Evidence map›Paper›PMID 30332422›Full record

ArticlePloS one2018

The different clinical guideline standards in Brazil: High cost treatment diseases versus poverty-related diseases.

Rafael Santos Santana, Evandro de Oliveira Lupatini, Fernando Zanghelini, Ricardo de March Ronsoni, Norberto Rech, Silvana Nair Leite

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rafael Santos SantanaDepartment of Pharmacy, University of Brasília, Brasília, Federal District, Brazil.
Evandro de Oliveira LupatiniPostgraduate Program in Collective Health, University of Brasília, Brasília, Federal District, Brazil.
Fernando ZangheliniPostgraduate Program in Therapeutic Innovation, Federal University of Pernambuco, Recife, Pernambuco, Brazil.
Ricardo de March RonsoniDepartment of Pharmaceutical Assistance, Ministry of Health, Brasília, Federal District, Brazil.
Norberto RechDepartment of Pharmaceutical Sciences, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Silvana Nair LeiteDepartment of Pharmaceutical Sciences, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.ORCID 0000-0002-5258-9684

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Health Care CostsBrazilCost of IllnessEvidence-Based PracticeHumansNational Health ProgramsNeglected DiseasesPovertyPractice Guidelines as TopicTechnology, High-Cost

Identifiers

PMID30332422
PMCPMC6192575

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.