National Institute for Health and Care Excellence stroke rehabilitation guidance - is it useful, usable, and based on best evidence?

National Institute for Health and Care Excellence stroke rehabilitation guidance - is it useful, usable, and based on best evidence?
Clin Rehabil. 2014 May 23;28(6):523-529
Authors: Drummond A, Wade DT
Abstract
In the UK, the National Institute for Health and Care Excellence (NICE) is responsible for producing clinical guidance based on sound evidence. In 2013 they produced guidance on Stroke Rehabilitation and this editorial outlines why this is not a useful guide for clinicians or commissioners. Primarily this is because NICE used inappropriate methods; the methods used are appropriate for evaluating drugs, but are inappropriate when applied to any complex intervention. Moreover, the actual recommendations are written in clinically unhelpful language. Future rehabilitation guidance should include ensuring that the team responsible for the guidance are all familiar with and understand the biospsychosocial model of illness and the nature of the rehabilitation process (which is not synonymous with therapy), setting a relevant and appropriate scope for a guideline, agreeing to use all evidence relevant to a particular question, and using a more appropriate way to evaluate evidence while recognising that rehabilitation is a complex intervention.
PMID: 24858361 [PubMed - as supplied by publisher]

Source: Clinical Rehabilitation - May 23, 2014 Category: Rehabilitation Authors: Drummond A, Wade DT Tags: Clin Rehabil Source Type: research