Article
Updated DEGAM Guideline „Stroke“: Consensus-based recommendations
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Authors
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A. Barzel
- Department of Primary Medical Care, University Med. Center Hamburg-Eppendorf, Hamburg, Germany
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S. Hensler
- Department of Primary Medical Care, Johann Wolfgang Goethe University Med.Center, Frankfurt am Main, Germany
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N. Koneczny
- Department of Primary Medical Care and Family Medicine, University Med. Center, Witten/Herdecke, Germany
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M. Hänsel
- Department of Primary Medical Care, University Med. Center Hamburg-Eppendorf, Hamburg, Germany
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M. Scherer
- Department of Primary Medical Care, University Med. Center Hamburg-Eppendorf, Hamburg, Germany
| Published: | July 10, 2012 |
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Outline
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Background:Since the validity of the DEGAM (German College of General Practitioners) practice guideline „Stroke“ had expired by the end of 2010 an update of the recommendations had to be performed.
Objectives:Main topics focussed on particularly relevant aspects of medical supply in primary care. In order to retain the quality level of the guideline (S3), it was further necessary to achieve consensus building concerning all occupational groups involved in the patients’ care.
Methods:The updating process was determined in conformity with the DEGAM multi-stage concept of drafting a guideline. We carried out a systematic literature research for the time period of 2006 to may 2010. In addition, current national and international guidelines were sighted. Special aspects of care were elicited using three focus groups comprising GPs and submitting an inquiry to a listserver of GPs. Consensus between all occupational groups participating in the care for stroke patients was ensured by holding a consensus conference based on a nominal group process.
Result: 115 key recommendations were updated including new sources of highly graded evidence, additional aspects of care and the outcomes of the consensus conference. The issues rehabilitation and longterm care have been thoroughly revised.
Discussion:The DEGAM practice guideline “Stroke” has been updated and adapted to the daily work of the GP. We are now called upon to promote the implementation in primary care in order to further improve the comprehensive medical care of stroke patients.
Implications for guideline developers/users:The inter-professional consensus process supports the adjustment of the guideline to the requirements of stroke patients in primary care.
