{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T11:40:32Z","timestamp":1790336432633,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"17-18","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neurotrauma"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>\n                    Outpatient care following nonhospitalized traumatic brain injury (TBI) is variable, and often sparse. The National Academies of Sciences, Engineering, and Medicine\u2019s 2022 report on\n                    <jats:italic toggle=\"yes\">Traumatic Brain Injury: A Roadmap for Accelerating Progress<\/jats:italic>\n                    highlighted the need to improve the consistency and quality of TBI care in the community. In response, the present study aimed to identify existing evidence-based guidance and specific clinical actions over the days to months following nonhospitalized TBI that should be prioritized for implementation in primary care. In systematic literature searches, 17 clinical practice guidelines met our eligibility criteria and an additional expert consensus statement was considered highly relevant. We extracted 73 topics covered by one or more existing clinical practice guidelines. After removing redundant and out-of-scope topics, those deemed essential (not requiring prioritization), 42 topics were subjected to a prioritization exercise. Experts from the author group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 14), people with lived experience (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 112), and clinicians in the community (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 99) selected and ranked topics they considered most important. There were areas of agreement (e.g., early education was ranked highly by all groups) and discordance (e.g., people with lived experience perceived diagnostic tests\/investigations as more important than the other groups). We synthesized the prioritization survey results into a top-10 list of the highest priority clinical actions. This list will inform implementation efforts aimed at improving post-acute care for nonhospitalized TBI.\n                  <\/jats:p>","DOI":"10.1089\/neu.2024.0414","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T11:17:08Z","timestamp":1736162228000},"page":"1524-1533","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Priority Clinical Actions for Outpatient Management of Nonhospitalized Traumatic Brain Injury"],"prefix":"10.1177","volume":"42","author":[{"given":"Noah D.","family":"Silverberg","sequence":"first","affiliation":[{"name":"University of British Columbia, Vancouver, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Lee","sequence":"additional","affiliation":[{"name":"Secretary of Defense for Health Readiness Policy and Oversight, Falls Church, Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Mikoli\u0107","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark T.","family":"Bayley","sequence":"additional","affiliation":[{"name":"UHN Toronto Rehabilittion Institute, Temerty Medicine, University of Toronto, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David L.","family":"Brody","sequence":"additional","affiliation":[{"name":"Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Wesley","family":"Ely","sequence":"additional","affiliation":[{"name":"Critical Illness, Brain Dysfunction, Survivorship (CIBS) Center, Vanderbilt University Medical Center, and the Tennessee Valley Veteran\u2019s Affairs Geriatric Research Education Clinical Center (GRECC), Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7916-9698","authenticated-orcid":false,"given":"Joseph T.","family":"Giacino","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Harvard Medical School, Charlestown, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0331-8183","authenticated-orcid":false,"given":"Cathra","family":"Halabi","sequence":"additional","affiliation":[{"name":"Weill Institute for Neurosciences, University of California-San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9840-0744","authenticated-orcid":false,"given":"Flora M.","family":"Hammond","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel A.","family":"Ignacio","sequence":"additional","affiliation":[{"name":"St. Jude Brain Injury Network, Fullerton California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Mosti","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California-San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joukje","family":"van der Naalt","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique R.","family":"Pappadis","sequence":"additional","affiliation":[{"name":"Sealy Center on Aging and Department of Population Health and Health Disparities, School of Public and Population Health, University of Texas Medical Branch, Galveston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olli","family":"Tenovuo","sequence":"additional","affiliation":[{"name":"Division of Clinical Neurosciences, University of Turku, Turku, Finland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent Y.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Dell Medical School, University of Texas-Austin, Austin, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Verduzco-Gutierrez","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey T.","family":"Manley","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hosptial and Trauma Center, University of California, San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"On behalf of the Action Collaborative on TBI Care**","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-4422(22)00309-x"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2022.0185"},{"key":"e_1_3_6_4_2","volume-title":"Traumatic Brain Injury: A Roadmap for Accelerating Progress","author":"National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Board on Health Sciences Policy; Committee on Accelerating Progress in Traumatic Brain Injury Research and Care","year":"2022","unstructured":"National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Board on Health Sciences Policy; Committee on Accelerating Progress in Traumatic Brain Injury Research and Care. Traumatic Brain Injury: A Roadmap for Accelerating Progress. Washington, DC: National Academies of Sciences Engineering; 2022."},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.03.036"},{"key":"e_1_3_6_6_2","unstructured":"National Institute of Neurological Disorders and Stroke. NINDS TBI Classification and Nomenclature Workshop. Available from: https:\/\/www.ninds.nih.gov\/news-events\/events\/ninds-tbi-classification-and-nomenclature-workshop [Last accessed: October32024]."},{"key":"e_1_3_6_7_2","unstructured":"Interagency Rehabilitation and Disability Research Portfolio. BeHEALTHY: Chronic Disease Management for Traumatic Brain Injury (Project number 90DPHF0006; Agency: NIDILRR). 2023. Available from: https:\/\/irad.nih.gov\/project\/behealthy-chronic-disease-management-traumatic-brain-injury-tbi-2 [Last accessed: July262024]."},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000863"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2011.580317"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-061282"},{"key":"e_1_3_6_11_2","unstructured":"National Guideline Clearinghouse. Definition of a clinical practice guideline 2023. 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