Projet SPICES : sélection parmi 5 recommandations de bonne pratique pour la prévention des maladies cardiovasculaires via les procédures AGREE II et ADAPTE. Identification des références bibliographiques des recommandations internationales, « 2013 AHA/ACC/TOS. Guideline for the Management of Overweight and Obesity in Adults » et « 2015 NICE guideline : Preventing excess weight gain », à intégrer dans la matrice de recherche de l’étude SPICES

Abstract : Cardiovascular diseases (CVD) are the first cause of mortality in the world. Despite health-care prevention policies, the global burden of CVD increases. The SPICES project was created to implement innovative interventions about CVD prevention in Europe and Sub-Saharan Africa. The first step was a systematic review of the international recommendations on the topic using the ADAPTE procedure. Method : ADAPTE Step 11 assessed quality of 5 guidelines with the AGREE II Instrument. Inclusion was based on an overall assessment score ≥ 5. ADAPTE Step 13 was extraction of recommendations from “2013 AHA/ACC/TOS: Guideline for the Management of Overweight and Obesity in Adults” and “2015 NICE guideline: Preventing excess weight gain”. Recommendations were included if they were A or B level of evidence, 1++, 1 +, 2++, 2+, Strong or Class 1. Recommendations were excluded if it they focused on secondary or tertiary CVD prevention, diagnostic procedures, pharmacological or surgical treatments. References of selected recommandations were gathered in a matrix. If no grading of recommendations, references were included if they were randomized controlled trials or cohort interventional surveys. Results : 2 guidelines were included and 3 excluded. Regarding ADAPTE step 13, 17 recommendations and 316 references were selected and extracted to the research matrix. Conclusion : a great disparity in the quality of guidelines and references was found. Main limitation was lack of time. The research group had to stop at a draft matrix. The next step will be finalization of the matrix to extract interventions and implementation from references.
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Master Thesis
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Nicolas Vimfles. Projet SPICES : sélection parmi 5 recommandations de bonne pratique pour la prévention des maladies cardiovasculaires via les procédures AGREE II et ADAPTE. Identification des références bibliographiques des recommandations internationales, « 2013 AHA/ACC/TOS. Guideline for the Management of Overweight and Obesity in Adults » et « 2015 NICE guideline : Preventing excess weight gain », à intégrer dans la matrice de recherche de l’étude SPICES. Life Sciences [q-bio]. 2018. ⟨dumas-01951769⟩

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