journal of Rehabilitation Medicine 51-11

Incorporating evidence-based rehabilitation into CPGs Particularly strong efforts were made to improve strategies for rehabilitation-related literature searches. CC information specialists tested several search strategies to identify the most sensitive one (see Table SI 1 ). For example, to identify publi- cations on rehabilitation of multiple sclerosis, searches were performed in MEDLINE, in 2 further generalized medical databases (EMBASE and Cochrane Library), in 6 specialized databases (CINAHL (nursing), PsycINFO (psychiatry, psy- chology), PEDro (physiotherapy), OT-Seeker (occupational therapy), Rehabdata (rehabilitation), Cirrie (rehabilitation)) and in one general science database (Web of Science). During the third year of the project the focus was broadened to incorporate functional capacity. In particular, the International Classification of Functioning disability and Health (ICF) frame work started to be applied to the CCGs (8). An ICF framework matrix was drafted and piloted (Table II). Some training on the ICF framework was also offered to CC editors. http://www.medicaljournals.se/jrm/content/?doi=10.2340/16501977-2607 1 843 Project evaluation Project evaluation was carried out by assessing quantitative changes in rehabilitation subtitles and evidence summaries of CCGs biannually from 2012 to 2017. Feedback on the fulfil- ment of the project aims was gathered from CC editors after publication of a CCG. Also, the benefits and shortcomings of the project were surveyed annually with a questionnaire to the CC board and editorial team. RESULTS At baseline with 101 published CCGs, there was a chapter entitled “Rehabilitation” in 34 CCGs, and by using search terms “rehabilitation” and “functional capacity” another 28 CCGs where rehabilitation was discussed in the text were identified. Altogether CCGs included 56 evidence summaries on rehabilitation. In 39 CCGs rehabilitation was not mentioned. The project group contacted 15 Finnish rehabilita- tion experts who were asked to assess the need for a Prep aration for Current Care Guideline (CCG) development or updating • Chair and editor: Is rehabilitation and/or functional capacity relevant for the topic? • Guideline panel is nominated • One or more rehabilitation and/or functional capacity experts are invited to join the panel • Guideline panel formulates PICO questions • Rehabilitation and/or functional capacity is included CCG development or updating by using EBM methods • Systematic literature search with specific strategy for rehabilitation by the information specialist • Training of the guideline panel by the editorial team: • EBM methods, including critical appraisal • Guideline panel composes the evidence summaries and CCG draft External review • CCG draft is circulated on an electronic platform to a selected group of guideline users relevant for the topic • Rehabilitation and/or functional capacity experts and organisations are included among recipients • Editorial team compiles the comments • Guideline panel discusses the comments and revises CCG materials accordingly Publication • Guideline panel and editor-in-chief approve all CCG materials • Technical editor prepares materials for publication • Communication (for professionals and public), with emphasis on rehabilitation Fig. 2. Process of incorporating rehabilitation and functional capacity to develop and update the Current Care Guidelines (CCGs). EBM: evidence- based medicine; PICO: Patient, Intervention, Control intervention, Outcome. J Rehabil Med 51, 2019

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