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
Article
in English
| IBECS
| ID: ibc-172949
Responsible library:
ES1.1
Localization: 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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Collection:
National databases
/
Spain
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Goal 9: Noncommunicable diseases and mental health
/
Target 3.4: Reduce premature mortality due to noncommunicable diseases
Database:
IBECS
Main subject:
Respiratory Function Tests
/
Asthma
Type of study:
Diagnostic study
/
Practice guideline
Limits:
Child
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Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
Mexico
Language:
English
Journal:
Allergol. immunopatol
Year:
2018
Document type:
Article
Institution/Affiliation country:
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