Evaluación de las evidencias y calidad de las guías de práctica clínica sobre deterioro de la integridad cutáneaúlceras y heridas crónicas

  1. Rumbo Prieto, J. M. 1
  2. Romero Martín, M. 2
  3. Bellido Guerrero, D. 1
  4. Arantón Areosa, L. 1
  5. Raña Lama, C. D. 3
  6. Palomar Llatas, F. 4
  1. 1 Gerencia de Gestión Integrada de Ferrol. Servicio Gallego de Salud (SERGAS)
  2. 2 Facultad de Enfermería y Podología de Ferrol. Universidad de A Coruña
  3. 3 Gerencia de Gestión Integrada de A Coruña. Servicio Gallego de Salud (SERGAS)
  4. 4 Consorcio Hospital General Universitario de Valencia
Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2016

Volume: 39

Issue: 3

Pages: 405-415

Type: Article

More publications in: Anales del sistema sanitario de Navarra

Abstract

 Background. The epidemiological, social, and economic situation that surrounds the deterioration of skin integrity is a big problem for the health system. Its prevention and treatment create uncertainty and professional variability and it remains a priority to have good clinical practice guidelines (CPG). The objective was to determine the quality of the CPG on prevention and treatment of pressure ulcers (PU), venous ulcers of the leg (VUL) and diabetic foot ulcers (DFU).  Methodology. Systematic review of the quality of Spanish and international CPG on PU, VUL and DFU. Bibliographic search in specialized sources. Selection of CPG, not older than 5 years (2010-2015). Use of the AGREE Instrument II and revision by 4 experts. Descriptive statistics.  Results. Twenty-three CPG (10 PU, 6 VUL and 7 DFU), of which 4 were Spanish and 19 international. Eight CPG on PU, 3 VUL and 5 DFU were considered “Highly Recommended”. Domain nº 2 (participation) and Domain nº 5 (applicability) were the worst valued. The quality of the evidence was “very good” in 19 GPC. The best CPG were the British NICE (PU), the Australian AWMA (VUL) and the Canadian RNAO (DFU). Conclusions. We observed a good methodological quality in the CPG on PU and DFU, but there needs to be improvement in the VUL. In general, it would be necessary to increase the participation of users, and describe possible barriers for the implementation of the CPG in clinical practice.