AMB Guidelines: COVID –19

Abstract

The Brazilian Medical Association comprises various Specialty Societies, interacts with the Health System, public and private, municipal, state, and federal, and actively participates in the international scientific community through the World Medical Association and many other health institutions involved in education, assistance, or research. The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize producers to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.

Adherence of Clinical Practice Guidelines for Pharmacologic Treatments of Hospitalized Patients With COVID-19 to Trustworthy Standards

“…Eighteen CPGs (56.3%) explicitly disclosed funding information. 13,15,18,[20][21][22][23][24]26,27,[30][31][32]34,38,39,42,44 Twenty CPGs (62.5%) 13,15,17,18,20,21,23,24,[27][28][29][30]32,34,35,37,38,40,43,44 included multidisciplinary guideline panels, and 5 guideline panels (15.6%) 13,15,32,34,44 included a methodologist.…”

“…We identified 12 CPGs (37.5%) 13,15,17,20,23,27,28,32,37,40,42,44 with high adherence (score of 4 or 5) to the NAM standard to disclose actual or potential financial COIs and report how COIs were incorporated or managed in the CPG development process. Eight CPGs (25.0%) 21,22,[29][30][31]34,38,43 had intermediate adherence (score of 3) and 12 CPGs (37.5%) 14,16,18,19,[24][25][26]33,35,36,39,41 had low adherence (score of 1…”

“…Fifteen CPGs (46.9%) were international 15,16,20,21,23,24,27,[31][32][33][34]36,38,43,44 and 17 (53.1%) were national. 13,14,[17][18][19]22,25,26,[28][29][30]35,37,[39][40][41][42] Most CPGs (25 [78.1%]) had sponsorship from 1 or more national societies, and few CPGs (3 [9.4%]) 14,23,34 had sponsorship from government, nongovernment, or not-for-profit agencies (4 [12.5%]). 13,32,38,44 Seven CPGs (21.9%) 13,20,23,[30][31][32]34 explicitly reported their funding sources (eTable 1 in Supplement 1).…”