%0 Journal Article
%T Recommendations for the prevention and diagnosis of asthma in children: Evidence from international guidelines adapted for Mexico.
%A Larenas Linnemann DES
%A Del Río Navarro BE
%A Luna Pech JA
%A Romero Lombard J
%A Villaverde Rosas J
%A Cano Salas MC
%A Fernández Vega M
%A Ortega Martell JA
%A López Estrada EC
%A Mayorga Butrón JL
%A Salas Hernández J
%A Vázquez García JC
%A Ortiz Aldana I
%A Vargas Becerra MH
%A Bedolla Barajas M
%A Rodríguez Pérez N
%A Aguilar Aranda A
%A Jiménez González CA
%A García Bolaños C
%A Garrido Galindo C
%A Mendoza Hernández DA
%A Mendoza López E
%A López Pérez G
%A Wakida Kuzonoki GH
%A Ruiz Gutiérrez HH
%A León Molina H
%A Martínez de la Lanza H
%A Stone Aguilar H
%A Gómez Vera J
%A Olvera Salinas J
%A Oyoqui Flores JJ
%A Gálvez Romero JL
%A Lozano Saenz JS
%A Salgado Gama JI
%A Jiménez Chobillon MA
%A García Avilés MA
%A Guinto Balanzar MP
%A Medina Ávalos MA
%A Camargo Angeles R
%A García Torrentera R
%A Toral Freyre S
%A Montes Narvaez G
%A Solorio Gómez H
%A Rosas Peña J
%A Romero Tapia SJ
%A Reyes Herrera A
%A Cuevas Schacht F
%A Esquer Flores J
%A Sacre Hazouri JA
%A Compean Martínez L
%A Medina Sánchez PJ
%A Garza Salinas S
%A Baez Loyola C
%A Romero Alvarado I
%A Miguel Reyes JL
%A Huerta Espinosa LE
%A Correa Flores MÁ
%A Castro Martínez R
%J Allergol Immunopathol (Madr)
%V 46
%N 3
%D May 2018 0
%M 29288048
%F 2.094
%R 10.1016/j.aller.2017.05.011
%X BACKGROUND: With the availability of high-quality asthma guidelines worldwide, one possible approach of developing a valid guideline, without re-working the evidence, already analysed by major guidelines, is the ADAPTE approach, as was used for the development of National Guidelines on asthma.
METHODS: The guidelines development group (GDG) covered a broad range of experts from medical specialities, primary care physicians and methodologists. The core group of the GDG searched the literature for asthma guidelines 2005 onward, and analysed the 11 best guidelines with AGREE-II to select three mother guidelines. Key clinical questions were formulated covering each step of the asthma management.
RESULTS: The selected mother guidelines are British Thoracic Society (BTS), GINA and GEMA 2015. Responses to the questions were formulated according to the evidence in the mother guidelines. Recommendations or suggestions were made for asthma treatment in Mexico by the core group, and adjusted during several rounds of a Delphi process, taking into account: 1. Evidence; 2. Safety; 3. Cost; 4. Patient preference - all these set against the background of the local reality. Here the detailed analysis of the evidence present in BTS/GINA/GEMA sections on prevention and diagnosis in paediatric asthma are presented for three age-groups: children with asthma ≤5 years, 6-11 years and ≥12 years.
CONCLUSIONS: For the prevention and diagnosis sections, applying the AGREE-II method is useful to develop a scientifically-sustained document, adjusted to the local reality per country, as is the Mexican Guideline on Asthma.