Necesidad de guías clínicas para el manejo integral de pacientes con labio paladar hendido / The need for clinical guidelines for the comprehensive management of patients with cleft lip and palate

Objetivo Identificar las guías clínicas para el tratamiento del labio fisurado y/o paladar hendido en menores de un año, publicadas en el país o el exterior. Método se realizó una búsqueda en tres bases de datos: Pubmed, Lilacs y Scielo con los términos "guideline cleft lip and palate", "protocols cleft lip and palate", "guía clínica labio paladar fisurado", "guía de manejo labio paladar fisurado" y "guía labio paladar hendido". Adicional a esto se consultaron las páginas web de todos los hospitales pediátricos de Colombia. Resultados Se encontraron 190 documentos de los cuales 96 no estaban relacionados con la población o enfocados en el tratamiento, 84 eran disciplinares, 8 interdisciplinarios y sólo dos guías clínicas. Conclusiones Son escasas las guías clínicas publicadas y es evidente la falta de unificación de criterios, lo que da lugar a numerosas formas de intervención y conformación de equipos interdisciplinarios. Por lo tanto, es necesario que se lleguen a consensos sobre el abordaje terapéutico para la creación de protocolos de atención con estándares de calidad y basados en la evidencia.(AU)

Objective To identify clinical guidelines for the treatment of cleft lip and / or palate in children under one year of age, published in Colombia and internationally. Method A search was conducted in three databases: PubMed, Lilacs and Scielo with the terms "guideline cleft lip and palate", "protocols cleft lip and palate", "guía clínica labio paladar fisurado", "guía de manejo labio paladar fisurado" and "guía labio paladar hendido". In addition to this, we consulted the websites of all pediatric hospitals in Colombia. Results 190 papers were found, of which 96 were not related to the population or focused on treatment, 84 were disciplinary, 8 interdisciplinary and only two were clinical guidelines. Conclusions There are few published guidelines and there is a lack of unified criteria. This gives rise to numerous forms of intervention and the creation of interdisciplinary teams. Therefore, there is a need to reach a consensus regarding the therapeutic approach in order to create treatment protocols based on evidence with quality standards.(AU)

[The need for clinical guidelines for the comprehensive management of patients with cleft lip and palate]. / Necesidad de guías clínicas para el manejo integral de pacientes con labio paladar hendido.

Objective To identify clinical guidelines for the treatment of cleft lip and / or palate in children under one year of age, published in Colombia and internationally. Method A search was conducted in three databases: PubMed, Lilacs and Scielo with the terms "guideline cleft lip and palate", "protocols cleft lip and palate", "guía clínica labio paladar fisurado", "guía de manejo labio paladar fisurado" and "guía labio paladar hendido". In addition to this, we consulted the websites of all pediatric hospitals in Colombia. Results 190 papers were found, of which 96 were not related to the population or focused on treatment, 84 were disciplinary, 8 interdisciplinary and only two were clinical guidelines. Conclusions There are few published guidelines and there is a lack of unified criteria. This gives rise to numerous forms of intervention and the creation of interdisciplinary teams. Therefore, there is a need to reach a consensus regarding the therapeutic approach in order to create treatment protocols based on evidence with quality standards.