Clinical Practice Guidelines: Type 1 Diabetes In Children and Adolescents

2005 ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. e001141
Author(s):  
Richard G McGee ◽  
Chris T Cowell ◽  
Gaston Arnolda ◽  
Hsuen P Ting ◽  
Peter Hibbert ◽  
...  

IntroductionTo estimate adherence to clinical practice guidelines in selected settings at a population level for Australian children with type 1 diabetes mellitus.Research design and methodsMedical records of children with type 1 diabetes mellitus aged 0–15 years in 2012–2013 were targeted for sampling across inpatient, emergency department and community visits with specialist pediatricians in regional and metropolitan areas and tertiary pediatric hospitals in three states where approximately 60% of Australian children reside. Clinical recommendations extracted from two clinical practice guidelines were used to audit adherence. Results were aggregated across types of care (diagnosis, routine care, emergency care).ResultsSurveyors conducted 6346 indicator assessments from an audit of 539 healthcare visits by 251 children. Average adherence across all indicators was estimated at 79.9% (95% CI 69.5 to 88.0). Children with type 1 diabetes mellitus have higher rates of behavioral and psychological disorders, but only a third of children (37.9%; 95% CI 11.7 to 70.7) with suboptimal glycemic control (eg, hemoglobin A1c >10% or 86 mmol/mol) were screened for psychological disorders using a validated tool; this was the only indicator with <50% estimated adherence. Adherence by care type was: 86.1% for diagnosis (95% CI 76.7 to 92.7); 78.8% for routine care (95% CI 65.4 to 88.9) and 83.9% for emergency care (95% CI 78.4 to 88.5).ConclusionsMost indicators for care of children with type 1 diabetes mellitus were adhered to. However, there remains room to improve adherence to guidelines for optimization of practice consistency and minimization of future disease burden.


2018 ◽  
Vol 19 ◽  
pp. 237-249 ◽  
Author(s):  
Alan M. Delamater ◽  
Maartje de Wit ◽  
Vincent McDarby ◽  
Jamil A. Malik ◽  
Marisa E. Hilliard ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038646
Author(s):  
Maíra Ramos Alves ◽  
Cristiane de Cássia Bergamaschi ◽  
Flávia Blaseck Sorrilha ◽  
Izabela Fulone ◽  
Silvio Barberato-Filho ◽  
...  

IntroductionThe number of clinical practice guidelines (CPGs) have increased substantially mainly in the paediatric area of mental health. However, little is known about the quality or how recommendations for the treatment of disorders such as schizophrenia in children and adolescents have changed over time. The aim of this study will be to assess the quality of the development of CPGs for the treatment and management of schizophrenia in children and adolescents over time using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool and to compare the recommendations and interventions described in these documents.Methods and analysisCPGs will be identified using a prospective protocol through a systematic search of multiple databases (Medline, Embase, Health Systems Evidence, Epistemonikos, Lilacs, etc) and guideline websites from 2004 to December 2020. The quality of the guidelines will be assessed by three reviewers, independently using the AGREE II. CPGs will be considered of high-quality if they scored ≥60% in four or more domains of the AGREE II instrument. Non-parametric tests will be used to test for the change of quality over time. We will summarise the different evidence grading systems and compare the recommendations.Ethics and disseminationEthical approval is not required since it is a literature-based study. Future results of the research can be submitted for publication in scientific journals of high impact, peer reviewed and also published in national and international conferences. The results derived from this study will contribute to the improvement of health institutions and policies, informing about existing recommendation guidelines and about deficiencies and qualities found in those. This study may also identify key areas for future research. This study may guide the search and choice for high quality CPGs by health policy makers and health professionals and subsidise future adaptations.Protocol registration numberCRD42020164899.


2018 ◽  
Vol 22 (9) ◽  
pp. 3129-3141 ◽  
Author(s):  
Andrea Seiffert ◽  
Carlos Zaror ◽  
Claudia Atala-Acevedo ◽  
Andrea Ormeño ◽  
María José Martínez-Zapata ◽  
...  

2019 ◽  
Author(s):  

This new compendium is your source for trustworthy recommendations on quality care of children and adolescents with mental health issues. https://shop.aap.org/mental-health-a-compendium-of-aap-clinical-practice-guidelines-and-policies-paperback/


2005 ◽  
Vol 10 (suppl_A) ◽  
pp. 5A-16A ◽  
Author(s):  
Margaret L Lawson ◽  
Danièle Pacaud ◽  
Sarah E Lawrence ◽  
Denis Daneman ◽  
Heather J Dean

Sign in / Sign up

Export Citation Format

Share Document