Evidence map›Paper›PMID 40703571›Full record

ReviewThe Lancet regional health. Southeast Asia2025

Adolopment of clinical practice guidelines and creation of referral pathways for dermatological conditions in Pakistan.

Alina Pervez, Javeria Nizam, Meryum Ishrat Baig, Areesha Ahmer, Unzela Ghulam, Russell Seth Martins, Areej Khawaja, Nashia Ali Rizvi, Alina Abdul Rehman, Mohsin Ali Mustafa and 11 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The Lancet regional health. Southeast Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

21 authors.

Alina PervezCenter for Clinical Best Practices, Clinical and Translational Research Incubator (CITRIC), Aga Khan University, Karachi, 74800, Pakistan.
Javeria NizamCommunity Health Services, Aga Khan University, Karachi, 74800, Pakistan.
Meryum Ishrat BaigMedical College, Aga Khan University, Karachi, 74800, Pakistan.
Areesha AhmerMedical College, Aga Khan University, Karachi, 74800, Pakistan.
Unzela GhulamSection of Dermatology, Department of Medicine, Aga Khan University, Karachi, 74800, Pakistan.
Russell Seth MartinsCenter for Clinical Best Practices, Clinical and Translational Research Incubator (CITRIC), Aga Khan University, Karachi, 74800, Pakistan.
Areej KhawajaCenter for Clinical Best Practices, Clinical and Translational Research Incubator (CITRIC), Aga Khan University, Karachi, 74800, Pakistan.
Nashia Ali RizviCenter for Clinical Best Practices, Clinical and Translational Research Incubator (CITRIC), Aga Khan University, Karachi, 74800, Pakistan.
Alina Abdul RehmanCenter for Clinical Best Practices, Clinical and Translational Research Incubator (CITRIC), Aga Khan University, Karachi, 74800, Pakistan.
Mohsin Ali MustafaCenter for Clinical Best Practices, Clinical and Translational Research Incubator (CITRIC), Aga Khan University, Karachi, 74800, Pakistan.
Bushra AyubLearning Research Centre, Patel Hospital, Karachi, 75300, Pakistan.
Salima Saleem AamdaniDepartment of Medicine, Aga Khan University, Karachi, 74800, Pakistan.
Sabeika RazaDepartment of Dermatology, Liaquat College of Medicine & Dentistry, Karachi, 75290, Pakistan.
Shayana RukhsarSection of Dermatology, Department of Medicine, Aga Khan University, Karachi, 74800, Pakistan.
Saadia TabassumSection of Dermatology, Department of Medicine, Aga Khan University, Karachi, 74800, Pakistan.
Tazein AmberSection of Dermatology, Department of Medicine, Aga Khan University, Karachi, 74800, Pakistan.
Syeda Fatima ShariqMedical College, Aga Khan University, Karachi, 74800, Pakistan.
Sarah NadeemCenter for Clinical Best Practices, Clinical and Translational Research Incubator (CITRIC), Aga Khan University, Karachi, 74800, Pakistan.
Shaheen NaveedSection of Dermatology, Department of Medicine, Aga Khan University, Karachi, 74800, Pakistan.
Adil H HaiderMedical College, Aga Khan University, Karachi, 74800, Pakistan.
Sadia MasoodSection of Dermatology, Department of Medicine, Aga Khan University, Karachi, 74800, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This Health Policy discusses the development of evidence-based clinical practice guidelines (CPGs) and referral pathways tailored for dermatological conditions in Pakistan's primary care setting. Recognising the high burden of skin diseases among primary care consultations, a panel of dermatology experts reviewed sixteen high-quality source CPGs using the GRADE-ADOLOPMENT process to adapt, adopt, or exclude recommendations for local relevance. Management and referral algorithms were designed to guide general physicians, with additional recommendations provided to address identified gaps, such as the safe use of steroids. The final output comprised CPGs and referral pathways for ten common skin disorders, ensuring local relevance by excluding unsuitable recommendations. This initiative aims to standardise dermatological care, improve patient outcomes, and streamline referrals within Pakistan's healthcare system.

Indexed as

ADOLOPMENTAsiaClinical practice guidelineDermatological conditionsDermatologyManagementPakistanReferral

Identifiers

PMID40703571
PMCPMC12284532

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.