Journal Information
Vol. 87. Issue 2.
Pages 272-273 (April - June 2022)
Vol. 87. Issue 2.
Pages 272-273 (April - June 2022)
Letter to the Editor
Open Access
Response to Arroyo-Sánchez et al. about the adherence to clinical practice guidelines for the diagnosis and treatment of acute pancreatitis
Respuesta a Arroyo-Sánchez et al. sobre la adherencia a las guías de práctica clínica para el diagnóstico y manejo de la pancreatitis aguda
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F. Roesch-Dietlena,
Corresponding author
federicoroesch@hotmail.com

Corresponding author.
, L. Salgado-Vergarab, Y. Sánchez-Mazac, D.I. Durán-Álvarezb, F. Díaz-Roeschd, J.M. Remes-Trochea, M.G. Carrillo-Toledoa
a Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, Mexico
b Facultad de Medicina, Universidad Veracruzana, Veracruz, Mexico
c Hospital General de México “Eduardo Liceaga”, Secretaría de Salud, Mexico City, Mexico
d Hospital Español de México, Mexico City, Mexico
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We appreciate the comments made by Arroyo-Sánchez and Aguirre-Mejía, who are professors at the School of Human Medicine at the Universidad Privada Antenor Orrego in Lima, Peru, on our article “Knowledge acquired from Clinical Guidelines on the Diagnosis and Treatment of Acute Pancreatitis by attending physicians and residents in hospitals in Veracruz”. It was published in 20211 and emphasizes the importance of guideline adherence at hospital centers in the care of patients with this serious disease.

The guidelines have been developed to serve the hospital personnel, at all levels of care, as a reference, with the aims of promoting adequate use of medical resources, reducing morbidity and mortality, and optimizing health expenditure. They have become a valuable resource in the care of AP, given that they provide a methodological management option based on the best evidence. Thus, their application should be considered an indicator of the quality of patient care.2–5

Different hospital centers have recently published reports on the variability of adherence to the different clinical practice guidelines on the diagnosis and treatment of acute pancreatitis (CPGDTAPs), especially in relation to the underuse of resources employed in the diagnosis and treatment of severe or moderately severe cases.6–9 This situation involves the academic education and experience of the medical personnel, as well as the resources of the institution.

The results presented in our study and the suggestions of Arroyo and Aguirre encourage us to carry out a study at our own healthcare institution to identify the level of guideline adherence in the management of AP, and according to the results of the analysis, develop our hospital’s own CPGDTAP. Those guidelines would then be diffused to and applied by both the residents in training and the attending physicians in the different services that treat this disease.

Financial disclosure

The article was funded by resources of the Instituto de Investigaciones Médico-Biológicas of the Universidad Veracruzana. No external funding was employed.

Conflict of interest

Dr. José María Remes-Troche is a consultant, speaker for the Takeda, Asofarma laboratories. The rest of the authors have no conflict of interest.

References
[1]
F.B. Roesch-Dietlen, L. Salgado-Vergara, Y.J. Sánchez-Maza, et al.
Conocimiento de las Guías Clínicas de Diagnóstico y Tratamiento de la Pancreatitis Aguda en médicos adscritos y residentes de los hospitales de Veracruz.
Rev Gastroenterol Mex, 86 (2021), pp. 133-139
[2]
H. Arroyo-Lovera, A. Barrera-Cruz, A.G. Castañeda-del Río, et al.
Guía de Práctica Clínica Diagnóstico y Tratamiento de Pancreatitis Aguda.
[3]
J.R. González Cano, E. Luque de León, E.J. Cedillo Alemán, et al.
Guía de Práctica Clínica en pancreatitis aguda.
[4]
J.M. Remes-Troche, T. Amaya-Echanove, F.J. Bosques-Padilla, et al.
Guía clínica de diagnóstico y tratamiento de pancreatitis aguda. Epidemiología, etiología, diagnóstico y tratamiento.
Rev Gastroenterol Mex, 72 (2007), pp. 387-389
[5]
A. Barrera-Cruz, H. Arroyo-Lovera, A.G. Castañeda-del Río, et al.
Guía Práctica Clínica de Diagnóstico y Tratamiento de la Pancreatitis Aguda. Consejo de Salubridad General, Secretaría de Salud, México.
[6]
J.A. Greenberg, J. Hsu, M. Bawazeer, et al.
Compliance with Evidence-Based Guidelines in Acute Pancreatitis: an Audit of Practices in University of Toronto Hospitals.
J Gastrointest Surg, 20 (2016), pp. 392-400
[7]
J.W. Tan, Y. Gao, A.W.C. Kow, et al.
Clinical management and outcomes of acute pancreatitis: Identifying areas for quality improvement in a tertiary Asian setting.
Pancreatology, 19 (2019), pp. 507-518
[8]
K. Kline, M. Bilal, F. Marcondes, et al.
Evaluating Adherence to Guideline-Based Care in Diagnosis and Management of Acute Pancreatitis at an Academic Medical Center — A Quality Improvement Project: 19.
American Journal of Gastroenterology, 113 (2018), pp. S12-S13
[9]
J.D. Machicado, S. Wani, E. Quingalahua, et al.
Practice patterns and adherence to nutrition guidelines in acute pancreatitis: An international physician survey.
Pancreatology, 21 (2021), pp. 642-648

Please cite this article as: Roesch-Dietlen F, Salgado-Vergara L, Sánchez-Maza Y, Durán-Álvarez DI, Díaz-Roesch F, Remes-Troche JM, et al. Respuesta a Arroyo-Sánchez et al. sobre la adherencia a las guías de práctica clínica para el diagnóstico y manejo de la pancreatitis aguda. Rev Gastroenterol Méx. 2022;87:272–273.

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