A protocol for adapting a clinical practice guideline for the treatment of paediatric asthma for the Egyptian Pediatric Clinical Practice Guidelines Committee

Author:

Abdel Baky Ashraf123ORCID,Youssef Ahmed234ORCID,Elsholkamy Lamis23ORCID,Saber Mona23ORCID,Gamal Nahla23ORCID,Soliman Nanies13ORCID,Amer Yasser35678ORCID

Affiliation:

1. Pediatrics Department, Faculty of Medicine Ain Shams University Cairo Egypt

2. Pediatrics Department MTI University Cairo Egypt

3. Egyptian Pediatric Clinical Practice Guidelines Committee Cairo Egypt

4. General Organization for Teaching Hospitals and Institutes Cairo Egypt

5. Pediatrics Department, King Khalid University Hospital King Saud University Medical City Riyadh Saudi Arabia

6. Clinical Practice Guidelines and Quality Research Unit, Quality Management Department King Saud University Medical City Riyadh Saudi Arabia

7. Research Chair for Evidence‐Based Health Care and Knowledge Translation King Saud University Riyadh Saudi Arabia

8. Department of Internal Medicine, Ribeirão Preto Medical School University of São Paulo (FMRP‐USP) Ribeirão Preto São Paulo Brazil

Abstract

AbstractIntroductionPaediatric asthma is a prevalent and chronic respiratory condition affecting children worldwide. This protocol outlines the methodology for developing a clinical practice guideline (CPG) for the management of paediatric asthma. The goal of this guideline is to provide evidence‐based recommendations for healthcare professionals, improving the quality of care and health outcomes for paediatric patients with asthma.MethodsWe will use the ‘Adapted ADAPTE’ adaption method, a systematic approach to adapt existing guidelines, which consists of three phases (setup, adaptation and finalisation phases), nine modules and 24 steps, with adaptations to the process and tools to suit the Egypt healthcare context and resources.QuestionsClinical questions were prepared using the patient population, interventions, professionals, outcomes and healthcare context (PIPOH) model. This CPG protocol addresses critical clinical questions at the heart of effective asthma management in children. It focuses on the diagnosis of paediatric asthma, considering age‐specific clinical presentations and diagnostic tests, assessment of asthma severity, control medications like inhaled corticosteroids, long‐acting β‐agonists and others, with an emphasis on appropriate tools and criteria. The CPG also delves into the realm of long‐term control treatment, exploring the effectiveness and safety of pharmacological and nonpharmacological interventions, while considering individualised needs. Furthermore, it examines strategies for monitoring and adjusting treatment plans over time, ensuring optimal care. These clinical questions form the foundation of the CPG, facilitating evidence‐based care delivery and enhancing health outcomes for paediatric asthma patients.

Publisher

Wiley

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