Projet SPICES : sélection parmi sept recommandations de bonne pratique pour la prévention des maladies cardiovasculaires via les procédures Agree II et ADAPTE. Identification des références bibliographiques des recommandations internationales National Stroke Foundation, Guidelines for the management of absolute cardiovascular disease risk, 2012 et Canadian Diabetes Association, Clinical practice guidelines for the prevention and management of diabetes in Canada, 2013, à intégrer dans la matrice de recherche de l’étude SPICES

Abstract : Cardiovascular diseases (CVD) are the first cause of death worldwide. CVD risk factors are known and CVD primary prevention is possible. However, current main strategies are focused on medication and medical access is not sustainable, especially in low-income countries. Changes are necessary. SPICES aim was to implement non-pharmacologic CVD primary prevention recommendations in communities. A systematic literature review seeking to implementation was conducted. The ADAPTE process and its AGREE 2 tool allowed selection of efficient prevention interventions among the best international guidelines. Method : seven guidelines were analyzed with the AGREE 2 tool. Guidelines with a double overall assessment equal or superior to 5 were selected. Then, recommendations concerning CVD non-pharmacological primary prevention for communities with an A or B level of evidence were extracted from two retained guidelines. References supporting recommendations were extracted and gathered in a matrix if they were of high level of evidence (systematic review, randomized controlled trial, cohort study) and had a positive outcome. Results : among the seven guidelines, six were retained. 53 references were selected among 22 recommendations. Discussion : an exhaustive CVD primary prevention international guidelines review and the extraction of their references were accomplished for SPICES. The choice of ADAPTE was creative. ADAPTE differed from PRISMA because of its implementation focus. Information bias and selection bias were limited by consensus between SPICES project members and by selection of high level of evidence guidelines.
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Master Thesis
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Christelle Le Gaffric. Projet SPICES : sélection parmi sept recommandations de bonne pratique pour la prévention des maladies cardiovasculaires via les procédures Agree II et ADAPTE. Identification des références bibliographiques des recommandations internationales National Stroke Foundation, Guidelines for the management of absolute cardiovascular disease risk, 2012 et Canadian Diabetes Association, Clinical practice guidelines for the prevention and management of diabetes in Canada, 2013, à intégrer dans la matrice de recherche de l’étude SPICES. Life Sciences [q-bio]. 2019. ⟨dumas-02102605⟩

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