2016, Número 4
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Rev Hematol Mex 2016; 17 (4)
Trombocitopenia inmunitaria primaria. Consenso 2016 por hematólogos del ISSSTE
Alvarado-Ibarra M, Aguilar-Andrade C, Álvarez-Vera JL, Amador-Pérez AO, Anaya-Cuéllar I, Añorve-Hernández E, Báez-Islas PE, Bates-Martín RA, Cervantes-Sánchez I, Choque-Condori DI, Cortés-Sánchez E, García- Camacho AS, García-Fernández L, Gómez-Rosas P, Grimaldo-Gómez FA, Guillén-Conde ON, Hernández-Ruiz E, Herrera-Olivares W, Leyto-Cruz F, Loera-Fragoso SJ, Martínez-Ramírez MA, Merino-Pasaye LE, Miranda- Madrazo MR, Mojica-Balceras L, Mujica-Martínez A, Paredes-Lozano EP, Pérez-Zúñiga JM, Pichardo-Cepín Y, Ramos-León EM, Reséndiz-Olea R, Rojas-Castillejos F, Ron-Guerrero CS, Saavedra-Hernández MA, Salazar- Ramírez O, Silva-Vera K, Vilchis-González P
Idioma: Español
Referencias bibliográficas: 64
Paginas: 268-286
Archivo PDF: 682.74 Kb.
RESUMEN
Con frecuencia, las recomendaciones de las guías extranjeras no
pueden aplicarse en México, por carencia de recursos o por diferencias
culturales de médicos y pacientes, costumbres arraigadas,
distinto acceso a la información, diferentes condiciones de alimentación
y vivienda, entre otras. Pueden hacerse modificaciones a los
esquemas recomendados, que reducen los gastos, pero sin perder la
eficacia terapéutica. Desde la aparición de la Medicina basada en la
evidencia, en el decenio de 1980, las guías de práctica clínica se han
vuelto herramientas importantes para marcar el estándar de calidad y
atención de los pacientes. La creciente influencia de las directrices ha
despertado un escrutinio progresivo de los métodos de elaboración
de éstas porque deben divulgar las ventajas y limitaciones con base
en la evidencia científica disponible.
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