Methodology for adaptation of the ASH Guidelines for Management of Venous Thromboembolism for the Latin American context

Blood Advances - Tập 5 - Trang 3047-3052 - 2021
Ignacio Neumann1, Ariel Izcovich2, Kendall E. Alexander3, Jenny Castano3, Robert Plovnick3, Robert Kunkle3, Yuan Zhang4, Ricardo Aguilar5, Guillermo León Basantes6, Patricia Casais7,8, Cecilia C. Colorio9, María Cecilia Guillermo Esposito10, Pedro P. García Lázaro11,12, Jaime Pereira13, Luis A. Meillon-García14, Suely Meireles Rezende15, Juan Carlos Serrano16, Mario L. Tejerina Valle17, Holger Schünemann4
1Department of Internal Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
2Hospital Alemán, Buenos Aires, Argentina
3American Society of Hematology, Washington, DC
4Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
5Servicio de Hematología, Complejo Hospitalario Dr. Arnulfo Arias Madrid, Panama City, Panama
6Clínica Universitaria Colombia, Bogotá, Colombia
7Epidemiología Clínica y Evidencia, Instituto de Investigaciones en Salud Pública, Universidad de Buenos Aires, Buenos Aires, Argentina
8Centro de Hematología Pavlovsky, Buenos Aires, Argentina
9Fundación Favaloro, Buenos Aires, Argentina
10Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay
11Faculty of Medicine, Universidad Privada Antenor Orrego, Trujillo, Peru
12Hospital Especializado Víctor Lazarte Echegaray, Trujillo, Peru
13Department of Hematology and Oncology, Pontificia Universidad Católica de Chile, Santiago, Chile
14The ABC Medical Center, Mexico City, Mexico
15Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
16Unidad Hematológica Especializada IPS, Cucuta, Colombia
17Caja Petrolera de Salud, La Paz, Bolivia

Tóm tắt

Abstract Background: From 2017 to 2020, the American Society of Hematology (ASH) collaborated with 12 hematology societies in Latin America to adapt the ASH guidelines on venous thromboembolism (VTE). Objective: To describe the methods used to adapt the ASH guidelines on venous thromboembolism. Methods: Each society nominated 1 individual to serve on the guideline panel. The work of the panel was facilitated by the 2 methodologists. The methods team selected 4 of the original VTE guidelines for a first round. To select the most relevant questions, a 2-step prioritization process was conducted through an on-line survey and then through in-person discussion. During an in-person meeting in Rio de Janeiro, Brazil, from 23 April through 26 April 2018, the panel developed recommendations using the ADOLOPMENT approach. Evidence about health effects from the original guidelines was reused, but important data about resource use, accessibility, feasibility, and impact in health equity were added. Results: In the guideline accompanying this paper, Latin American panelists selected 17 questions from an original pool of 49. Of the 17 questions addressed, substantial changes were introduced for 5 recommendations, and remarks were added or modified for 12 recommendations. Conclusions: By using the evidence from an international guideline, a significant amount of work and time were saved; by adding regional evidence, the final recommendations were tailored to the Latin American context. This experience offers an alternative to develop guidelines relevant to local contexts through a global collaboration.

Tài liệu tham khảo

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Blood Advances

Tập 5

3047-3052

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