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(Stroke. 2006;37:753.)
© 2006 American Heart Association, Inc.

Editorials

The New Standing Guideline Committee Policy of the American Stroke Association Stroke Council

Jeffrey L. Saver, MD Larry B. Goldstein, MD

From the Department of Neurology and Stroke Center (J.L.S.), David Geffen School of Medicine at the University of California, Los Angeles; and the Department of Medicine (Neurology) (L.B.G.), Duke Center for Cerebrovascular Disease, Center for Clinical Health Policy Research, Duke University and the Department of Veterans Affairs Medical Center (L.B.G.), Durham, NC.

Correspondence to Jeffrey L. Saver, MD, UCLA Stroke Center, 710 Westwood Plaza, Los Angeles, CA 90095. E-mail jsaver@ucla.edu

Key Words: acute stroke • hemorrhage, intracerebral • prevention • rehabilitation • subarachnoid hemorrhage

An extract of the first 250 words of the full text is provided, because this article has no abstract.

See related article in the February issue of Stroke: 577–617.

Evidence-based practice guidelines encapsulate the most current knowledge about best practices, improve the delivery of care, and support the introduction of new knowledge into clinical practice.¹ The development of stroke-related practice guidelines is a core mission of the Stroke Council of the American Heart Association/American Stroke Association.

Over the last 3 years, the Stroke Council performed a systematic review of procedures for practice guideline development, a review initiated by Stroke Council Chair Robert Adams, MD and strongly supported by his successors, Marc Mayberg, MD and Larry B. Goldstein, MD. This review confirmed that Council guidelines possess the great preponderance of qualities deemed essential or desirable in guidelines, as identified by the Institute of Medicine, the Conference on Guideline Standardization, and other authorities.^1–4

The review identified as a deficiency the timeliness of Stroke Council guidelines. The accelerated pace of research and therapeutic advance in stroke had begun to outpace the Council’s ad hoc system for guideline development and update, which relied on convening of new writing panels when there was a general perception among the Council Leadership Committee that a particular guideline was needed or no longer current.

In response to this finding, the Stroke Council developed and implemented a new system to ensure that key Stroke Council practice guidelines are always up-to-date. The Council created the multispecialty Stroke Scientific Statements Oversight Committee (SOC), with Jeffrey Saver, MD as initial Chair, to oversee the commissioning of individual guideline-writing committees, approve . . . [Full Text of this Article]

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