Clinical practice guideline for the evaluation and management of patients with severe aortic stenosis for the Peruvian Social Security

David Gálvez-Caballero, Jorge Huaringa-Marcelo, César Conde-Vela, Christoper A. Alarcón-Ruiz, José Ernesto Fernández-Chinguel, Alvaro Taype-Rondan, Hector van Dyck-Arbulú, Gladys Martha Espinoza-Rivas, Julio Alberto Morón-Castro, Jorge Luis Ortega-Díaz, Zoila Ivonne Rodríguez-Urteaga, Raúl Timaná-Ruiz

Research output: Contribution to journalArticle

Abstract

Introduction: This article summarizes the clinical practice guide (CPG) for the evaluation and management of patients with severe aortic stenosis in the Social Security of Peru (EsSalud).

Objective: To provide clinical evidence-based recommendations for the evaluation and management of patients with severe aortic stenosis in the EsSalud.

Methods: A local guideline development group (local GDG) was established, including medical specialists and methodologists. The local GDG formulated 7 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 during 2018. 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 evaluation and management. Finally, the CPG was approved with Resolution N.° 47 – IETSI – ESSALUD – 2018.

Results: This CPG addressed 7 clinical questions regarding two issues: the initial evaluation and the management of severe aortic stenosis. Based on these questions, 9 recommendations (1 strong recommendation and 8 weak recommendations), 16 points of good clinical practice, and 1 flowchart were formulated.

Conclusion: This article summarizes the methodology and evidence-based conclusions from the CPG for the evaluation and management of patients with severe aortic stenosis in the EsSalud.
Translated title of the contributionGuía de práctica clínica para la evaluación y el tratamiento de pacientes con estenosis aórtica severa en el Seguro Social del Perú
Original languageEnglish
Pages (from-to)53-67
Number of pages15
JournalArchivos de cardiología de México
Volume89
Issue number1
DOIs
StatePublished - Aug 2019

Keywords

  • Clinical practice guideline
  • Estenosis aórtica severa
  • Evidence- based medicine
  • GRADE
  • Guía de práctica clínica
  • Medicina basada en evidencias
  • Peru
  • Perú
  • Severe aortic stenosis

Cite this

Gálvez-Caballero, D., Huaringa-Marcelo, J., Conde-Vela, C., Alarcón-Ruiz, C. A., Fernández-Chinguel, J. E., Taype-Rondan, A., van Dyck-Arbulú, H., Espinoza-Rivas, G. M., Morón-Castro, J. A., Ortega-Díaz, J. L., Rodríguez-Urteaga, Z. I., & Timaná-Ruiz, R. (2019). Clinical practice guideline for the evaluation and management of patients with severe aortic stenosis for the Peruvian Social Security. Archivos de cardiología de México, 89(1), 53-67. https://doi.org/10.24875/acme.m19000009