Recommendations for the prevention and diagnosis of asthma in children: Evidence from international guidelines adapted for Mexico
Allergol. immunopatol
; 46(3): 291-303, mayo-jun. 2018. tab
Artigo
em Inglês
| IBECS
| ID: ibc-172949
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
BACKGROUND:
With the availability of high-quality asthma guidelines worldwide, one possible approach of developing a valid guideline, without re-working the evidence, already analysed by major guidelines, is the ADAPTE approach, as was used for the development of National Guidelines on asthma.METHODS:
The guidelines development group (GDG) covered a broad range of experts from medical specialities, primary care physicians and methodologists. The core group of the GDG searched the literature for asthma guidelines 2005 onward, and analysed the 11 best guidelines with AGREE-II to select three mother guidelines. Key clinical questions were formulated covering each step of the asthma management.RESULTS:
The selected mother guidelines are British Thoracic Society (BTS), GINA and GEMA 2015. Responses to the questions were formulated according to the evidence in the mother guidelines. Recommendations or suggestions were made for asthma treatment in Mexico by the core group, and adjusted during several rounds of a Delphi process, taking into account 1. Evidence; 2. Safety; 3. Cost; 4. Patient preference - all these set against the background of the local reality. Here the detailed analysis of the evidence present in BTS/GINA/GEMA sections on prevention and diagnosis in paediatric asthma are presented for three age-groups children with asthma ≤5 years, 6-11 years and ≥12 years.CONCLUSIONS:
For the prevention and diagnosis sections, applying the AGREE-II method is useful to develop a scientifically-sustained document, adjusted to the local reality per country, as is the Mexican Guideline on AsthmaRESUMEN
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Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Objetivo 9: Redução de doenças não transmissíveis
/
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
Base de dados:
IBECS
Assunto principal:
Testes de Função Respiratória
/
Asma
Tipo de estudo:
Estudo diagnóstico
/
Guia de prática clínica
Limite:
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
México
Idioma:
Inglês
Revista:
Allergol. immunopatol
Ano de publicação:
2018
Tipo de documento:
Artigo
Instituição/País de afiliação:
A2DAHT Iberoamerican Agency for Development & Assessment of Health Technologies/México
/
Centenario Hospital Hidalgo de Aguascalientes/Mexico
/
Centro Médico Nacional "La Raza"/Mexico
/
Centro Médico Nacional La Raza General Hospital "Doctor Gaudencio González Garza"/Mexico
/
Civil Hospital of Guadalajara "Dr. Juan I. Menchaca"/Mexico
/
Clínica del Niño y del Adolescente de Coatzacoalcos (Veracruz)/Mexico
/
General Management Instituto Nacional de Enfermedades Respiratorias "Ismael Cosio Villegas"/Mexico
/
Hospital Central Sur de Alta Especialidad/Mexico
/
Hospital Infantil de México "Federico Gómez"/Mexico
/
Hospital Médica Sur/México