Título:	The different clinical guideline standards in Brazil : high cost treatment diseases versus poverty-related diseases
Autor(es):	Santana, Rafael Santos Lupatini, Evandro de Oliveira Zanghelini, Fernando Ronsoni, Ricardo de March Rech, Norberto Leite, Silvana Nair
ORCID:	http://orcid.org/0000-0002-5258-9684
Assunto:	Doenças Pobreza Saúde pública - Brasil Diretrizes clínicas - Brasil
Data de publicação:	17-Out-2018
Editora:	Plos One
Referência:	SANTANA, Rafael Santos et al. The different clinical guideline standards in Brazil: high cost treatment diseases versus poverty-related diseases. Plos One, v. 13, n. 10, e0204723. DOI: https://doi.org/10.1371/journal.pone.0204723. Disponível em: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0204723. Acesso em: 29 abr. 2020.
Abstract:	Each year, evidence-based clinical guidelines gain more space in the health professionals’ practice and in services organization. Due to the scarcity of scientific publications focused on diseases of poverty, the development of well-founded clinical guidelines becomes more and more important. In view of that, this paper aims to evaluate the quality of Brazilian guidelines for those diseases. The AGREE II method was used to evaluate 16 guidelines for poverty-related diseases (PRD) and 16 guidelines for global diseases whose treatment require high-cost technologies (HCD), with the ultimate aim of comparing the results. It was found that, in general, the guideline development quality standard is higher for the HCD guidelines than for the PRD guidelines, with emphasis on the "rigour of development" (48% and 7%) and "editorial independence" (43% and 1%) domains, respectively, which had the greatest discrepancies. The HCD guidelines showed results close to or above international averages, whereas the PRD guidelines showed lower results in the 6 domains evaluated. It can be concluded that clinical protocol development priorities need some redirecting in order to qualify the guidelines that define the healthcare organization and the care of vulnerable populations.
Licença:	© 2018 Santana et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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