Adapting global evidence-based practice guidelines to the Egyptian healthcare context: the Egyptian Pediatric Clinical Practice Guidelines Committee (EPG) initiative

Author:

Abdel Baky Ashraf,Omar Tarek E. I.,Amer Yasser SamiORCID,

Abstract

Abstract Background In Egypt, academic organizations, professional societies, and research groups develop clinical practice guidelines (CPGs) in order to improve patient quality care and safety. Although important improvements have been made over the past years, many of these consensus-based guideline documents still lack the transparency and methodological rigor of international standards and methodologies recommended by reference evidence-based healthcare and guideline organizations like the Guidelines International Network. Main body of the abstract In the Egyptian Pediatric Clinical Practice Guidelines Committee (EPG), we have adopted one of the CPG formal adaptation methodological frameworks named the ‘Adapted ADAPTE’, relevant CPG resources (e.g., the Appraisal of Guidelines for Research and Evaluation or AGREE II Instrument), and involved key stakeholders including clinical and healthcare topic experts and guideline methodologists in producing 32 trustworthy national evidence-based CPGs and one protocol customized to the healthcare context and services provided for Egyptian children. An EPG online website was launched to make these CPGs available and accessible as CPG summaries for pediatricians and relevant healthcare providers. Short conclusion The lessons learned, enablers, challenges, and solutions relevant to Egyptian National Pediatric CPGs identified in this paper could be used to address and enrich the debate on pediatric high-quality CPGs, especially for countries of similar contexts and systems.

Publisher

Springer Science and Business Media LLC

Subject

General Medicine

Reference48 articles.

1. Abdel Baky A (2021) Activities and roadmap of the national pediatric clinical practice guidelines committee. In: Proceedings of the Alexandria Pediatric Center 6th Forum of Pediatrics: national experience in pediatric practice, 2021 Oct. 28–29, Alexandria, Egypt

2. Abdel Baky A, Omar T, Amer Y (2021) Towards evidence-based pediatrics: a national clinical practice guidelines program in Egypt on behalf of the Egyptian Pediatric Clinical Practice Guidelines Committee (EPG). In: GIN conference 2021 online. Guidelines International Network (GIN), p 238. https://g-i-n.net/wp-content/uploads/2021/10/GIN-Conference-2021-Abstract-Book.pdf. Accessed 17 March 2023

3. Abdel Baky A, Fouda EM, Hussein SM, Sobeih AA, Abd Al Razek AM, Hassanain AI, Galal A, Hamed DH, Elnady HG, Hamdi H, Metwally HM (2022) Bronchiolitis diagnosis, treatment, and prevention in children: an evidence-based clinical practice guideline adapted for the use in Egypt based on the ‘Adapted ADAPTE’ methodology. Egypt Pediatr Assoc Gazette 70(1):1–9. https://doi.org/10.1186/s43054-021-00094-8

4. Abdel-Kareem A, Kabbash I, Saied S, Al-Deeb A (2019) Knowledge, practices and attitudes of physicians towards evidence-based medicine in Egypt. East Mediterr Health J 25(2):82–9. https://doi.org/10.26719/emhj.18.010

5. Alshehri AF, Almazroua SF, Amer YS (2023) A review of the methodological frameworks adopted by the Eastern Mediterranean countries for adaptation of the global practice guidelines to the national context. East Mediterranean Health J 6:66

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