TRANSCULTURALIZATION RECOMMENDATIONS FOR DEVELOPING LATIN AMERICAN CLINICAL PRACTICE ALGORITHMS IN ENDOCRINOLOGY--PROCEEDINGS OF THE 2015 PAN-AMERICAN WORKSHOP BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY

The American Association of Clinical Endocrinologists (AACE) and American College of Endocrinology (ACE) convened their first Workshop for recommendations to optimize Clinical Practice Algorithm (CPA) development for Latin America (LA) in diabetes (focusing on glycemic control), obesity (focusing on...

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Bibliographic Details
Published in:	Endocrine practice Vol. 22; no. 4; p. 476
Main Authors:	Mechanick, Jeffrey I, Harrell, R Mack, Allende-Vigo, Myriam Z, Alvayero, Carlos, Arita-Melzer, Onix, Aschner, Pablo, Camacho, Pauline M, Castillo, Rogelio Zacarias, Cerdas, Sonia, Coutinho, Walmir F, Davidson, Jaime A, Garber, Jeffrey R, Garvey, W Timothy, González, Fernando Javier Lavalle, Granados, Denis O, Hamdy, Osama, Handelsman, Yehuda, Jiménez-Navarrete, Manuel Francisco, Lupo, Mark A, Mendoza, Enrique J, Jiménez-Montero, José G, Zangeneh, Farhad
Format:	Journal Article
Language:	English
Published:	United States 01-04-2016
Subjects:	Algorithms Consensus Costa Rica Cross-Cultural Comparison Culture Diabetes Mellitus, Type 2 - diagnosis Diabetes Mellitus, Type 2 - therapy Endocrinology - education Endocrinology - organization & administration Endocrinology - standards Humans Latin America Obesity - diagnosis Obesity - therapy Practice Guidelines as Topic Thyroid Nodule - diagnosis Thyroid Nodule - therapy United States United States Costa Rica Latin America
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Summary:	The American Association of Clinical Endocrinologists (AACE) and American College of Endocrinology (ACE) convened their first Workshop for recommendations to optimize Clinical Practice Algorithm (CPA) development for Latin America (LA) in diabetes (focusing on glycemic control), obesity (focusing on weight loss), thyroid (focusing on thyroid nodule diagnostics), and bone (focusing on postmenopausal osteoporosis) on February 28, 2015, in San Jose, Costa Rica. A standardized methodology is presented incorporating various transculturalization factors: resource availability (including imaging equipment and approved pharmaceuticals), health care professional and patient preferences, lifestyle variables, socio-economic parameters, web-based global accessibility, electronic implementation, and need for validation protocols. A standardized CPA template with node-specific recommendations to assist the local transculturalization process is provided. Participants unanimously agreed on the following five overarching principles for LA: (1) there is only one level of optimal endocrine care, (2) hemoglobin A1C should be utilized at every level of diabetes care, (3) nutrition education and increased pharmaceutical options are necessary to optimize the obesity care model, (4) quality neck ultrasound must be part of an optimal thyroid nodule care model, and (5) more scientific evidence is needed on osteoporosis prevalence and cost to justify intervention by governmental health care authorities. This 2015 AACE/ACE Workshop marks the beginning of a structured activity that assists local experts in creating culturally sensitive, evidence-based, and easy-to-implement tools for optimizing endocrine care on a global scale.
ISSN:	1530-891X
DOI:	10.4158/EP161229.GL