Guía de práctica clínica para el tamizaje y manejo de adultos con desnutrición o riesgo de desnutrición en el seguro social del Perú (EsSalud)

Rosario A. Holguín Marín; Gandy Dolores-Maldonado; Carolina J. Delgado-Flores; Acosta Huertas Antonio Fernando; Carrillo María; Raúl Mario De Stefano Beltrán; Mario Eugenio Ferreyra Mujica; Martín Gómez-Lujan; Luisa Angélica Guerrero Muñoz; Rosa Maximiliana Najarro Oriondo; Diana Quispe Arbildo; Nelly René Clotilde Ríos Vera; Carlina Roxana Soto Cochón; Angelina del Pilar Valdez Narbasta; Teresa Zoraida Verástegui Sayers; Alvaro Taype-Rondan; Stefany Salvador-Salvador; Lourdes Carrera-Acosta

doi:10.35434/rcmhnaaa.2022.15Supl.%201.1489

Guía de práctica clínica para el tamizaje y manejo de adultos con desnutrición o riesgo de desnutrición en el seguro social del Perú (EsSalud)

Translated title of the contribution: Clinical practice guidelines for the screening and management of adults with malnutrition or risk of malnutrition in the Peruvian social security system (EsSalud)

Rosario A. Holguín Marín, Gandy Dolores-Maldonado, Carolina J. Delgado-Flores, Acosta Huertas Antonio Fernando, Carrillo María, Raúl Mario De Stefano Beltrán, Mario Eugenio Ferreyra Mujica, Martín Gómez-Lujan, Luisa Angélica Guerrero Muñoz, Rosa Maximiliana Najarro Oriondo, Diana Quispe Arbildo, Nelly René Clotilde Ríos Vera, Carlina Roxana Soto Cochón, Angelina del Pilar Valdez Narbasta, Teresa Zoraida Verástegui Sayers, Alvaro Taype-Rondan, Stefany Salvador-Salvador, Lourdes Carrera-Acosta^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Introduction: This article summarizes the clinical practice guide (CPG) for the screening and management of malnourished patients or patients at risk of malnutrition in the Social Security of Peru (EsSalud). Objective: To provide clinical recommendations based on evidence for the screening and management of malnourished patients or patients at risk of malnutrition in EsSalud. Methods: A CPG for the screening, management and monitoring of malnourished patients or patients at risk of malnutrition in EsSalud was developed. To this end, a guideline development group (local GDG) was established, including medical specialists and methodologists. The local GDG formulated 9 clinical questions to be answered by this CPG. Systematic searches of systematic reviews and - when it was considered pertinent- primary studies were conducted in Pubmed and CENTRAL during 2021. The evidence to answer each of the posed clinical questions was selected. The quality of the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In periodic work meetings, the local GDG used the GRADE methodology to review the evidence and formulate the recommendations, points of good clinical practice, and the flowchart of screening and management. Finally, the CPG was approved with Resolution No. 128-IETSI-ESSALUD-2021. Results: This CPG addressed 9 clinical questions, divided into three topics: screening, management and monitoring of malnourished patients or patients at risk of malnutrition. Based on these questions, 6 recommendations (3 strong recommendations and 3 weak recommendations), 39 points of good clinical practice, and 2 flowcharts were formulated. Conclusion: This article summarizes the methodology and evidence-based conclusions from the CPG for the screening, management and monitoring of malnourished patients or patients at risk of malnutrition in EsSalud.

Translated title of the contribution	Clinical practice guidelines for the screening and management of adults with malnutrition or risk of malnutrition in the Peruvian social security system (EsSalud)
Original language	Spanish
Journal	Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
Volume	15
DOIs	https://doi.org/10.35434/rcmhnaaa.2022.15Supl.%201.1489
State	Published - 1 Sep 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.35434/rcmhnaaa.2022.15Supl.%201.1489

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Holguín Marín, R. A., Dolores-Maldonado, G., Delgado-Flores, C. J., Antonio Fernando, A. H., María, C., De Stefano Beltrán, R. M., Ferreyra Mujica, M. E., Gómez-Lujan, M., Guerrero Muñoz, L. A., Najarro Oriondo, R. M., Arbildo, D. Q., Ríos Vera, N. R. C., Soto Cochón, C. R., del Pilar Valdez Narbasta, A., Verástegui Sayers, T. Z., Taype-Rondan, A., Salvador-Salvador, S., & Carrera-Acosta, L. (2022). Guía de práctica clínica para el tamizaje y manejo de adultos con desnutrición o riesgo de desnutrición en el seguro social del Perú (EsSalud). Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo, 15. https://doi.org/10.35434/rcmhnaaa.2022.15Supl.%201.1489

@article{99aa505dad704ff785d91a4c6d7eae5c,

title = "Gu{\'i}a de pr{\'a}ctica cl{\'i}nica para el tamizaje y manejo de adultos con desnutrici{\'o}n o riesgo de desnutrici{\'o}n en el seguro social del Per{\'u} (EsSalud)",

abstract = "Introduction: This article summarizes the clinical practice guide (CPG) for the screening and management of malnourished patients or patients at risk of malnutrition in the Social Security of Peru (EsSalud). Objective: To provide clinical recommendations based on evidence for the screening and management of malnourished patients or patients at risk of malnutrition in EsSalud. Methods: A CPG for the screening, management and monitoring of malnourished patients or patients at risk of malnutrition in EsSalud was developed. To this end, a guideline development group (local GDG) was established, including medical specialists and methodologists. The local GDG formulated 9 clinical questions to be answered by this CPG. Systematic searches of systematic reviews and - when it was considered pertinent- primary studies were conducted in Pubmed and CENTRAL during 2021. The evidence to answer each of the posed clinical questions was selected. The quality of the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In periodic work meetings, the local GDG used the GRADE methodology to review the evidence and formulate the recommendations, points of good clinical practice, and the flowchart of screening and management. Finally, the CPG was approved with Resolution No. 128-IETSI-ESSALUD-2021. Results: This CPG addressed 9 clinical questions, divided into three topics: screening, management and monitoring of malnourished patients or patients at risk of malnutrition. Based on these questions, 6 recommendations (3 strong recommendations and 3 weak recommendations), 39 points of good clinical practice, and 2 flowcharts were formulated. Conclusion: This article summarizes the methodology and evidence-based conclusions from the CPG for the screening, management and monitoring of malnourished patients or patients at risk of malnutrition in EsSalud.",

keywords = "Desnutrition, Practice Guidelines as Topic, Evidence-Based Medicine, GRADE Approach",

author = "{Holgu{\'i}n Mar{\'i}n}, {Rosario A.} and Gandy Dolores-Maldonado and Delgado-Flores, {Carolina J.} and {Antonio Fernando}, {Acosta Huertas} and Carrillo Mar{\'i}a and {De Stefano Beltr{\'a}n}, {Ra{\'u}l Mario} and {Ferreyra Mujica}, {Mario Eugenio} and Mart{\'i}n G{\'o}mez-Lujan and {Guerrero Mu{\~n}oz}, {Luisa Ang{\'e}lica} and {Najarro Oriondo}, {Rosa Maximiliana} and Arbildo, {Diana Quispe} and {R{\'i}os Vera}, {Nelly Ren{\'e} Clotilde} and {Soto Coch{\'o}n}, {Carlina Roxana} and {del Pilar Valdez Narbasta}, Angelina and {Ver{\'a}stegui Sayers}, {Teresa Zoraida} and Alvaro Taype-Rondan and Stefany Salvador-Salvador and Lourdes Carrera-Acosta",

note = "Publisher Copyright: {\textcopyright} 2022 Publicado por Cuerpo M{\'e}dico Hospital Nacional Almanzor Aguinaga Asenjo.",

year = "2022",

month = sep,

day = "1",

doi = "10.35434/rcmhnaaa.2022.15Supl.%201.1489",

language = "Espa{\~n}ol",

volume = "15",

journal = "Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo",

issn = "2225-5109",

publisher = "Revista del Cuerpo M{\'e}dico del Hospital Nacional Almanzor Aguinaga Asenjo",

}

Holguín Marín, RA, Dolores-Maldonado, G, Delgado-Flores, CJ, Antonio Fernando, AH, María, C, De Stefano Beltrán, RM, Ferreyra Mujica, ME, Gómez-Lujan, M, Guerrero Muñoz, LA, Najarro Oriondo, RM, Arbildo, DQ, Ríos Vera, NRC, Soto Cochón, CR, del Pilar Valdez Narbasta, A, Verástegui Sayers, TZ, Taype-Rondan, A, Salvador-Salvador, S & Carrera-Acosta, L 2022, 'Guía de práctica clínica para el tamizaje y manejo de adultos con desnutrición o riesgo de desnutrición en el seguro social del Perú (EsSalud)', Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo, vol. 15. https://doi.org/10.35434/rcmhnaaa.2022.15Supl.%201.1489

Guía de práctica clínica para el tamizaje y manejo de adultos con desnutrición o riesgo de desnutrición en el seguro social del Perú (EsSalud). / Holguín Marín, Rosario A.; Dolores-Maldonado, Gandy; Delgado-Flores, Carolina J. et al.
In: Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo, Vol. 15, 01.09.2022.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Guía de práctica clínica para el tamizaje y manejo de adultos con desnutrición o riesgo de desnutrición en el seguro social del Perú (EsSalud)

AU - Holguín Marín, Rosario A.

AU - Dolores-Maldonado, Gandy

AU - Delgado-Flores, Carolina J.

AU - Antonio Fernando, Acosta Huertas

AU - María, Carrillo

AU - De Stefano Beltrán, Raúl Mario

AU - Ferreyra Mujica, Mario Eugenio

AU - Gómez-Lujan, Martín

AU - Guerrero Muñoz, Luisa Angélica

AU - Najarro Oriondo, Rosa Maximiliana

AU - Arbildo, Diana Quispe

AU - Ríos Vera, Nelly René Clotilde

AU - Soto Cochón, Carlina Roxana

AU - del Pilar Valdez Narbasta, Angelina

AU - Verástegui Sayers, Teresa Zoraida

AU - Taype-Rondan, Alvaro

AU - Salvador-Salvador, Stefany

AU - Carrera-Acosta, Lourdes

PY - 2022/9/1

Y1 - 2022/9/1

N2 - Introduction: This article summarizes the clinical practice guide (CPG) for the screening and management of malnourished patients or patients at risk of malnutrition in the Social Security of Peru (EsSalud). Objective: To provide clinical recommendations based on evidence for the screening and management of malnourished patients or patients at risk of malnutrition in EsSalud. Methods: A CPG for the screening, management and monitoring of malnourished patients or patients at risk of malnutrition in EsSalud was developed. To this end, a guideline development group (local GDG) was established, including medical specialists and methodologists. The local GDG formulated 9 clinical questions to be answered by this CPG. Systematic searches of systematic reviews and - when it was considered pertinent- primary studies were conducted in Pubmed and CENTRAL during 2021. The evidence to answer each of the posed clinical questions was selected. The quality of the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In periodic work meetings, the local GDG used the GRADE methodology to review the evidence and formulate the recommendations, points of good clinical practice, and the flowchart of screening and management. Finally, the CPG was approved with Resolution No. 128-IETSI-ESSALUD-2021. Results: This CPG addressed 9 clinical questions, divided into three topics: screening, management and monitoring of malnourished patients or patients at risk of malnutrition. Based on these questions, 6 recommendations (3 strong recommendations and 3 weak recommendations), 39 points of good clinical practice, and 2 flowcharts were formulated. Conclusion: This article summarizes the methodology and evidence-based conclusions from the CPG for the screening, management and monitoring of malnourished patients or patients at risk of malnutrition in EsSalud.

AB - Introduction: This article summarizes the clinical practice guide (CPG) for the screening and management of malnourished patients or patients at risk of malnutrition in the Social Security of Peru (EsSalud). Objective: To provide clinical recommendations based on evidence for the screening and management of malnourished patients or patients at risk of malnutrition in EsSalud. Methods: A CPG for the screening, management and monitoring of malnourished patients or patients at risk of malnutrition in EsSalud was developed. To this end, a guideline development group (local GDG) was established, including medical specialists and methodologists. The local GDG formulated 9 clinical questions to be answered by this CPG. Systematic searches of systematic reviews and - when it was considered pertinent- primary studies were conducted in Pubmed and CENTRAL during 2021. The evidence to answer each of the posed clinical questions was selected. The quality of the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In periodic work meetings, the local GDG used the GRADE methodology to review the evidence and formulate the recommendations, points of good clinical practice, and the flowchart of screening and management. Finally, the CPG was approved with Resolution No. 128-IETSI-ESSALUD-2021. Results: This CPG addressed 9 clinical questions, divided into three topics: screening, management and monitoring of malnourished patients or patients at risk of malnutrition. Based on these questions, 6 recommendations (3 strong recommendations and 3 weak recommendations), 39 points of good clinical practice, and 2 flowcharts were formulated. Conclusion: This article summarizes the methodology and evidence-based conclusions from the CPG for the screening, management and monitoring of malnourished patients or patients at risk of malnutrition in EsSalud.

KW - Desnutrition, Practice Guidelines as Topic

KW - Evidence-Based Medicine

KW - GRADE Approach

UR - http://www.scopus.com/inward/record.url?scp=85141326947&partnerID=8YFLogxK

U2 - 10.35434/rcmhnaaa.2022.15Supl.%201.1489

DO - 10.35434/rcmhnaaa.2022.15Supl.%201.1489

M3 - Artículo

AN - SCOPUS:85141326947

SN - 2225-5109

VL - 15

JO - Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo

JF - Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo

ER -

Holguín Marín RA, Dolores-Maldonado G, Delgado-Flores CJ, Antonio Fernando AH, María C, De Stefano Beltrán RM et al. Guía de práctica clínica para el tamizaje y manejo de adultos con desnutrición o riesgo de desnutrición en el seguro social del Perú (EsSalud). Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo. 2022 Sep 1;15. doi: 10.35434/rcmhnaaa.2022.15Supl.%201.1489

Guía de práctica clínica para el tamizaje y manejo de adultos con desnutrición o riesgo de desnutrición en el seguro social del Perú (EsSalud)

Abstract

UN SDGs

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