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The injustice of unfit clinical practice guidelines in low-resource realities

Publikation: Bidrag til tidsskriftReviewpeer review

Harvard

Maaløe, N, Ørtved, AMR, Sørensen, JB, Sequeira Dmello, B, van den Akker, T, Kujabi, ML, Kidanto, H, Meguid, T, Bygbjerg, IC, van Roosmalen, J, Meyrowitsch, DW & Housseine, N 2021, 'The injustice of unfit clinical practice guidelines in low-resource realities', The Lancet Global Health, bind 9, nr. 6, s. e875-e879. https://doi.org/10.1016/S2214-109X(21)00059-0

APA

Maaløe, N., Ørtved, A. M. R., Sørensen, J. B., Sequeira Dmello, B., van den Akker, T., Kujabi, M. L., Kidanto, H., Meguid, T., Bygbjerg, I. C., van Roosmalen, J., Meyrowitsch, D. W., & Housseine, N. (2021). The injustice of unfit clinical practice guidelines in low-resource realities. The Lancet Global Health, 9(6), e875-e879. https://doi.org/10.1016/S2214-109X(21)00059-0

CBE

Maaløe N, Ørtved AMR, Sørensen JB, Sequeira Dmello B, van den Akker T, Kujabi ML, Kidanto H, Meguid T, Bygbjerg IC, van Roosmalen J, Meyrowitsch DW, Housseine N. 2021. The injustice of unfit clinical practice guidelines in low-resource realities. The Lancet Global Health. 9(6):e875-e879. https://doi.org/10.1016/S2214-109X(21)00059-0

MLA

Vancouver

Maaløe N, Ørtved AMR, Sørensen JB, Sequeira Dmello B, van den Akker T, Kujabi ML o.a. The injustice of unfit clinical practice guidelines in low-resource realities. The Lancet Global Health. 2021 jun;9(6):e875-e879. https://doi.org/10.1016/S2214-109X(21)00059-0

Author

Maaløe, Nanna ; Ørtved, Anna Marie Rønne ; Sørensen, Jane Brandt ; Sequeira Dmello, Brenda ; van den Akker, Thomas ; Kujabi, Monica Lauridsen ; Kidanto, Hussein ; Meguid, Tarek ; Bygbjerg, Ib Christian ; van Roosmalen, Jos ; Meyrowitsch, Dan Wolf ; Housseine, Natasha. / The injustice of unfit clinical practice guidelines in low-resource realities. I: The Lancet Global Health. 2021 ; Bind 9, Nr. 6. s. e875-e879.

Bibtex

@article{29c35c00ddad483e93873316deacdad3,
title = "The injustice of unfit clinical practice guidelines in low-resource realities",
abstract = "To end the international crisis of preventable deaths in low-income and middle-income countries, evidence-informed and cost-efficient health care is urgently needed, and contextualised clinical practice guidelines are pivotal. However, as exposed by indirect consequences of poorly adapted COVID-19 guidelines, fundamental gaps continue to be reported between international recommendations and realistic best practice. To address this long-standing injustice of leaving health providers without useful guidance, we draw on examples from maternal health and the COVID-19 pandemic. We propose a framework for how global guideline developers can more effectively stratify recommendations for low-resource settings and account for predictable contextual barriers of implementation (eg, human resources) as well as gains and losses (eg, cost-efficiency). Such development of more realistic clinical practice guidelines at the global level will pave the way for simpler and achievable adaptation at local levels. We also urge the development and adaptation of high-quality clinical practice guidelines at national and subnational levels in low-income and middle-income countries through co-creation with end-users, and we encourage global sharing of these experiences.",
author = "Nanna Maal{\o}e and {\O}rtved, {Anna Marie R{\o}nne} and S{\o}rensen, {Jane Brandt} and {Sequeira Dmello}, Brenda and {van den Akker}, Thomas and Kujabi, {Monica Lauridsen} and Hussein Kidanto and Tarek Meguid and Bygbjerg, {Ib Christian} and {van Roosmalen}, Jos and Meyrowitsch, {Dan Wolf} and Natasha Housseine",
note = "Copyright {\textcopyright} 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd.. All rights reserved.",
year = "2021",
month = jun,
doi = "10.1016/S2214-109X(21)00059-0",
language = "English",
volume = "9",
pages = "e875--e879",
journal = "The Lancet Global Health",
issn = "2214-109X",
publisher = "Elsevier BV",
number = "6",

}

RIS

TY - JOUR

T1 - The injustice of unfit clinical practice guidelines in low-resource realities

AU - Maaløe, Nanna

AU - Ørtved, Anna Marie Rønne

AU - Sørensen, Jane Brandt

AU - Sequeira Dmello, Brenda

AU - van den Akker, Thomas

AU - Kujabi, Monica Lauridsen

AU - Kidanto, Hussein

AU - Meguid, Tarek

AU - Bygbjerg, Ib Christian

AU - van Roosmalen, Jos

AU - Meyrowitsch, Dan Wolf

AU - Housseine, Natasha

N1 - Copyright © 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd.. All rights reserved.

PY - 2021/6

Y1 - 2021/6

N2 - To end the international crisis of preventable deaths in low-income and middle-income countries, evidence-informed and cost-efficient health care is urgently needed, and contextualised clinical practice guidelines are pivotal. However, as exposed by indirect consequences of poorly adapted COVID-19 guidelines, fundamental gaps continue to be reported between international recommendations and realistic best practice. To address this long-standing injustice of leaving health providers without useful guidance, we draw on examples from maternal health and the COVID-19 pandemic. We propose a framework for how global guideline developers can more effectively stratify recommendations for low-resource settings and account for predictable contextual barriers of implementation (eg, human resources) as well as gains and losses (eg, cost-efficiency). Such development of more realistic clinical practice guidelines at the global level will pave the way for simpler and achievable adaptation at local levels. We also urge the development and adaptation of high-quality clinical practice guidelines at national and subnational levels in low-income and middle-income countries through co-creation with end-users, and we encourage global sharing of these experiences.

AB - To end the international crisis of preventable deaths in low-income and middle-income countries, evidence-informed and cost-efficient health care is urgently needed, and contextualised clinical practice guidelines are pivotal. However, as exposed by indirect consequences of poorly adapted COVID-19 guidelines, fundamental gaps continue to be reported between international recommendations and realistic best practice. To address this long-standing injustice of leaving health providers without useful guidance, we draw on examples from maternal health and the COVID-19 pandemic. We propose a framework for how global guideline developers can more effectively stratify recommendations for low-resource settings and account for predictable contextual barriers of implementation (eg, human resources) as well as gains and losses (eg, cost-efficiency). Such development of more realistic clinical practice guidelines at the global level will pave the way for simpler and achievable adaptation at local levels. We also urge the development and adaptation of high-quality clinical practice guidelines at national and subnational levels in low-income and middle-income countries through co-creation with end-users, and we encourage global sharing of these experiences.

UR - http://www.scopus.com/inward/record.url?scp=85103953372&partnerID=8YFLogxK

U2 - 10.1016/S2214-109X(21)00059-0

DO - 10.1016/S2214-109X(21)00059-0

M3 - Review

C2 - 33765437

VL - 9

SP - e875-e879

JO - The Lancet Global Health

JF - The Lancet Global Health

SN - 2214-109X

IS - 6

ER -

ID: 64414160