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Adolopment of atopic dermatitis management guidelines for Pakistan
Sakina Sadiq Malik1, Aisha Akhtar1, Bushra Muzaffar Khan1
1National University of Medical Sciences, Rawalpindi, Pakistan.
Background:
Pakistan lacks national evidence-based clinical practice guidelines for dermatology, and there are challenges in using the international guidelines.
Aim:
To develop context-specific guidelines for clinical management of atopic dermatitis in Pakistan.
Method:
We conducted on PubMed, Google Scholar and Cochrane Library a critical review and appraisal of clinical guidelines for the management of atopic dermatitis published between January 2019 and March 2024. Using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, we selected and reviewed the 2023 Grading of Recommendations Assessment, Development and Evaluation (GRADE) and the Institute of Medicinebased recommendations of the American Academy of Allergy, Asthma and Immunology/American College of Allergy, Asthma and Immunology Joint Task Force on Practice Parameters. We selected, prioritized, modified, and adopted those recommendations applicable to Pakistan.
Results:
Of the 25 recommendations in the source guidelines, 12 were adopted and used to develop 27 recommendations for Pakistan.
Conclusion:
GRADE adolopment of clinical practice guidelines is a feasible method that countries with limited resources can use to adapt international guidelines to local context.
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