Calidad de las guías de práctica clínica cubanas

the quality of the clinical practice guidelines made in cuba by the various specialties was evaluated in print form and in the health telematic network, with the objective of identifying deficiencies in their drafting and thus drawing up methodological documents for their adequate preparation. eligibility, inclusion and exclusion criteria were agreed upon. three hundred seventy seven documents were reviewed. the international evaluation instrument known as appraisal of guidelines for research and evaluation was used. three evaluators were in charge of assessing each guideline; if results did not match, then the guideline was re-evaluated by another pair of outside evaluators. all these persons were previously trained in the use of the instrument. some of the detected deficiencies were: guidelines were not prepared by multidisplinary teams, the criteria of patients were not taken into consideration, they did not respond to clinical questions and they did not state their objectives, target population or inclusion/exclusion criteria. we are working on the making up of the methodological instructions for the preparation and adaptation of the clinical practice guidelines in the national health care system.