Development of palliative care clinical practice guidelines and referral care pathways for primary care practitioners in Pakistan
BMC palliat. care
; 23(1): 1-12, 20240501. ilus
Artículo
en Inglés
| BIGG - guías GRADE
| ID: biblio-1562032
Biblioteca responsable:
BR1.1
ABSTRACT
Despite a large burden of life-limitingillness, there exists a dearth of services of palliative care in Pakistan. International guidelines have questionable applicability in Pakistan due to the socioeconomic differences. We generated a protocol describing the process of developing comprehensive palliative care guidelines and palliative care referral pathways for primary care practitioners to adopt in Pakistan. A GRADE-ADOLOPMENT approach with modification has been employed to create guidelines for a Pakistani context. The "National Comprehensive Cancer Network Guidelines Insights Palliative Care, Version 2.2021" was used as the source guideline. Recommendations from the source guideline were reviewed by two local palliative care specialists to either "Adopt," "Adapt" or "Exclude". The finalized recommendations were incorporated into the local palliative care guideline. Clinical diagnosis and referral pathways were made from the finalized guideline. Any gaps in management found in the pathways were filled by taking existing recommendations from other credible guidelines. Twenty-seven recommendations were adopted without modification. No recommendations were deemed to be adapted and 15 were excluded. The referral care pathways created were reflective of the local guideline and included elements of initial assessment, preliminary management, reassessment, and referral. 6 additional recommendations were made. The described clinical practice guidelines and primary care clinical referral pathways will aid to standardize palliative care provision in Pakistan. These can be used by other resource constrained settings to develop guidelines within their own local context.
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Asunto(s)
Texto completo:
Disponible
Colección:
Bases de datos temática
Base de datos:
BIGG - guías GRADE
Asunto principal:
Cuidados Paliativos
/
Personal de Salud
/
Modelos de Atención de Salud
Idioma:
Inglés
Revista:
BMC palliat. care
Año:
2024
Tipo del documento:
Artículo