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Taborda Restrepo PA, Acosta-Reyes J, Estupiñan-Bohorquez A, Barrios-Mercado MA, Correa Gonzalez NF, Taborda Restrepo A, Barengo NC, Gabriel R. Comparative Analysis of Clinical Practice Guidelines for the Pharmacological Treatment of Type 2 Diabetes Mellitus in Latin America. Curr Diab Rep 2023; 23:89-101. [PMID: 37126189 PMCID: PMC10160131 DOI: 10.1007/s11892-023-01504-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/06/2023] [Indexed: 05/02/2023]
Abstract
PURPOSE OF REVIEW Type 2 diabetes mellitus (T2DM) is one of the leading causes of death and disability in the world. The majority of diabetes deaths (> 80%) occur in low- and middle-income countries, which are predominant in Latin America. Therefore, the purpose of this article is to compare the clinical practice guideline (CPG) for the pharmacological management of T2DM in Latin America (LA) with international reference guidelines. RECENT FINDINGS Several LA countries have recently developed CPGs. However, the quality of these guidelines is unknown according to the AGREE II tool and taking as reference three CPGs of international impact: American Diabetes Association (ADA), European Diabetes Association (EASD), and Latin American Diabetes Association (ALAD). Ten CPGs were selected for analysis. The ADA scored > 80% on the AGREE II domains and was selected as the main comparator. Eighty percent of LA CPGs were developed before 2018. Only one was not recommended (all domains < 60%). The CPGs in LA have good quality but are outdated. They have significant gaps compared to the reference. There is a need for improvement, as proposing updates every three years to maintain the best available clinical evidence in all guidelines.
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Affiliation(s)
| | - Jorge Acosta-Reyes
- Departamento de Salud Pública, Universidad del Norte, Barranquilla, Colombia
| | | | | | | | | | - Noël C Barengo
- Department of Translational Medicine, Herbert Wertheim College of Medicine and Department of Health Policy and Management, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
- Faculty of Medicine, Riga Stradins University, Riga, Latvia
| | - Rafael Gabriel
- International Health Department, National School of Public Health, Instituto de Salud Carlos III, Madrid, Spain, World Community for Prevention of Diabetes, Madrid, Spain
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Cabra-Bautista G, Paz-Córdoba BE, Henao-Pabón T, Bravo AM, Florez ID, Delgado-Noguera M, Calvache JA. Quality of clinical practice guidelines for gestational and congenital toxoplasmosis: A systematic review of the literature. J Eval Clin Pract 2022; 28:218-224. [PMID: 34418887 DOI: 10.1111/jep.13612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 07/29/2021] [Accepted: 08/03/2021] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the methodological quality and transparency of the clinical practice guidelines (CPGs) for the prevention, diagnosis, and treatment of gestational and congenital toxoplasmosis (CT). METHODS Systematic review of the literature on gestational and CT CPGs conducted in the MEDLINE, Embase, TripDatabase, Biblioteca Virtual en Salud databases and extensive manual searches in 19 CPG repositories. The characteristics of each of the guidelines were extracted using My AGREE PLUS on-line. Three reviewers assessed overall quality using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool. RESULTS The combined systematic review found 8651 citations. Of them 46 full texts were reviewed, and eight documents were finally included: four toxoplasmosis CPGs, three prenatal care CPGs that included recommendations on toxoplasmosis, and one pregnancy infection guideline that also included recommendations on toxoplasmosis. The AGREE II domains found to have the highest scores were 'clarity of presentation' (85%; [37%-100%]), followed by 'scope and purpose' (73%; [33%-98%]), and 'editorial independence' (51%; [3%-94%]); the domains with the lowest scores were 'rigour of development' (36%; [11%-79%]), 'stakeholder involvement' (34%; [24%-85%]), and 'applicability' (17%; [6%-83%]). The Colombian and Spanish-Agencia de Evaluación de Tecnologías Sanitarias de Andalucía (AETSA) CPGs had the highest global AGREE II scores. Absolute interrater agreement was good to excellent. CONCLUSION Substantial quality variation was found among CPGs, which provided recommendations in accordance with the context of the disease in the corresponding country or region. Only two of the CPGs appraised obtained a good score and are classified as 'recommended'.
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Affiliation(s)
- Ginna Cabra-Bautista
- Department of Pediatrics, School of Health Sciences, Universidad del Cauca, Popayán, Colombia
| | - Beatriz E Paz-Córdoba
- Department of Pediatrics, School of Health Sciences, Universidad del Cauca, Popayán, Colombia
| | - Tatiana Henao-Pabón
- Department of Pediatrics, School of Health Sciences, Universidad del Cauca, Popayán, Colombia
| | - Ana Milena Bravo
- Department of Pediatrics, School of Health Sciences, Universidad del Cauca, Popayán, Colombia
| | - Ivan D Florez
- Department of Pediatrics, Universidad de Antioquia, Medellín, Colombia.,School of Rehabilitation Science, McMaster University, Hamilton, Canada
| | - Mario Delgado-Noguera
- Department of Pediatrics, School of Health Sciences, Universidad del Cauca, Popayán, Colombia
| | - Jose Andrés Calvache
- Anesthesiology Department, School of Health Sciences, Universidad del Cauca, Popayán, Colombia
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Barberato-Filho S, Bergamaschi CDC, Godman B, Silva MT, Del Fiol FDS, Baldoni AO, Barreto JOM, Lopes LC. Editorial: New Horizons in Health-Promoting: From Methods to Implementation Science. Front Pharmacol 2022; 12:830957. [PMID: 35095538 PMCID: PMC8795761 DOI: 10.3389/fphar.2021.830957] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 12/20/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
- Silvio Barberato-Filho
- Pharmaceutical Science Graduate Course, University of Sorocaba (Uniso), Sorocaba, Brazil
| | | | - Brian Godman
- Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, United Kingdom.,Centre of Medical and Bio-allied Health Sciences Research, Ajman University, AlAin, United Arab Emirates.,School of Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, South Africa
| | - Marcus Tolentino Silva
- Pharmaceutical Science Graduate Course, University of Sorocaba (Uniso), Sorocaba, Brazil
| | | | | | | | - Luciane Cruz Lopes
- Pharmaceutical Science Graduate Course, University of Sorocaba (Uniso), Sorocaba, Brazil
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Cabra-Bautista G, Florez ID, Calvache JA. Clinical practice guidelines in low and middle income countries: experiences from colombia. J Clin Epidemiol 2021; 138:232-233. [PMID: 34091019 DOI: 10.1016/j.jclinepi.2021.05.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 05/26/2021] [Indexed: 10/21/2022]
Affiliation(s)
- Ginna Cabra-Bautista
- Department of Pediatrics, Universidad del Cauca Health Sciences School, Popayán, Colombia.
| | - Ivan D Florez
- Department of Pediatrics and Childcare, Universidad de Antioquia School of Medicine, Medellín, Colombia; School of Rehabilitation Science, McMaster University, Hamilton, Canada
| | - Jose Andrés Calvache
- Department of Anesthesiology, Universidad del Cauca Health Sciences School, Popayán, Colombia. Cochrane Colombia
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Smyth A, Jenkins M, Dunham M, Kutzer Y, Taheri S, Whitehead L. Systematic review of clinical practice guidelines to identify recommendations for sleep in type 2 diabetes mellitus management. Diabetes Res Clin Pract 2020; 170:108532. [PMID: 33157114 DOI: 10.1016/j.diabres.2020.108532] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Revised: 09/24/2020] [Accepted: 10/26/2020] [Indexed: 12/22/2022]
Abstract
INTRODUCTION Sleep quality, quantity and timing have been shown to impact glycaemic control, with a role in insulin sensitivity, glucose tolerance and HbA1C levels, in both diabetic and non-diabetic populations. The aim of this study was to identify recommendations for sleep assessment and management in international clinical practice guidelines focused on type 2 diabetes mellitus management in adults. STUDY DESIGN Systematic Review. METHODOLOGY Clinical practice guidelines which focused on the management of type 2 diabetes mellitus in adults were included (n = 35). Two independent reviewers utilised the Appraisal of Guidelines for Research and Evaluation tool (AGREE) II and a third reviewer resolved any disagreements. Included guidelines were assessed for recommendations about sleep in diabetes management (n = 14). Data were extracted on sleep recommendations ,themes were generated from the extracted data and narrative syntheses were created. RESULTS From 1114 identified papers, 35 guidelines met the inclusion criteria. Fourteen of these guidelines included recommendations pertaining to sleep, which broadly fell into five categories; sleep assessment, sleep as a therapeutic target, sleep and co-morbidities of type 2 diabetes mellitus, shift work and sleep and driving. Recommendations varied across guidelines. CONCLUSION Few guidelines provided recommendations relating to assessment and management of sleep in type 2 diabetes care. Most of the recommendations were related to obstructive sleep apnoea. However, few guidelines discussed sleep as a therapeutic intervention for diabetes mellitus or described the potential importance of sleep quality and duration in glycaemic control. Prospero registration number: CRD42020142136.
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Affiliation(s)
- Aisling Smyth
- School of Nursing & Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia.
| | - Mark Jenkins
- School of Nursing & Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia
| | - Melissa Dunham
- School of Nursing & Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia
| | - Yvonne Kutzer
- School of Nursing & Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia
| | - Shahrad Taheri
- Department of Medicine, Weill Cornell Medicine Qatar, Qatar Foundation - Education City, PO 24144, Doha, Qatar
| | - Lisa Whitehead
- School of Nursing & Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia
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Sheldon RS, Sandhu RK, Raj SR. Guidelines for Clinical Practice: Mind the Gap! Can J Cardiol 2020; 37:362-365. [PMID: 32525074 DOI: 10.1016/j.cjca.2020.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Revised: 06/02/2020] [Accepted: 06/03/2020] [Indexed: 11/17/2022] Open
Affiliation(s)
- Robert S Sheldon
- Departments of Cardiac Sciences, Medicine, and Medical Genetics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
| | | | - Satish R Raj
- Departments of Cardiac Sciences, Medicine, and Medical Genetics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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