Revista Alergia México (Apr 2017)

Mexican Asthma Guidelines: GUIMA 2017

  • Désirée Larenas-Linnemann,
  • Jorge Salas-Hernández,
  • Juan Carlos Vázquez-García,
  • Francisco Ignacio Ortiz-Aldana,
  • Margarita Fernández-Vega,
  • Blanca Estela Del Río-Navarro,
  • María del Carmen Cano-Salas,
  • Jorge Agustín Luna-Pech,
  • José Antonio Ortega-Martell,
  • Jade Romero-Lombard,
  • Erika del Carmen López-Estrada,
  • Jimena Villaverde-Rosas,
  • José Luis Mayorga-Butrón,
  • Mario Humberto Vargas-Becerra,
  • Martín Bedolla-Barajas,
  • Noel Rodríguez-Pérez,
  • Ambrocio Aguilar-Aranda,
  • Carlos Adrián Jiménez-González,
  • Carlos García-Bolaños,
  • Claudia Garrido-Galindo,
  • David Alejandro Mendoza-Hernández,
  • Enrique Mendoza-López,
  • Gerardo López-Pérez,
  • Guillermo Hideo Wakida-Kuzonoki,
  • Héctor Hernán Ruiz-Gutiérrez,
  • Héctor León-Molina,
  • Héctor Martínez-De la Lanza,
  • Héctor Stone-Aguilar,
  • Javier Gómez-Vera,
  • Jorge Olvera-Salinas,
  • José Joel Oyoqui-Flores,
  • José Luis Gálvez-Romero,
  • José Santos Lozano-Sáenz,
  • Juan Ignacio Salgado-Gama,
  • Marcos Alejandro Jiménez-Chobillon,
  • Martha Angélica García-Avilés,
  • Martha Patricia Guinto-Balanzar,
  • Miguel Alejandro Medina-Ávalos,
  • Robert Camargo-Angeles,
  • Rogelio García-Torrentera,
  • Saraí Toral-Freyre,
  • Gabriel Montes-Narváez,
  • Héctor Solorio-Gómez,
  • Juan Rosas-Peña,
  • Sergio Jesús Romero-Tapia,
  • Adela Reyes-Herrera,
  • Francisco Cuevas-Schacht,
  • Joaquín Esquer-Flores,
  • José Antonio Sacre-Hazouri,
  • Lorenzo Compean-Martínez,
  • Pablo Julián Medina-Sánchez,
  • Sergio Garza-Salinas,
  • Carlos Báez-Loyola,
  • Iraís Romero-Alvarado,
  • José Luis Miguel-Reyes,
  • Laura Elizabeth Huerta-Espinosa,
  • Manuel Ángel Correa-Flores,
  • Ricardo Castro-Martínez

DOI
https://doi.org/10.29262/ram.v64i0.272
Journal volume & issue
Vol. 64, no. 0

Abstract

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Background: The need for a national guideline, with a broad basis among specialists and primary care physicians was felt in Mexico, to try unifying asthma management. As several high-quality asthma guidelines exist worldwide, it was decided to select the best three for transculturation. Methods: Following the internationally recommended methodology for guideline transculturation, ADAPTE, a literature search for asthma guidelines, published 1-1-2007 through 31-12-2015 was conducted. AGREE-II evaluations yielded 3/40 most suitable for transculturation. Their compound evidence was fused with local reality, patient preference, cost and safety considerations to draft the guideline document. Subsequently, this was adjusted by physicians from 12 national medical societies in several rounds of a Delphi process and 3 face-to-face meetings to reach the final version. Results: Evidence was fused from British Thoracic Society Asthma Guideline 2014, Global Initiative on Asthma 2015, and Guía Española del Manejo del Asma 2015 (2016 updates included). After 3 Delphi-rounds we developed an evidence-based document taking into account patient characteristics, including age, treatment costs and safety and best locally available medication. Conclusion: In cooperation pulmonologists, allergists, ENT physicians, paediatricians and GPs were able to develop an evidence-based document for the prevention, diagnosis and treatment of asthma and its exacerbations in Mexico.

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