World Allergy Organ J
December 2019
Background: In April 2017 the Mexican Asthma Guidelines (GUIMA) were published. Before the launch, physicians' knowledge was explored related to key issues of the guideline.
Methods: A SurveyMonkey® survey was sent out to board-certified physicians of 5 medical specialties treating asthma.
Background: There was a need for a solid asthma guideline in Mexico to update and unify asthma management. Because high-quality asthma guidelines exist worldwide, in which the latest evidence on asthma management is summarized, the ADAPTE approach allows for the development of a national asthma guideline based on evidence from already existing guidelines, adapted to national needs.
Objective: To fuse evidence from the best asthma guidelines and adapt it to local needs with the ADAPTE approach.
Background: The need for a national guideline, with a broad basis among specialists and primary care physicians was felt in Mexico, to try unifying asthma management. As several high-quality asthma guidelines exist worldwide, it was decided to select the best three for transculturation.
Methods: Following the internationally recommended methodology for guideline transculturation, ADAPTE, a literature search for asthma guidelines, published 1-1-2007 through 31-12-2015 was conducted.
The population over 60 years is increasing because of the demographic transition, the aging of the human body and the changes on functional reserve make that the clinical manifestations are different and the tools used for diagnosis may not have the same sensitivity as in younger people. Asthma remains a prevalent disease in the elderly and compromises their functionality and independence. Aging produces that tools such as spirometry and challenge test with bronchodilator provide results than can't be evaluated with those parameters developed in younger people complicating the diagnosis of asthma in this population.
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