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1. The different clinical guideline standards in Brazil: High cost treatment diseases versus poverty-related diseases.

Author

Santana, Rafael Santos, de Oliveira Lupatini, Evandro, Zanghelini, Fernando, de March Ronsoni, Ricardo, Rech, Norberto, and Leite, Silvana Nair

Subjects
POVERTY, MEDICAL care costs, SOCIOECONOMICS, GEOGRAPHICAL location codes, INDUSTRIAL hygiene
Abstract

Each year, evidence-based clinical guidelines gain more space in the health professionals’ practice and in services organization. Due to the scarcity of scientific publications focused on diseases of poverty, the development of well-founded clinical guidelines becomes more and more important. In view of that, this paper aims to evaluate the quality of Brazilian guidelines for those diseases. The AGREE II method was used to evaluate 16 guidelines for poverty-related diseases (PRD) and 16 guidelines for global diseases whose treatment require high-cost technologies (HCD), with the ultimate aim of comparing the results. It was found that, in general, the guideline development quality standard is higher for the HCD guidelines than for the PRD guidelines, with emphasis on the "rigour of development" (48% and 7%) and "editorial independence" (43% and 1%) domains, respectively, which had the greatest discrepancies. The HCD guidelines showed results close to or above international averages, whereas the PRD guidelines showed lower results in the 6 domains evaluated. It can be concluded that clinical protocol development priorities need some redirecting in order to qualify the guidelines that define the healthcare organization and the care of vulnerable populations. [ABSTRACT FROM AUTHOR]

Published
2018
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2. Direct and indirect impact of 10-valent pneumococcal conjugate vaccine introduction on pneumonia hospitalizations and economic burden in all age-groups in Brazil: A time-series analysis.

Author

Andrade, Ana Lucia, Afonso, Eliane T., Minamisava, Ruth, Bierrenbach, Ana Luiza, Cristo, Elier B., Morais-Neto, Otaliba L., Policena, Gabriela M., Domingues, Carla M. A. S., and Toscano, Cristiana M.

Subjects
PNEUMOCOCCAL vaccines, TIME series analysis, STREPTOCOCCUS pneumoniae, RESPIRATORY infections, CHILD death, HOSPITAL care
Published
2017
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3. The different clinical guideline standards in Brazil: High cost treatment diseases versus poverty-related diseases

Author

Fernando Zanghelini, Ricardo de March Ronsoni, Evandro de Oliveira Lupatini, Silvana Nair Leite, Norberto Rech, and Rafael Santos Santana

Subjects
National Health Programs, Economics, Epidemiology, Editorial independence, Technology, High-Cost, Social Sciences, lcsh:Medicine, Global Health, Geographical locations, 0302 clinical medicine, Cost of Illness, Health care, Medicine and Health Sciences, Global health, Public and Occupational Health, 030212 general & internal medicine, lcsh:Science, Multidisciplinary, Neglected Diseases, Health Care Costs, Socioeconomic Aspects of Health, Diretrizes clínicas - Brasil, Infectious Diseases, Evidence-Based Practice, Practice Guidelines as Topic, 0305 other medical science, Brazil, Research Article, medicine.medical_specialty, Infectious Disease Control, Diseases of poverty, Disease Surveillance, Rigour, Saúde pública - Brasil, 03 medical and health sciences, Health Economics, Diagnostic Medicine, Parasitic Diseases, medicine, Humans, Pobreza, Poverty, Treatment Guidelines, Health Care Policy, 030505 public health, Health economics, business.industry, lcsh:R, Guideline, South America, Health Care, Doenças, Infectious Disease Surveillance, Family medicine, lcsh:Q, People and places, business
Abstract

Each year, evidence-based clinical guidelines gain more space in the health professionals' practice and in services organization. Due to the scarcity of scientific publications focused on diseases of poverty, the development of well-founded clinical guidelines becomes more and more important. In view of that, this paper aims to evaluate the quality of Brazilian guidelines for those diseases. The AGREE II method was used to evaluate 16 guidelines for poverty-related diseases (PRD) and 16 guidelines for global diseases whose treatment require high-cost technologies (HCD), with the ultimate aim of comparing the results. It was found that, in general, the guideline development quality standard is higher for the HCD guidelines than for the PRD guidelines, with emphasis on the "rigour of development" (48% and 7%) and "editorial independence" (43% and 1%) domains, respectively, which had the greatest discrepancies. The HCD guidelines showed results close to or above international averages, whereas the PRD guidelines showed lower results in the 6 domains evaluated. It can be concluded that clinical protocol development priorities need some redirecting in order to qualify the guidelines that define the healthcare organization and the care of vulnerable populations.

Published
2018