Condutas em Atenção Primária: developing an online evidence-based clinical practice summary in Portuguese

Authors

DOI:

https://doi.org/10.5712/rbmfc14(41)1707

Keywords:

Evidence-Based Medicine, Decision Making, Practice Guidelines as Topic, Primary Health Care

Abstract

Introduction: While there are, internationally, several evidence-based online summaries most are English-language, paid or internationally restricted. Thus, we are developing an online evidence-based point-of-care summary, in Portuguese, free of charge, transparent and free of pharmaceutical industry inputs. Methods: We selected 28 topics for the first phase of the project. These topics comprise problems that cover 50% of the demand in primary care, are developed under the methodology of rapid reviews, and are peer reviewed. We conduct the search for evidence in a discretionary manner, giving preference to systematic reviews. The authors, who have no conflicts of interests, fund the website. The content of the site is under Creative Commons BY-NC-SA license. Results: We created a manual for the development of the topics and the website www.condutas.com.br is available for access with three topics developed: resfriado comum (common cold), hipertensão arterial (hypertension) and pré-natal (antenatal care). Conclusion: The Condutas em Atenção Primária has editorial quality and adequate evidence-based methodology, compared to other online summaries, which is an advance for the Brazilian clinical practice. Its innovative profile democratizes access to current, consistent and diverse information previously restricted to the English-language reader, yet, at the same time, it faces the limitations of its pioneering and inherent amateurism.

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Author Biographies

Donavan de Souza Lúcio, Pesquisador independente

Médico graduado pela Pontifícia Universidade Católica de São Paulo, como bolsista do Programa Universidade para Todos. Médico de Família e Comunidade pela Prefeitura Municipal de Florianópolis.

Diogo Luis Scalco, Pesquisador independente

Médico graduado pela Universidade Federal de Santa Catarina. Médico de Família e Comunidade pelo Grupo Hospitalar Conceição. Mestre em Epidemiologia pela Universidade Federal de Pelotas.

References

Ebell MH. How to find answers to clinical questions. Am Fam Physician. 2009;79(4):293-6.

Banzi R, Liberati A, Moschetti I, Tagliabue L, Moja L. A Review of Online Evidence-based Practice Point-of-Care Information Summary Providers. J Med Internet Res [Internet]. 2010; [acesso 2016 Dez 8];12(3):e26. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2956323/ DOI: https://doi.org/10.2196/jmir.1288

Kwag KH, González-Lorenzo M, Banzi R, Bonovas S, Moja L. Providing Doctors With High-Quality Information: An Updated Evaluation of Web-Based Point-of-Care Information Summaries. J Med Internet Res [Internet]. 2016; [acesso 2016 Dez 8];18(1):e15. Disponível em: https://www.jmir.org/2016/1/e15/ DOI: https://doi.org/10.2196/jmir.5234

Duncan BB, Schmidt MI, Giugliani ERJ, Duncan MS, Giugliani C. Medicina Ambulatorial: Condutas de Atenção Primária Baseadas em Evidências. 4ª ed. Porto Alegre: Artmed; 2014. 8178 p.

Fairall L, Bateman E, Cornick R, Faris G, Timmerman V, Folb N, et al. Innovating to improve primary care in less developed countries: towards a global model. BMJ Innov [Internet]. 2015; [acesso 2017 Abr 2];1(4):196-203. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/?term=Fairall+L%2C+Bateman+E%2C+Cornick+R%2C+Faris+G%2C+Timmerman+V%2C+Folb+N%2C+et+al.+Innovating+to+improve+primary+care+in+less+developed+countries%3A+towards+a+global+model DOI: https://doi.org/10.1136/bmjinnov-2015-000045

Smith R. Being creative in developing primary care. The BMJ [Internet]. 2016; [acesso 2017 Abr 2]. Disponível em: http://blogs.bmj.com/bmj/2016/09/26/richard-smith-being-creative-in-developing-primary-care/

Abou-Setta AM, Jeyaraman M, Attia A, Al-Inany HG, Ferri M, Ansari MT, et al. Methods for Developing Evidence Reviews in Short Periods of Time: A Scoping Review. PLoS One [Internet]. 2016; [acesso 2017 Abr 1];11(12):e0165903. Disponível em: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0165903 DOI: https://doi.org/10.1371/journal.pone.0165903

Ganann R, Ciliska D, Thomas H. Expediting systematic reviews: methods and implications of rapid reviews. Implement Sci [Internet]. 2010; [acesso 2017 Abr 2];5:56. https://doi.org/10.1186/1748-5908-5-56 DOI: https://doi.org/10.1186/1748-5908-5-56

Khangura S, Konnyu K, Cushman R, Grimshaw J, Moher D. Evidence summaries: the evolution of a rapid review approach. Syst Rev [Internet]. 2012; [acesso 2017 Abr 2];1:10. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/22587960 DOI: https://doi.org/10.1186/2046-4053-1-10

Landsberg GAP, Savassi LCM, Sousa AB, Freitas JMR, Nascimento JLS, Azagra R. Analysis of demand for family medical care in Brazil using the International Classification of Primary Care. Ciênc Saúde Coletiva [Internet]. 2012; [acesso 2016 Dez 8];17(11):3025-36. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232012001100019 DOI: https://doi.org/10.1590/S1413-81232012001100019

Gusso GDF. Diagnóstico de demanda em Florianópolis utilizando a Classificação Internacional de Atenção Primária: 2ª edição (CIAP-2) [Tese de doutorado]. São Paulo: Universidade de São Paulo; 2009 [Internet]. [acesso 2016 Dez 8]. Disponível em: http://www.teses.usp.br/teses/disponiveis/5/5159/tde-08032010-164025/

Garritty C, Stevens A, Gartlehner G, King V, Kamel C. Cochrane Rapid Reviews Methods Group to play a leading role in guiding the production of informed high-quality, timely research evidence syntheses. Syst Rev [Internet]. 2016; [acesso 2017 Jul 18];5:184. https://doi.org/10.1186/s13643-016-0360-z DOI: https://doi.org/10.1186/s13643-016-0360-z

Haby MM, Chapman E, Clark R, Barreto J, Reveiz L, Lavis JN. What are the best methodologies for rapid reviews of the research evidence for evidence-informed decision making in health policy and practice: a rapid review. Health Res Policy Syst [Internet]. 2016; [acesso 2017 Jul 18];14:83. https://doi.org/10.1186/s12961-016-0155-7 DOI: https://doi.org/10.1186/s12961-016-0155-7

Ebell MH, Siwek J, Weiss BD, Woolf SH, Susman J, Ewigman B, et al. Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician. 2004;69(3):548-56. https://doi.org/10.3122/jabfm.17.1.59 DOI: https://doi.org/10.3122/jabfm.17.1.59

International Committee of Medical Journal Editors. Conflicts of Interest [Internet]. [acesso 2019 Jan 13]. Disponível em: http://www.icmje.org/conflicts-of-interest/

Published

2019-03-16

How to Cite

1.
Lúcio D de S, Scalco DL. Condutas em Atenção Primária: developing an online evidence-based clinical practice summary in Portuguese. Rev Bras Med Fam Comunidade [Internet]. 2019 Mar. 16 [cited 2024 Jul. 22];14(41):1707. Available from: https://rbmfc.org.br/rbmfc/article/view/1707

Issue

Section

Quality Improvement

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