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[Clinical practice guideline for the management of acute pancreatitis in the social security of Peru (Essalud)].

Authors :
Guzmán-Calderón E
Suárez-Ale WH
Chávez-Rimache L
Zavaleta-Jara L
Díaz-Gonzales MJ
Quiroga-Purizaca WG
Terán-Choquehuanca M
Lizarzaburu-Rodríguez VM
Vargas-Márquez SG
Juarez-Granda H
Contreras-Quincho VR
Revoredo-Rego FR
Merino-Chávez OM
Coayla-Castillo FG
Velásquez-Rimachi V
Goicochea-Lugo S
Mejía-Santiváñez J
Taype-Rondan Á
Salvador-Salvador S
Santos-Sánchez VE
Source :
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru [Rev Gastroenterol Peru] 2023 Apr-Jun; Vol. 43 (2), pp. 166-178.
Publication Year :
2023

Abstract

This article summarizes the clinical practice guideline (CPG) for the management of acute pancreatitis in the Social Security of Peru (EsSalud), to provide evidence-based clinical recommendations for the management of acute pancreatitis in EsSalud. A guideline development group (GEG) was formed that included medical specialists and methodologists. The GEG formulated 7 clinical questions to be answered by this CPG. Systematic searches of systematic reviews and -when considered relevant- primary studies were carried out in PubMed during 2022. The evidence was selected to answer each of the clinical questions posed. The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In periodic work meetings, the GEG used the GRADE methodology to review the evidence and formulate the recommendations, the points of good clinical practice, and the corresponding flow charts. Finally, the CPG was approved with Resolution No. 105-IETSI-ESSALUD-2022. This CPG addressed 7 clinical questions on fluid therapy, start of enteral nutrition, analgesia, type of nutrition, antibiotic, and surgical treatment. Based on these questions, 8 recommendations (1 strong and 7 conditional), 13 BPCs, and 1 flowchart were formulated. This article summarizes the methodology and evidence-based conclusions of the CPG for the management of acute pancreatitis in EsSalud.

Details

Language :
Spanish; Castilian
ISSN :
1609-722X
Volume :
43
Issue :
2
Database :
MEDLINE
Journal :
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
Publication Type :
Academic Journal
Accession number :
37597234