Pervez Alina, Nizam Javeria, Baig Meryum Ishrat, Ahmer Areesha, Ghulam Unzela, Martins Russell Seth, Khawaja Areej, Rizvi Nashia Ali, Rehman Alina Abdul, Mustafa Mohsin Ali, Ayub Bushra, Aamdani Salima Saleem, Raza Sabeika, Rukhsar Shayana, Tabassum Saadia, Amber Tazein, Shariq Syeda Fatima, Nadeem Sarah, Naveed Shaheen, Haider Adil H, Masood Sadia
Center for Clinical Best Practices, Clinical and Translational Research Incubator (CITRIC), Aga Khan University, Karachi, 74800, Pakistan.
Community Health Services, Aga Khan University, Karachi, 74800, Pakistan.
Lancet Reg Health Southeast Asia. 2025 Jul 16;39:100635. doi: 10.1016/j.lansea.2025.100635. eCollection 2025 Aug.
This Health Policy discusses the development of evidence-based clinical practice guidelines (CPGs) and referral pathways tailored for dermatological conditions in Pakistan's primary care setting. Recognising the high burden of skin diseases among primary care consultations, a panel of dermatology experts reviewed sixteen high-quality source CPGs using the GRADE-ADOLOPMENT process to adapt, adopt, or exclude recommendations for local relevance. Management and referral algorithms were designed to guide general physicians, with additional recommendations provided to address identified gaps, such as the safe use of steroids. The final output comprised CPGs and referral pathways for ten common skin disorders, ensuring local relevance by excluding unsuitable recommendations. This initiative aims to standardise dermatological care, improve patient outcomes, and streamline referrals within Pakistan's healthcare system.
本卫生政策讨论了为巴基斯坦初级保健环境中的皮肤病制定循证临床实践指南（CPG）和转诊途径。认识到初级保健会诊中皮肤病负担沉重，一组皮肤科专家使用GRADE-ADOLOPMENT流程审查了16份高质量的源CPG，以调整、采用或排除与当地相关的建议。设计了管理和转诊算法以指导全科医生，并提供了额外建议以填补已发现的差距，如类固醇的安全使用。最终成果包括针对十种常见皮肤病的CPG和转诊途径，通过排除不适用的建议确保了与当地的相关性。该倡议旨在规范巴基斯坦医疗系统内的皮肤科护理、改善患者治疗效果并简化转诊流程。
