Guía de práctica clínica para el diagnóstico y tratamiento del paciente con síndrome de Guillain-Barré

Translated title of the contribution: Clinical practice guideline for the diagnosis and treatment of Guillain-Barre syndrome

Carlos Alva-Diaz, Nicanor Mori, Kevin Pacheco-Barrios, Victor Velásquez-Rimachi, Oscar Rivera-Torrejon, Cristina Andrely Huerta-Rosario, Christoper A. Alarcon-Ruiz, María Meza-Vega, Yrma Quispe-Zapana, Isabel Tagle-Lostaunau, Juan Luis Cam-Paucar, Francisco Aquino-Peña, Víctor Vargas-Bellina, Gladys Guillen-Tello, Víctor Campuzano-Lezama, Gloria Amalia Vargas-Nuñez, Leonel Mario Lozano-Vasquez, Pilar Elena Mazzetti-Soler

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: This article summarizes the clinical practice guide (CPG) for the diagnosis and treatment of patients with Guillain-Barre syndrome (GBS) in Peru. Objective: To provide clinical recommendations based on evidence for the management of patients with GBS in Peru. Methods: A local elaboration group was formed conformed by medical specialists and methodologists. The local elaboration group formulated 6 clinical questions to be answered by this CPG. During 2018, GBS CPGs published since 2008 were searched and selected, which answered the questions posed and obtained a score higher than 60% in domains 1 and 3 of the Appraisal of Guidelines for Research and Evaluation II (AGREE- II), and bibliographic searches were conducted in Pubmed, to update 6 clinical questions of the preselected CPGs, and to answer one de novo question. The quality of the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In regular work meetings, the local elaboration group reviewed the evidence and formulated the recommendations, points of good clinical practice and the flowchart of evaluation and management, using the GRADE methodology. Results: This CPG addressed 6 clinical questions, divided into 3 topics: diagnosis, specific treatment and support and rehabilitation treatment. Based on these questions, 6 recommendations were formulated (5 strong recommendations and one weak recommendations), 21 points of good clinical practice, and 2 flow charts. Conclusion: This article is the summary of the CPG for the diagnosis and management of GBS in Peru, in which the available scientific evidence and its application to our context was assessed.

Translated title of the contributionClinical practice guideline for the diagnosis and treatment of Guillain-Barre syndrome
Original languageSpanish
Pages (from-to)36-48
Number of pages13
JournalNeurologia Argentina
Volume12
Issue number1
DOIs
StatePublished - 1 Jan 2020

Bibliographical note

Funding Information:
Expresamos nuestro agradecimiento a Mg. Charles Huaman? Salda?a, m?dico neurol?go, Hospital Nacional Adolfo Guevara Velasco, Essalud, Cusco, Per?, por la revisi?n que realiz? a la presente gu?a, y a Mg. Josmel Pacheco-Mendoza, M?dico veterinario especialista en bibliotecolog?a, Universidad San Ignacio de Loyola por la asesor?a en las revisiones sistem?ticas. Los archivos del material suplementario est?n disponibles a trav?s del pedido al autor corresponsal (CAD).

Publisher Copyright:
© 2019 Sociedad Neurológica Argentina

Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.

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