South African Guidelines Excellence (SAGE): Adopt, adapt, or contextualise?

J M Dizon; K Grimmer; Q Louw; T Kredo; T Young; S Machingaidze

doi:10.7196/SAMJ.2017.v106i12.11374

In Practice

South African Guidelines Excellence (SAGE): Adopt, adapt, or contextualise?

J M Dizon, K Grimmer, Q Louw, T Kredo, T Young, S Machingaidze

Abstract

Clinical practice guideline (CPG) activities must be planned carefully for efficient use of available resources and evidence-based implementation. De novo development of CPGs may sometimes ‘recreate the wheel’ and delay implementation. Three innovative alternatives to de novo CPG development (adopt, contextualise or adapt) are outlined, which have greater potential than de novo development to best use the limited available resources, personnel and time in settings such as South Africa.

Authors' affiliations

J M Dizon, Centre for Evidence-Based Health Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; Center for Health Research and Movement Science, University of Santo Tomas, Manila, Philippines

K Grimmer, International Centre for Allied Health Evidence, City East Campus, University of South Australia, Adelaide, Australia; Department of Physiotherapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa

Q Louw, Department of Physiotherapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa

T Kredo, Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa

T Young, Centre for Evidence-Based Health Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa

S Machingaidze, Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa; European and Developing Countries Clinical Trial Partnership, Cape Town, South Africa