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Revista Peruana de Medicina Experimental y Salud Publica

Print version ISSN 1726-4634

Abstract

CANELO-AYBAR, Carlos; BALBIN, Graciela; PEREZ-GOMEZ, Ángela  and  FLOREZ, Iván D. Clinical practice guidelines in Peru: evaluation of its quality using the AGREE II instrument. Rev. perú. med. exp. salud publica [online]. 2016, vol.33, n.4, pp.732-738. ISSN 1726-4634.  http://dx.doi.org/10.17843/rpmesp.2016.334.2559.

To evaluate the methodological quality of clinical practice guidelines (CPGs) put into practice by the Peruvian Ministry of Health (MINSA), 17 CPGs from the ministry, published between 2009 and 2014, were independently evaluated by three methodologic experts using the AGREE II instrument. The score of AGREE II domains was low and very low in all CPGs: scope and purpose (medium, 44%), clarity of presentation (medium, 47%), participation of decision-makers (medium, 8%), methodological rigor (medium, 5%), applicability (medium, 5%), and editorial independence (medium, 8%). In conclusion, the methodological quality of CPGs implemented by the MINSA is low. Consequently, its use could not be recommended. The implementation of the methodology for the development of CPGs described in the recently-published CPG methodological preparation manual in Peru is a pressing need.

Keywords : Practice guidelines; Peru; Quality of health care.

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