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Review
. 2023;47(1):88.
doi: 10.1186/s42269-023-01059-0. Epub 2023 Jun 13.

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

Ashraf Abdel Baky  1   2   3 , Tarek E I Omar  4   5 , Yasser Sami Amer  4   5   6   7   8 ; Egyptian Pediatric Clinical Practice Guidelines Committee (EPG)
Affiliations
Review

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

Ashraf Abdel Baky et al. Bull Natl Res Cent. 2023.

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.

Supplementary information: The online version contains supplementary material available at 10.1186/s42269-023-01059-0.

Keywords: Adapted-ADAPTE; Egypt; Evidence-based medicine; Evidence-based pediatrics; Guideline adaptation; Guideline methodology; Guideline program; Knowledge translation; National Guidelines; Pediatrics; Practice guidelines.

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Conflict of interest statement

Competing interestsTEIO and YSA are authors of the “Adapted ADAPTE” Methodology key article. YSA is the current chair of the Adaptation Working Group, Guidelines International Network. The authors are members of the executive core group of the EPG. Otherwise, the authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
A summary of the Adapted ADAPTE CPG adaptation process. The ‘Adapted ADAPTE’ process for CPG adaptation is divided into the setup phase, the adaptation phase, and the finalization phase. AGREE II The Appraisal of Guidelines for Research and Evaluation II Instrument, CPGs clinical practice guidelines, COI conflict of Interests, EPG Egyptian Pediatric Clinical Practice Guidelines Committee, GAG Guideline Adaptation Group
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References

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