Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis
Joint Authors
Gupta, Samir
Paolucci, Emily
Kaplan, Alan
Boulet, Louis-Philippe
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-23
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Background.
Several international groups develop asthma guidelines.
Conflicting recommendations across guidelines have been described in several disease areas and may contribute to practice variability.
Accordingly, we compared the latest Canadian Thoracic Society (CTS) asthma guideline with contemporaneous international asthma guidelines to evaluate conflicting recommendations and their causes.
Methods.
We identified the latest CTS asthma guideline update (2012) and the following societies which also updated their guidelines in 2012: the British Thoracic Society and Scottish Intercollegiate Guidelines Network and the Global Initiative for Asthma.
We compared these three guidelines on (1) key methodological factors and (2) adult pharmacotherapy recommendations.
Results.
Methods used and documentation provided for literature search strategy and dates, evidence synthesis, outcomes considered, evidence appraisal, and recommendation formulation varied between guidelines.
Criteria used to define suboptimal asthma control varied widely between guidelines.
Inhaled corticosteroid dosing recommendations diverged, as did recommendations surrounding use of budesonide/formoterol as a reliever and controller and recommendations in the subsequent step.
Conclusions.
There are important differences between recommendations provided in contemporaneous asthma guidelines.
Causes include differences in methods used for interpreting evidence and formulating recommendations.
Adopting a common set of valid and explicit methods across international societies could harmonize recommendations and facilitate guideline implementation.
American Psychological Association (APA)
Gupta, Samir& Paolucci, Emily& Kaplan, Alan& Boulet, Louis-Philippe. 2016. Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis. Canadian Respiratory Journal،Vol. 2016, no. 2016, pp.1-12.
https://search.emarefa.net/detail/BIM-1103178
Modern Language Association (MLA)
Gupta, Samir…[et al.]. Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis. Canadian Respiratory Journal No. 2016 (2016), pp.1-12.
https://search.emarefa.net/detail/BIM-1103178
American Medical Association (AMA)
Gupta, Samir& Paolucci, Emily& Kaplan, Alan& Boulet, Louis-Philippe. Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis. Canadian Respiratory Journal. 2016. Vol. 2016, no. 2016, pp.1-12.
https://search.emarefa.net/detail/BIM-1103178
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103178