Transcultural Endocrinology : Adapting Type-2 Diabetes Guidelines on a Global Scale - 04/11/16

Doi : 10.1016/j.ecl.2016.06.002

Ramfis Nieto-Martínez, MD, MSc ^a,^b,^⁎ , Juan P. González-Rivas, MD ^c, Hermes Florez, MD, PhD ^d, Jeffrey I. Mechanick, MD ^e
^a Department of Physiology, School of Medicine, Universidad Centro-Occidental “Lisandro Alvarado” and Cardio-metabolic Unit 7, Av. Andrés Bello con Av. Libertador, Apartado 516, Barquisimeto, Venezuela
^b Department of Physiology, School of Medicine, University of Panamá, Vía Transísmica, Apartado 0824, Estafeta Universitaria, Panamá, República de Panamá
^c The Andes Clinic of Cardio-Metabolic Studies, Av. Miranda entre calles Bermúdez y Arismendi, Apartado 3112, Timotes, Venezuela
^d Miami Veterans Affairs Medical Center, University of Miami Miller School of Medicine, 1201 Northwest 16th Street, CLC 207, Miami, FL 33125, USA
^e Division of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, 1192 Park Avenue, New York, NY 10128, USA

^∗Corresponding author. Universidad de Panamá, Facultad de Medicina, Departamento de Fisiología, Vía Transísmica, Apartado 0824, Estafeta Universitaria, Panamá, República de Panamá.Universidad de PanamáFacultad de MedicinaDepartamento de FisiologíaVía TransísmicaApartado 0824Centro Empresarial BarquisimetoPiso 5Oficina 5-8Estafeta UniversitariaPanamáRepública de Panamá

Résumé

Type-2 diabetes (T2D) needs to be prevented and treated effectively to reduce its burden and consequences. White papers, such as evidence-based clinical practice guidelines (CPG) and their more portable versions, clinical practice algorithms and clinical checklists, may improve clinical decision-making and diabetes outcomes. However, CPG are underused and poorly validated. Protocols that translate and implement these CPG are needed. This review presents the global dimension of T2D, details the importance of white papers in the transculturalization process, compares relevant international CPG, analyzes cultural variables, and summarizes translation strategies that can improve care. Specific protocols and algorithmic tools are provided.

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Keywords : Diabetes, Global, Guidelines, Implementation, Type-2 diabetes, Prevention, Transcultural