[MIA 2021, Comprehensive Asthma Management. Guidelines for Mexico].

Q3 Medicine
Désireeé Larenas-Linnemann, Jorge Salas-Hernández, Blanca E Del Río-Navarro, Jorge A Luna-Pech, Elsy Maureen Navarrete-Rodríguez, Laura Gochicoa, María Carmen Cano-Salas, Ulises Noel García-Ramírez, Carmen López-Estrada, José Antonio Ortega-Martell, Ambrosio Aguilar-Aranda, Sergio Caretta-Barradas, Martín Bedolla-Barajas, Robert Camargo, Francisco J Cuevas-Schacht, Margarita Fernández-Vega, Carlos García-Bolaños, Claudia Garrido-Galindo, Alejandro Jiménez-Chobillón, Carlos Juárez-Ortiz, María Carmen Larios-García, Héctor León-Molina, Alejandra Macías-Weinmann, Eric Martínez-Infante, Norma E Martínez-Jiménez, Rocío Esmeralda Mateos-Martínez, Jaime Mellado-Ábrego, Víctor Manuel Mendoza-Romero, Carol Vivian Moncayo-Coello, Sergio Monraz-Pérez, Gabriel Montes, Francisco Ignacio Ignacio Ortiz-Aldana, Carlos Lenin Pliego-Reyes, Adela Reyes, Irasema Rodríguez-Godínez, Héctor Hernán Ruiz-Gutiérrez, Andrés Sánchez-González, César F Segovia-Montero, Saraí Carmen Toral-Freyre, Jorge Vázquez-García
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引用次数: 8

Abstract

Background: Asthma continues to be one of the most frequent chronic respiratory diseases in our country. New methods for diagnosis and treatment have been described; accordingly, the international guidelines were renewed.

Objective: To create a national platform for the development of updated guidelines, solidly based on evidence: Comprehensive Asthma Management (Spanish acronym: MIA).

Methods: MIA uses the ADAPTE method. The MIA development group consists of experts in pulmonology-allergology-methodology and representatives of 13 institutions and societies of specialties that manage asthma. The international reference guidelines (selected with AGREE-II): GINA 2020, GEMA 5.0, BTS/SIGN 2019 and ATS/ERS consensus document 2014-2019 on severe asthma. MIA covers suspected asthma, diagnosis, treatment, and special groups. Key clinical questions were formulated on treatment steps 1-3, biomarkers and severe asthma.

Results: Based on evidence, safety, cost and local reality, the core group developed responses. Through a Delphi process the broad MIA development group suggested adjustments until consensus was reached.

Conclusion: A document was generated with multiple figures and algorithms, solidly based on evidence about asthma management, adjusted for Mexico with a broad base among different societies that participated in its development. It does not include guidelines for acute asthma.

[MIA 2021,综合哮喘管理]墨西哥指南]。
背景:哮喘仍然是我国最常见的慢性呼吸系统疾病之一。描述了新的诊断和治疗方法;因此,国际准则得到了更新。目的:建立一个国家平台,以发展更新的指南,坚实地基于证据:全面哮喘管理(西班牙语缩写:MIA)。方法:MIA采用ADAPTE方法。MIA发展小组由肺病学-过敏症学-方法学专家和13个管理哮喘的机构和专业协会的代表组成。国际参考指南(与AGREE-II一起选择):GINA 2020, GEMA 5.0, BTS/SIGN 2019和ATS/ERS共识文件2014-2019关于严重哮喘。MIA涵盖疑似哮喘、诊断、治疗和特殊群体。制定了治疗步骤1-3、生物标志物和严重哮喘的关键临床问题。结果:根据证据、安全性、成本和当地实际情况,核心组制定了应对措施。通过德尔菲过程,广泛的MIA发展小组建议调整,直到达成共识。结论:生成了一份具有多种数据和算法的文件,该文件坚实地基于有关哮喘管理的证据,并在参与其发展的不同社会中进行了调整。它不包括急性哮喘的指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Revista alergia Mexico
Revista alergia Mexico Medicine-Immunology and Allergy
CiteScore
0.70
自引率
0.00%
发文量
9
审稿时长
16 weeks
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