Abdel Baky Ashraf, Omar Tarek E I, Amer Yasser Sami
Pediatrics Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Pediatrics Department, MTI University, Cairo, Egypt.
Bull Natl Res Cent. 2023;47(1):88. doi: 10.1186/s42269-023-01059-0. Epub 2023 Jun 13.
In Egypt, academic organizations, professional societies, and research groups develop clinical practice guidelines (CPGs) in order to improve patient quality care and safety. Although important improvements have been made over the past years, many of these consensus-based guideline documents still lack the transparency and methodological rigor of international standards and methodologies recommended by reference evidence-based healthcare and guideline organizations like the Guidelines International Network.
In the Egyptian Pediatric Clinical Practice Guidelines Committee (EPG), we have adopted one of the CPG formal adaptation methodological frameworks named the 'Adapted ADAPTE', relevant CPG resources (e.g., the Appraisal of Guidelines for Research and Evaluation or AGREE II Instrument), and involved key stakeholders including clinical and healthcare topic experts and guideline methodologists in producing 32 trustworthy national evidence-based CPGs and one protocol customized to the healthcare context and services provided for Egyptian children. An EPG online website was launched to make these CPGs available and accessible as CPG summaries for pediatricians and relevant healthcare providers.
The lessons learned, enablers, challenges, and solutions relevant to Egyptian National Pediatric CPGs identified in this paper could be used to address and enrich the debate on pediatric high-quality CPGs, especially for countries of similar contexts and systems.
The online version contains supplementary material available at 10.1186/s42269-023-01059-0.
在埃及，学术组织、专业协会和研究团体制定临床实践指南（CPG），以提高患者护理质量和安全性。尽管在过去几年中取得了重要进展，但许多基于共识的指南文件仍缺乏国际标准所要求的透明度和方法严谨性，也未采用诸如国际指南网络等循证医疗保健和指南组织推荐的方法。
在埃及儿科临床实践指南委员会（EPG）中，我们采用了一种名为“Adapted ADAPTE”的CPG正式改编方法框架、相关CPG资源（如《研究与评价指南评估》或AGREE II工具），并让包括临床和医疗保健主题专家以及指南方法学家在内的关键利益相关者参与，制定了32份可靠的国家循证CPG，以及一份根据埃及儿童的医疗保健环境和提供的服务定制的方案。还推出了一个EPG在线网站，以便为儿科医生和相关医疗保健提供者提供这些CPG的摘要，使其易于获取。
本文中确定的与埃及国家儿科CPG相关的经验教训、推动因素、挑战和解决方案，可用于应对和丰富关于儿科高质量CPG的辩论，特别是对于具有类似背景和系统的国家。
在线版本包含可在10.1186/s42269-023-01059-0获取的补充材料。
