Clinical practice guidelines in low and middle income countries: experiences from colombia

In the November 2020 issue, the Journal of Clinical Epidemiology published two interesting articles reporting the status of Clinical Practice Guidelines (CPG) in low- and middle-income countries (LMICs), specifically in Chile and the Philippines [ [1] Loezar C. Pérez-Bracchiglione J. Arancibia M. Meza N. Vargas M. Papuzinski C. et al. Guidelines in low and middle income countries paper 2: Quality assessment of Chilean guidelines: need for improvement in rigor, applicability, updating, and patients’ inclusion. J Clin Epidemiol. 2020; 127: 177-183https://doi.org/10.1016/j.jclinepi.2020.07.018 Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar , [2] Dans L.F. Salaveria-Imperial M.L.A. Miguel R.T.D. Tan-Lim C.S.C. Eubanas G.A.S. Tolosa M.T.S. et al. Guidelines in low and middle income countries paper 3: appraisal of philippine clinical practice guidelines using appraisal of guidelines for research and evaluation II: improvement needed for rigor, applicability, and editorial independence. J Clin Epidemiol. 2020; 127: 184-190https://doi.org/10.1016/j.jclinepi.2020.06.036 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar ]. Their authors reported that the Chilean CPGs should improve rigor, applicability, updating, and the participation of patients in their development [ [1] Loezar C. Pérez-Bracchiglione J. Arancibia M. Meza N. Vargas M. Papuzinski C. et al. Guidelines in low and middle income countries paper 2: Quality assessment of Chilean guidelines: need for improvement in rigor, applicability, updating, and patients’ inclusion. J Clin Epidemiol. 2020; 127: 177-183https://doi.org/10.1016/j.jclinepi.2020.07.018 Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar ], while the Philippine CPGs should improve rigor, applicability and editorial independence [ [2] Dans L.F. Salaveria-Imperial M.L.A. Miguel R.T.D. Tan-Lim C.S.C. Eubanas G.A.S. Tolosa M.T.S. et al. Guidelines in low and middle income countries paper 3: appraisal of philippine clinical practice guidelines using appraisal of guidelines for research and evaluation II: improvement needed for rigor, applicability, and editorial independence. J Clin Epidemiol. 2020; 127: 184-190https://doi.org/10.1016/j.jclinepi.2020.06.036 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar ]. Considering potential parallels among some LMICs in relation to limited economic resources and local conditions, we would like to share and comment some interesting points about CPGs in Colombia, another LMIC [ [3] Colombia Ministerio de Salud y Protección SocialBuscador Guías de Práctica Clínica. Minsalud, 2021 Jan 1http://gpc.minsalud.gov.co/gpc/SitePages/buscador_gpc.aspx Google Scholar ].