scholarly journals Guía Mexicana del Asma: GUIMA 2017

2017 ◽  
Vol 64 ◽  
pp. s11-s128 ◽  
Author(s):  
Désirée Larenas-Linnemann ◽  
Jorge Salas-Hernández ◽  
Juan Carlos Vázquez-García ◽  
Francisco Ignacio Ortiz-Aldana ◽  
Margarita Fernández-Vega ◽  
...  
Keyword(s):  
British Thoracic Society ◽  
Agree Ii ◽  
Asthma Guideline ◽  
Global Initiative

Antecedentes: Con el objetivo de unificar el manejo del asma en México se estructuró una guía clínica que conjunta el conocimiento de diversas especialidades y la atención en el primer nivel de contacto. Se seleccionaron 3 guías publicadas en el ámbito internacional para su transculturación.Métodos: Conforme a la metodología ADAPTE se usó AGREE II después de la búsqueda bibliográfica de guías sobre asma publicadas entre 2007 y 2015. Se fusionó la realidad local con la evidencia de 3/40 mejores guías. El documento inicial fue sometido a la revisión de representantes de 12 sociedades médicas en varias rondas Delphi hasta llegar a la versión final.Resultados: Las guías base fueron la British Thoracic Society Asthma Guideline 2014, la Global Initiative on Asthma 2015 y la Guía Española del Manejo del Asma 2015. Después de 3 rondas Delphi se desarrolló un documento en el que se consideraron las características de los pacientes según edad, costos de los tratamientos y perfiles de seguridad de los fármacos disponibles en México.Conclusión: Con la cooperación de neumólogos, alergólogos, otorrinolaringólogos, pediatras y médicos generales se llegó a un consenso basado en evidencia, en el que se incluyeron recomendaciones sobre prevención, diagnóstico y tratamiento del asma y sus crisis.

scholarly journals Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Samir Gupta ◽  
Emily Paolucci ◽  
Alan Kaplan ◽  
Louis-Philippe Boulet
Keyword(s):  
Search Strategy ◽  
Evidence Synthesis ◽  
Guideline Implementation ◽  
British Thoracic Society ◽  
Asthma Guideline ◽  
Global Initiative For Asthma ◽  
Subsequent Step ◽  
Literature Search Strategy ◽  
Practice Variability ◽  
Global Initiative

Background. Several international groups develop asthma guidelines. Conflicting recommendations across guidelines have been described in several disease areas and may contribute to practice variability. Accordingly, we compared the latest Canadian Thoracic Society (CTS) asthma guideline with contemporaneous international asthma guidelines to evaluate conflicting recommendations and their causes.Methods. We identified the latest CTS asthma guideline update (2012) and the following societies which also updated their guidelines in 2012: the British Thoracic Society and Scottish Intercollegiate Guidelines Network and the Global Initiative for Asthma. We compared these three guidelines on (1) key methodological factors and (2) adult pharmacotherapy recommendations.Results. Methods used and documentation provided for literature search strategy and dates, evidence synthesis, outcomes considered, evidence appraisal, and recommendation formulation varied between guidelines. Criteria used to define suboptimal asthma control varied widely between guidelines. Inhaled corticosteroid dosing recommendations diverged, as did recommendations surrounding use of budesonide/formoterol as a reliever and controller and recommendations in the subsequent step.Conclusions. There are important differences between recommendations provided in contemporaneous asthma guidelines. Causes include differences in methods used for interpreting evidence and formulating recommendations. Adopting a common set of valid and explicit methods across international societies could harmonize recommendations and facilitate guideline implementation.

scholarly journals Chronic asthma in adults

2019 ◽  
Vol 13 (1) ◽  
pp. 29-38
Author(s):  
Laura Wiffen ◽  
Jessica Gates ◽  
Thomas Brown ◽  
Hitasha Rupani ◽  
Jayne Longstaff ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Practice ◽  
British Thoracic Society ◽  
Chronic Asthma ◽  
Mortality And Morbidity ◽  
Global Initiative For Asthma ◽  
Global Initiative ◽  
The Uk ◽  
Treatable Condition

There are around 5.4 million people in the UK with asthma. Poorly controlled asthma places a particular burden on the NHS, and diminishes patients’ quality of life. More significantly, there are an estimated 1400 deaths from asthma each year in the UK, many of which are preventable. This is unacceptably high for a treatable condition. General practice carries much of the responsibility for diagnosis and management of asthma, and there is potential to improve the mortality and morbidity rates from asthma by improving knowledge transfer between GPs and their patients and the use of guidelines on compliance with agreed treatment paths. There are three separate sets of guidelines for the diagnosis and treatment of asthma: The British Thoracic Society and Scottish Intercollegiate Guidelines Network guidelines, The National Institute for Health and Care Excellence guidelines, and Global Initiative for Asthma guidelines. These will be reviewed throughout this article.

Validation of the British Thoracic Society Severity Criteria for Pediatric Community-Acquired Pneumonia

2018 ◽  
Author(s):  
Lilliam Ambroggio ◽  
Cole Brokamp ◽  
Rachel Mantyla ◽  
Bradley DePaoli ◽  
Richard M. Ruddy ◽  
...  
Keyword(s):  
Community Acquired Pneumonia ◽  
British Thoracic Society ◽  
Severity Criteria

scholarly journals World Health Organization Global Initiative for Emergency and Essential Surgical Care: 2011 and Beyond

2012 ◽  
Vol 37 (7) ◽  
pp. 1462-1469 ◽  
Author(s):  
David A. Spiegel ◽  
Fizan Abdullah ◽  
Raymond R. Price ◽  
Richard A. Gosselin ◽  
Stephen W. Bickler
Keyword(s):  
World Health Organization ◽  
Surgical Care ◽  
World Health ◽  
Global Initiative ◽  
Health Organization ◽  
Essential Surgical Care

scholarly journals Evaluation of clinical practice guidelines (CPG) on the management of female chronic pelvic pain (CPP) using the AGREE II instrument

2021 ◽  
Author(s):  
Vishalli Ghai ◽  
Venkatesh Subramanian ◽  
Haider Jan ◽  
Jemina Loganathan ◽  
Stergios K. Doumouchtsis ◽  
...  
Keyword(s):  
Surgical Management ◽  
Guideline Development ◽  
Stakeholder Involvement ◽  
Professional Organizations ◽  
Agree Ii ◽  
Behavioural Interventions ◽  
Recommended Treatment ◽  
Muscular Dysfunction ◽  
Health Related

Abstract Introduction and hypothesis Variations in guidelines may result in differences in treatments and potentially poorer health-related outcomes. We aimed to systematically review and evaluate the quality of national and international guidelines and create an inventory of CPG recommendations on CPP. Methods We searched EMBASE and MEDLINE databases from inception till August 2020 as well as websites of professional organizations and societies. We selected national and international CPGs reporting on the diagnosis and management of female CPP. We included six CPGs. Five researchers independently assessed the quality of included guidelines using the AGREE II tool and extracted recommendations. Results Two hundred thirty-two recommendations were recorded and grouped into six categories: diagnosis, medical treatment, surgical management, behavioural interventions, complementary/alternative therapies and education/research. Thirty-nine (17.11%) recommendations were comparable including: a comprehensive pain history, a multi-disciplinary approach, attributing muscular dysfunction as a cause of CPP and an assessment of quality of life. Two guidelines acknowledged sexual dysfunction associated with CPP and recommended treatment with pelvic floor exercises and behavioural interventions. All guidelines recommended surgical management; however, there was no consensus regarding adhesiolysis, bilateral salpingo-oophorectomy during hysterectomy, neurectomy and laparoscopic uterosacral nerve ablation. Half of recommendations (106, 46.49%) were unreferenced or made in absence of good-quality evidence or supported by expert opinion. Based on the AGREE II assessment, two guidelines were graded as high quality and recommended without modifications (EAU and RCOG). Guidelines performed poorly in the “Applicability”, “Editorial Independence” and “Stakeholder Involvement” domains. Conclusion Majority of guidelines were of moderate quality with significant variation in recommendations and quality of guideline development.

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