Adapting evidence‐based clinical practice guidelines at university teaching hospitals: A model for the Eastern Mediterranean Region

Amer, Yasser Sami; Wahabi, Hayfaa; Elkheir, Manal M. Abou; Bawazeer, Ghada; Iqbal, Shaikh; Titi, Maher A.; Ekhzaimy, Aishah; Alswat, Khalid; Alzeidan, Rasmieh; Al‐Ansary, Lubna A.

doi:10.1111/jep.12927

Cited by 25 publications

(55 citation statements)

References 33 publications

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“…Our experience with this adaptation methodology provides useful insight into its utilization on a national level in Saudi Arabia, and further demonstrates its potential suitability for the Eastern Mediterranean region. Additional modi cations to the adaptation process and tools as per the context are recommended and accepted [9,14].…”

Section: Discussionmentioning

confidence: 99%

“…The results of the preliminary search for ADHD Source CPGs encouraged us to proceed and o cially launch this CPG adaptation project with a national scope. Capacity building sessions were conducted by the CPG methodologist for the rest of the GAG on concepts of evidencebased healthcare including the CPG adaptation process methodology and its associated toolkit [9,11,14].…”

Section: Phase One (Set Up)mentioning

confidence: 99%

“…In phase two, we identi ed speci c health questions using the PIPOH model, relevant inclusion and exclusion criteria, and a full search strategy including a list of keywords. The elements of the PIPOH model include the target patient population (P), intervention(s) (I), professionals and clinical specialties (P), outcomes (O), and healthcare setting or context (H) that were reported earlier [1,9]. We searched eight bibliographic and CPG databases in addition to online libraries of relevant professional societies.…”

Section: Phase Two (Adaptation)mentioning

confidence: 99%

“…Afterwards, we assessed the currency of the NICE Source CPG to ensure the validity and currency of its recommendations and their evidence-base using the related assessment of the CPG currency from the KSU-Modi ed-ADAPTE (Appendix Table 4) [9].…”

Section: Phase Two (Adaptation)mentioning

confidence: 99%

“…Adaptation of CPGs is a valid and e cient alternative to de novo development of CPGs especially in resource-limited healthcare settings. It was proposed to avoid duplication of efforts, to use the available resources in a cost-effective manner, and to encourage trans-contextual customization of the CPG prepared for different economic and healthcare settings re ecting the local context and system [9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Bashiri

Albatti

Hamad

et al. 2020

Preprint

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Background: We recently adapted the published National institute for Health and Care Excellence (NICE) Attention deficit hyperactivity disorder (ADHD) diagnosis and management guideline to the Saudi Arabian context. It has been postulated that adaptation of evidence-based clinical practice guidelines to the local healthcare context rather than de-novo development will improve their adoption and implementation without imposing a significant burden on resources. The objective of this paper is to describe the adaptation process methodology utilized for the generation of the first national guideline for management of people with ADHD in Saudi Arabia.Methods: We used the KSU-Modified-ADAPTE methodology for the guideline adaptation process. We describe the full process in detail including the three phases of set-up, adaptation, and finalization. The process was conducted by a multidisciplinary guideline adaptation group in addition to an external review for the clinical content and methodology.Results: The group adapted ten main categories of recommendations from one source CPG (NICE). The recommendations include; (i) service organisation and training, (ii) recognition, identification and referral, (iii) diagnosis, (iv) support, (v) managing ADHD, (vi) dietary advice, (vii) medication, (viii) maintenance and monitoring, (ix) adherence to treatment, and (x) review of medication and discontinuation. Several implementation tools were compiled and developed to enhance implementability including a clinical algorithm, quality measures, coding system, medication tables, translations, patient information, and online resources.Conclusions: The finalized clinical practice guideline provides healthcare providers with applicable evidence-based guidance for the management of people with ADHD in Saudi Arabia. The project also demonstrated the effectiveness of KSU-Modified-ADAPTE, and emphasized the value of a collaborative clinical and methodological expert group for adaptation of national guidelines.

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Section: Discussionmentioning

confidence: 99%

Section: Phase One (Set Up)mentioning

confidence: 99%

Section: Phase Two (Adaptation)mentioning

confidence: 99%

Section: Phase Two (Adaptation)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Bashiri

Albatti

Hamad

et al. 2020

Preprint

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Transfusion of blood components in pediatric age groups: an evidence-based clinical practice guideline adapted for the use in Egypt using ‘Adapted ADAPTE’

Mokhtar,

Adly,

Baky

et al. 2024

Ann Hematol

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Pediatric transfusion is a complex area of medicine covering a wide age range, from neonates to young adults. Compared to adult practice, there is a relative lack of high-quality research to inform evidence-based guidelines. We aimed to adapt the pre-existing high-quality practice guidelines for the transfusion of blood components in different pediatric age groups to be available for national use by general practitioners, pediatricians, and other health care professionals. The guideline panel included 17 key leaders from different Egyptian institutions. The panel used the Adapted ADAPTE methodology. The panel prioritized the health questions and recommendations according to their importance for clinicians and patients. The procedure included searching for existing guidelines, quality appraisal, and adaptation of the recommendations to the target context of use. The guideline covered all important aspects of the indications, dosing, and administration of packed red cells, platelets, and fresh frozen plasma. It also included transfusion in special situations, e.g., chronic hemolytic anemia and aplastic anemia, management of massive blood loss, malignancies, surgery, recommendations for safe transfusion practices, and recommendations for modifications of cellular blood components. The final version of the adapted clinical practice guideline (CPG) has been made after a thorough review by an external review panel and was guided by their official recommendations and modifications. A set of implementation tools included algorithms, tables, and flow charts to aid decision-making in practice. This adapted guideline serves as a tool for safe transfusion practices in different pediatric age groups.

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Evidence-based clinical practice guidelines for the management of perioperative hypothermia: Systematic review, critical appraisal, and quality assessment with the AGREE II instrument

Mohamed¹,

Abdelkarim

Aabdeen³

et al. 2022

Annals of Medicine &Amp; Surgery

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Adapting evidence‐based clinical practice guidelines at university teaching hospitals: A model for the Eastern Mediterranean Region

Abstract: This model for CPG adaptation represents a quick, practical, economical method with a sense of ownership by staff. Using this modified version can be replicated in other countries to assess its validity.

Cited by 25 publications

References 33 publications

Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Transfusion of blood components in pediatric age groups: an evidence-based clinical practice guideline adapted for the use in Egypt using ‘Adapted ADAPTE’

Evidence-based clinical practice guidelines for the management of perioperative hypothermia: Systematic review, critical appraisal, and quality assessment with the AGREE II instrument

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