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

  • D.E.S. Larenas Linnemann [1] ; B.E. del Río Navarro [9] ; J.A. Luna Pech [2] ; J. Romero Lombard [10] ; J. Villaverde Rosas [11] ; M.C. Cano Salas [3] ; M. Fernández Vega [3] ; J.A. Ortega Martell [12] ; E.C. López Estrada [3] ; J.L. Mayorga Butrón [4] ; J. Salas Hernández [3] ; J.C. Vázquez García [3] ; I. Ortiz Aldana [5] ; M.H. Vargas Becerra [3] ; M. Bedolla Barajas [6] ; N. Rodríguez Pérez [13] ; A. Aguilar Aranda [14] ; C.A. Jiménez González [15] ; C. García Bolaños [16] ; C. Garrido Galindo [3] ; D.A. Mendoza Hernández [7] ; E. Mendoza López [17] ; G. López Pérez [7] ; G.H. Wakida Kuzonoki [18] ; H.H. Ruiz Gutiérrez [19] ; H. León Molina ; H. Martínez de la Lanza ; H. Stone Aguilar [20] ; J. Gómez Vera [21] ; J. Olvera Salinas ; J.J. Oyoqui Flores ; J.L. Gálvez Romero [22] ; J.S. Lozano Saenz ; J.I. Salgado Gama [23] ; M.A. Jiménez Chobillon [3] ; M.A. García Avilés [24] ; M.P. Guinto Balanzar ; M.A. Medina Ávalos [22] ; R. Camargo Angeles [24] ; R. García Torrentera [3] ; S. Toral Freyre [3] ; G. Montes Narvaez ; H. Solorio Gómez ; J. Rosas Peña ; S.J. Romero Tapia [25] ; A. Reyes Herrera [26] ; F. Cuevas Schacht [7] ; J. Esquer Flores [27] ; J.A. Sacre Hazouri ; L. Compean Martínez [28] ; P.J. Medina Sánchez [29] ; S. Garza Salinas [30] ; C. Baez Loyola ; I. Romero Alvarado [8] ; J.L. Miguel Reyes [3] ; L.E. Huerta Espinosa [31] ; M.Á. Correa Flores [32] ; R. Castro Martínez
    1. [1] Hospital Médica Sur

      Hospital Médica Sur

      México

    2. [2] Universidad de Guadalajara

      Universidad de Guadalajara

      México

    3. [3] Instituto Nacional de Enfermedades Respiratorias

      Instituto Nacional de Enfermedades Respiratorias

      México

    4. [4] Universidad Nacional Autónoma de México

      Universidad Nacional Autónoma de México

      México

    5. [5] Universidad de Guanajuato

      Universidad de Guanajuato

      México

    6. [6] Hospital Civil de Guadalajara

      Hospital Civil de Guadalajara

      México

    7. [7] Instituto Nacional de Pediatria

      Instituto Nacional de Pediatria

      México

    8. [8] Hospital Infantil de México Federico Gómez

      Hospital Infantil de México Federico Gómez

      México

    9. [9] Hospital Pediátrico de México “Federico Gómez”, México
    10. [10] ISSSTE Hospital Saltillo, México
    11. [11] A2DAHT Iberoamerican Agency for Development & Assessment of Health Technologies, México
    12. [12] Universidad Autónoma de Hidalgo, México
    13. [13] Instituto de Ciencia y Estudios Superiores de Tamaulipas, México
    14. [14] Hospital de Pediatría Centro Médico de Occidente, México
    15. [15] Universidad Autónoma San Luis Potosí, México
    16. [16] Hospital General “Doctor Gaudencio González Garza”, México
    17. [17] Hospital San José, México
    18. [18] Hospital Central Sur de Alta Especialidad, México
    19. [19] Centro Médico Nacional de Occidente, México
    20. [20] Hospital San José de Hermosillo, México
    21. [21] Hospital Regional Lic. Adolfo López Mateos, México
    22. [22] Instituto de Seguridad y de Servicios Sociales de los Trabajadores del Estado, México
    23. [23] Clínica del Niño y del Adolescente de Coatzacoalcos, México
    24. [24] Centro Nacional de Programas Preventivos y Control de Enfermedades, México
    25. [25] Hospital de Alta Especialidad del Niño “Dr. Rodolfo Nieto Padrón”, México
    26. [26] Escuela Nacional de Enfermería, México
    27. [27] Hospital del ISSSSTE, "Fray Junipero Serra", México
    28. [28] Centenario Hospital Hidalgo de Aguascalientes, México
    29. [29] Hospital Regional ISSSSTE, México
    30. [30] Hospital San José del Tecnológico de Monterrey, México
    31. [31] Hospital Pediátrico de Legaria, México
    32. [32] Centro Médico Nacional “La Raza”, México
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  • Localización: Allergologia et immunopathologia: International journal for clinical and investigate allergology and clinical immunology, ISSN-e 1578-1267, ISSN 0301-0546, Vol. 46, Nº. 3, 2018, págs. 291-303
  • Idioma: inglés
  • Texto completo no disponible (Saber más ...)
  • Resumen

    • 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.

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