Recommendations for the prevention and diagnosis of asthma in children: Evidence from international guidelines adapted for Mexico

Autor: J.I. Salgado Gama, I. Romero Alvarado, C. Garrido Galindo, G. Montes Narvaez, J. Esquer Flores, M.Á. Correa Flores, H. Solorio Gómez, J.L. Mayorga Butrón, J. Villaverde Rosas, J.S. Lozano Saenz, C. Baez Loyola, I. Ortiz Aldana, J. Romero Lombard, G. López Pérez, R. García Torrentera, M.P. Guinto Balanzar, J.A. Sacre Hazouri, J.C. Vázquez García, M.A. García Avilés, J. A. Ortega Martell, L. Compean Martínez, S.J. Romero Tapia, C. García Bolaños, E.C. López Estrada, R. Camargo Angeles, E. Mendoza López, J.J. Oyoqui Flores, J.A. Luna Pech, J. Salas Hernández, N. Rodríguez Pérez, H. León Molina, J. Olvera Salinas, F. Cuevas Schacht, M.A. Jiménez Chobillon, L.E. Huerta Espinosa, P.J. Medina Sánchez, A. Reyes Herrera, M. Bedolla Barajas, J.L. Miguel Reyes, H.H. Ruiz Gutiérrez, H. Martínez de la Lanza, M.H. Vargas Becerra, R. Castro Martínez, S. Garza Salinas, M.A. Medina Ávalos, J. Rosas Peña, H. Stone Aguilar, G.H. Wakida Kuzonoki, D.E.S. Larenas Linnemann, M. Fernández Vega, B.E Del Río Navarro, D.A. Mendoza Hernández, J Gómez Vera, M.C. Cano Salas, C.A. Jiménez González, S. Toral Freyre, J.L. Gálvez Romero, A. Aguilar Aranda
Rok vydání: 2018
Předmět:
Zdroj: Allergologia et Immunopathologia. 46:291-303
ISSN: 0301-0546
DOI: 10.1016/j.aller.2017.05.011
Popis: 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 Asthma.
Databáze: OpenAIRE