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Metodología de las guías de la ESAIC: estándares en la producción de guías

Ignacio Neumann¹, Arash Afshari, Roberta Sudy

¹From the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada (IN), Escuela de Medicina, Universidad San Sebastián Santiago, Chile (IN), The Department of Paediatric and Obstetric Anaesthesiology, Juliane Marie Centre, Rigshospitalet & Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark (AA), Division of Anaesthesiology, Department of acute care medicine, Geneva University Hospitals (RS), Department of anaesthesiology, pharmacology, intensive care and emergency medicine, Faculty of Medicine, University of Geneva, Switzerland (RS), The Department of Anaesthesiology, UZ Leuven, Leuven, Belgium (MVdV), The European Society of Anesthesiology and Intensive Care (ESAIC) (SD, PH), The University Hospital Würzburg, Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, Würzburg, Germany (PK), The Department of Anesthesiology, Intensive Care and Pain, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel (IM), The Division of Anaesthesiology, Intensive Care and Emergency Medicine, Department of Anaesthesiology, University Medical Center Utrecht, Utrecht, The Netherlands (WB), The Department of Anaesthesia and Intensive Care University General Hospital of Valencia, European University of Valencia, Valencia, Spain (CSR).

European journal of anaesthesiology

|December 24, 2025

Resumen

La Sociedad Europea de Anestesiología y Cuidados Intensivos (ESAIC) está mejorando el desarrollo de sus guías clínicas mediante la adopción del enfoque GRADE. Esto garantiza recomendaciones rigurosas y basadas en la evidencia para mejorar la atención al paciente.

Área de la Ciencia:

Medicina de Anestesiología y Cuidados Intensivos
Desarrollo de Guías Clínicas
Medicina Basada en la Evidencia

Sus antecedentes:

El desarrollo de guías clínicas ha evolucionado con un mayor énfasis en el rigor, la transparencia y la participación de las partes interesadas.
La Sociedad Europea de Anestesiología y Cuidados Intensivos (ESAIC) está en proceso de transición de sus procesos de desarrollo de guías.
Este estudio es el primero de una serie que detalla el enfoque de la ESAIC para la creación de guías de alta calidad.

Objetivo del estudio:

Describir los principios clave que guían el desarrollo de guías clínicas de alta calidad dentro de la ESAIC.
Detallar la transición de la ESAIC al enfoque GRADE (Grading of Recommendations Assessment, Development and Evaluation).
Proporcionar una visión general de los roles y procesos en la producción de guías.

Principales métodos:

Adopción del enfoque GRADE a partir de 2025.
Implementación de principios metodológicos centrales: revisiones sistemáticas, desarrollo multidisciplinario, gestión de conflictos de intereses.
Garantizar la transparencia entre la evidencia y las recomendaciones, con resultados específicos y aplicables.

Principales resultados:

La ESAIC adoptará el enfoque GRADE para mejorar la calidad y aplicabilidad de las guías.
Los principios clave incluyen revisiones sistemáticas, aportaciones multidisciplinarias y gestión de conflictos de intereses.
Las recomendaciones estarán claramente vinculadas a la evidencia y serán específicas y aplicables.

Conclusiones:

La ESAIC está estableciendo una base para el desarrollo riguroso de guías basadas en la evidencia.
La adopción de GRADE significa un compromiso con la mejora de la calidad y aplicabilidad de las guías clínicas.
Los principios descritos apoyan la toma de decisiones informadas en la práctica clínica.

Palabras clave:

Medicina basada en la evidencia Desarrollo de guías clínicas Anestesiología y Cuidados Intensivos

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