Guía de práctica clínica para el tamizaje de cáncer de mama en el Seguro Social del Perú (EsSalud)

Guillermo Salvatierra Romero, Naysha Becerra-Chauca, Jackeline Limas Cline, Marleni Cunia Perez, Pedro Aguilar Ramos, Bibiana Noa Bendezú, Lourdes Torres Peña, Jose Miguel Mejia Azañero, Raúl Ortiz Regis, Wendy Nieto-Gutierrez, Stefany Salvador-Salvador, Alvaro Taype-Rondan, Ana Brañez-Condorena, Vladimir Ernesto Santos Sánchez*

*Autor correspondiente de este trabajo

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Introduction. This article provides an overview of the clinical practice guideline (CPG) for breast cancer screening in the Social Security of Peru (EsSalud). Objective. To offer evidence-based clinical recommendations for breast cancer screening within EsSalud. Methods. The CPG for breast cancer screening was developed by establishing a guideline development group (local GDG) consisting of medical specialists and methodologists. The local GDGformulated 5 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 Cochrane CENTRAL during 2022. The evidence to answer each of the posed clinical questions was selected. The certainty of 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 Finally, the CPG was approved with Resolution No. 68-IETSI-ESSALUD-2022. Results. The CPG examined 5 clinical questions related to physical examination and diagnostic imaging for breast cancer screening. This led to the development of 8 recommendations (2 strong and 6 conditional), 7 best practice points, and 1 flowchart. Conclusion. This article outlines the methodology and evidence-based findings of the CPG for breast cancer screening at EsSalud.

Título traducido de la contribuciónClinical practice guideline for breast cancer screening for the Peruvian Social Security (EsSalud)
Idioma originalEspañol
Páginas (desde-hasta)354-361
Número de páginas8
PublicaciónAnales de la Facultad de Medicina
Volumen85
N.º3
DOI
EstadoPublicada - 2024

Palabras clave

  • breast cancer
  • clinical practice guideline
  • evidence-based medicine (source: MeSH NLM)
  • GRADE

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