Development of a Clinical Practice Guideline for Lower Limb Amputees. A Knowledge Translation Process in a Middle Income Country

• DOI: 10.3389/fresc.2022.873436
• Publication Date: 2022-05-03T04:46:57Z
• Authors: Ana Maria Posada-...; Daniel Felipe Pat...; Jesus Alberto Pla...; Juan Carlos Velas...; Luz Helena Lugo-A...
• Keywords: Guideline; Knowledge Translation; Grading (engineering); Evidence-Based Medicine; Evidence-Based Practice

Knowledge translation processes are necessary for improving patients' and communities' health outcomes. The aim of this study was to systematically develop evidence-based recommendations people over 16 years age who in risk or have suffered a lower limb amputation medical reasons (vascular, diabetes mellitus) trauma (civilian military trauma) order improve function, quality life, decrease complications morbidity.Following the Grading Recommendations Assessment, Development Evaluation (GRADE) approach we developed Clinical Practice Guideline (CPG) amputees with funding from Ministry Health Colombia participation multidisciplinary group. We included preferences. Based on scope, purposes objectives questions were elaborated PECOT strategy. evidence search performed each question main databases: Cochrane Library, Embase PubMed, without time limit language restriction. Teams formed thematic experts clinical epidemiologists review studies, describe evidence, evaluate body GRADE methodology. made according judgments proposed by working conducted stakeholder's dialogue as mechanism external validation guideline implementation.The CPG 43 related diagnosis, surgical treatment, rehabilitation, prescription adaptation prosthesis. They strong favor 37.2, weak 53.5, against 2.3, Weak 7.0%. Quality high 0, moderate 11.6, low 58.1, very 30.2%.In 93% recommendations, between low. This is why it so important validate discuss recommendation an expanded research group identified 25 interventions five milestones be prioritized implementation participants opportunities barriers recommendations.It national policy strategies that promotes arrangements provision services rehabilitation individuals amputations.