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dc.creatorPinzón Espitia O.L. 
dc.creatorChicaíza Becerra L.A. 
dc.creatorGarcía Molina M. 
dc.creatorGonzález Rodríguez J.L. 
dc.creatorManrique Hernández R.D. 
dc.date.accessioned2020-05-25T23:57:25Z
dc.date.available2020-05-25T23:57:25Z
dc.date.created2016
dc.identifier.issn02116057
dc.identifier.issn1989208X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22665
dc.description.abstractIntroduction: Adequate nutrition-support clinical practice requires recommendations based on the best available evidence, in order to help health professionals making decisions concerning the management of enteral nutritional support in pathologies of interest. Objective: To identify the key factors in the management of enteral nutrition, in order to prevent and treat malnutrition based upon the recommendations made in the best Practice Guidelines (CPG). Methods: A structured search of nutritional support in CPG was performed. Five referees independently selected the CPG among those published between 2005 and 2015. They used AGREE II in order assess quality and selected those CPG with a score no lower than 60% in the domains of methodological rigor and editorial independence. The findings were compared to the Colombian clinical practice. Results: 24 GPC were evaluated, of which 79.1% (n = 19) were developed by scientific societies, 12.6% (n = 3) by government agencies and 8.3% (n = 2) by CPG developing bodies. Selected CPG were those produced by NICE (global score 92%), and those developed by CENETEC, which scored 70.89% and 87.2%.8. Discussion: In order to decrease clinical-practice heterogeneity, take into account new therapeutic options and provide quality care, it is suggested to adopt the best CPG, such as those developed by governmental institutions and CPG developing agencies like CENETEC and NICE. Attention and implementation of their recommendations in Colombia has been poor, as the most consulted CPG are the ASPEN and ESPEN ones. Conclusion: Key elements recommended in the best nutrition CPG, are: income nutritional screening, nutritional risk monitoring, nutritional support for malnourished patients, nutritional support for patients with limiting food intake, specialized nutritional support, nutrition education, and creation of institutional nutrition committees. These elements would be useful to build societal trust in clinical practice. Encouraging consultation of high quality nutrition CPG would help to optimize capacities in the face of technical limitations in the health sector.
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.relation.ispartofNutricion Clinica y Dietetica Hospitalaria, ISSN:02116057, 1989208X, Vol.36, No.1 (2016); pp. 94-103
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84962537308&partnerID=40&md5=db05a0d2068fbe435393983844630165
dc.titleEnteral nutrition management: Key factors and application gaps in the best clinical practice guidelines
dc.typearticle
dc.publisherSociedad espanola de dietetica
dc.subject.keywordEnteral nutrition
dc.subject.keywordMalnutrition
dc.subject.keywordNutritional support
dc.subject.keywordPatient care management
dc.subject.keywordPractice guidelines as topic
dc.subject.keywordProtein-energy malnutrition
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.type.spaArtículo
dc.rights.accesoAbierto (Texto Completo)
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.title.TranslatedTitleGestión de la nutrición enteral: Factores clave en las mejores guías de práctica clínica y brechas en su aplicación
dc.relation.citationEndPage103
dc.relation.citationIssueNo. 1
dc.relation.citationStartPage94
dc.relation.citationTitleNutricion Clinica y Dietetica Hospitalaria
dc.relation.citationVolumeVol. 36
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR


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