ISSN 2321–3647
Sun, 24 Sep 2017

Applicability Magnitude of Clinical Practice Guidelines for Diagnosis, Prevention & Treatment of Osteoporosis in Internal Medicine Practice

Sheikh Abdul Khaliq1,2*, Syed Baqir Shyum Naqvi1,2,Anab Fatima3, Bilqees Fatima2

1.Faculty of Pharmacy, University of Karachi, Karachi, Pakistan

2.Faculty of Pharmacy, Hamdard University, Karachi, Pakistan

3.Faculty of Pharmacy, Dow University of Health Sciences, Karachi, Pakistan


ABSTRACT

Main objective and aim of prospective, cross sectional research is to evaluate the magnitude of applicability of International Osteoporosis Foundation Guidelines for diagnosis, prevention and treatment of Osteoporosis in Asia for Pakistani population. Study was conducted during December 2015 to January 2017 in Karachi, Pakistan. Primary data has been collected from 30 internists working in private and government sector hospitals and clinics. Six main domains scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability, editorial independence and overall quality of IOF guide for Asia are evaluated. Data was analyzed through SPSS 20 by using descriptive statistics. Among 30 internists, number of practitioners from hospital (57%), clinic (43%), private sector (73%), government sector (27%). Magnitudes of six domains are scope and purpose 71%, stakeholder involvement 62%, rigour of development 86%, clarity of presentation 88%, applicability 85%, and editorial independence 74%, all these domains are significantly (p<0.003) lower compares to ideal score. Examination of the overall assessment by the appraisers revealed that guideline was not rejected by a majority of medical practitioners. 43.33% appraisers are interested to use or recommend guideline without any changes. Almost 53.33% rated the guidelines as being in need of modifications, while 3.33% are not interested to practice these guidelines.

Keywords: Guidelines, magnitude, applicability, osteoporosis, medicine


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