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Published on: June 11, 2012
Clinical practice guideline protocol for perioperative glycemic control in diabetic and nondiabetic adults undergoing
Fabricio Andres Lasso Andrade1,2,3, Nubia Fernanda Sanchez Bello1,4, Jose Hugo Arias Botero3
1Universidad Nacional de Colombia Bogotá Colombia.
Introduction:
Type II diabetes mellitus (DM II) is a chronic and prevalent disease affecting millions of people worldwide, with a significant impact on public health. This protocol outlines the methodology for developing a Clinical Practice Guideline (CPG) focused on managing glycemic control in diabetic and nondiabetic adults undergoing noncardiac surgery. The objective of this guideline is to provide recommendations based on the best available evidence, improving the quality of care and clinical outcomes for these patients.
Methods:
The CPG will be developed using the GRADE methodology, a rigorous and transparent approach that allows for the evaluation of evidence quality and the formulation of robust recommendations. The process will include identifying critical clinical questions using the PECOT format, ensuring a comprehensive evaluation of perioperative glycemic management.
Questions:
The clinical questions addressed in this CPG cover key aspects of perioperative glycemic management, from defining preoperative hyperglycemia to strategies for intraoperative and postoperative monitoring. These questions were prioritized through a modified Delphi process, ensuring their clinical relevance.
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