Diagnóstico y tratamiento de la retinopatía diabética y edema macular diabético: Guía de práctica clínica del seguro social de salud del Perú (EsSalud)

Javier Héctor Cáceres-Del-Carpio, Renzo Cañote Flores, José Montes-Alvis, Kevin Pacheco-Barrios, Doris Quiroz-Cerna, Vanesa Cinthia Luján-Donayre, Guillermo Reátegui-Escalante, Robinson Richard Escobedo-Arriola, Pedro Manuel García-Rodríguez, Enrique Chacón-Rosello, J. Yolanda Chahua-Torres, Harvy Alberto Honorio-Morales, Antonio Martín Touzett-Valera, Héctor Eduardo Shimabuku-Ysa, Lesly Chávez-Rimache, Alvaro Taype-Rondan, Raúl Timaná-Ruiz*

*Autor correspondiente de este trabajo

Producción científica: Contribución a una revistaArtículo de revisiónrevisión exhaustiva

2 Citas (Scopus)

Resumen

Introduction: This article summarizes the clinical practice guidelines (CPG) for the diagnosis and treatment of diabetic retinopathy and diabetic macular edema of the Health Social Security of Peru (EsSalud). Objective. To provide clinical recommendations based on evidence for the diagnosis and treatment of diabetic retinopathy and diabetic macular edema in EsSalud. Methods. A guidelines elaborating group (GEG) was conformed by medical specialists and methodologists. The GEG formulated 4 clinical questions intended to be answered by this CPG. For each of these questions systematic searches of systematic reviews and primary studies (when considered pertinent) were carried out in PubMed during 2018. Evidence was selected in order to reply each of the proposed clinical questions. The certainty of the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. During periodic working meetings, the GEG used the GRADE methodology to review the evidence and formulate the recommendations, points of good clinical practice and the management flowchart. Results. The present CPG addressed 4 clinical questions of four topics: screening, diagnosis, treatment of choice and adjuvant treatment. Based on these questions, 6 recommendations (4 strong and 2 conditional), 19 points of good clinical practice, and 1 management flowchart were formulated. Conclusion. This article summarizes the methodology and conclusions based on evidence from the CPG for the diagnosis and treatment of diabetic retinopathy and diabetic macular edema in EsSalud.

Título traducido de la contribuciónDiagnosis and treatment of diabetic retinopathy and diabetic macular edema: Clinical practice guidelines of the peruvian health social security (EsSalud)
Idioma originalEspañol
Páginas (desde-hasta)113-122
Número de páginas10
PublicaciónAnales de la Facultad de Medicina
Volumen81
N.º1
DOI
EstadoPublicada - 31 mar. 2020
Publicado de forma externa

Palabras clave

  • Diabetic Retinopathy
  • Evidence-Based Medicine(source:MeSHNLM)
  • GRADE Approach
  • Macular Edema
  • Practice Guidelines as Topic

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