title: 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.
abstract: 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.
authors.forename: Jeffrey I
authors.initials: JI
authors.lastname: Mechanick
authors.forename: R Mack
authors.initials: RM
authors.lastname: Harrell
authors.forename: Myriam Z
authors.initials: MZ
authors.lastname: Allende-Vigo
authors.forename: Carlos
authors.initials: C
authors.lastname: Alvayero
authors.forename: Onix
authors.initials: O
authors.lastname: Arita-Melzer
authors.forename: Pablo
authors.initials: P
authors.lastname: Aschner
authors.forename: Pauline M
authors.initials: PM
authors.lastname: Camacho
authors.forename: Rogelio Zacarias
authors.initials: RZ
authors.lastname: Castillo
authors.forename: Sonia
authors.initials: S
authors.lastname: Cerdas
authors.forename: Walmir F
authors.initials: WF
authors.lastname: Coutinho
authors.forename: Jaime A
authors.initials: JA
authors.lastname: Davidson
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Garber
authors.forename: W Timothy
authors.initials: WT
authors.lastname: Garvey
authors.forename: Fernando Javier Lavalle
authors.initials: FJ
authors.lastname: González
authors.forename: Denis O
authors.initials: DO
authors.lastname: Granados
authors.forename: Osama
authors.initials: O
authors.lastname: Hamdy
authors.forename: Yehuda
authors.initials: Y
authors.lastname: Handelsman
authors.forename: Manuel Francisco
authors.initials: MF
authors.lastname: Jiménez-Navarrete
authors.forename: Mark A
authors.initials: MA
authors.lastname: Lupo
authors.forename: Enrique J
authors.initials: EJ
authors.lastname: Mendoza
authors.forename: José G
authors.initials: JG
authors.lastname: Jiménez-Montero
authors.forename: Farhad
authors.initials: F
authors.lastname: Zangeneh
mesh_terms: D000465:Algorithms; D032921:Consensus; D003364:Costa Rica; D003431:Cross-Cultural Comparison; D003469:Culture; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000628:therapy; D004704:Endocrinology / Q000193:education / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D007843:Latin America; D009765:Obesity / Q000175:diagnosis / Q000628:therapy; D017410:Practice Guidelines as Topic; D016606:Thyroid Nodule / Q000175:diagnosis / Q000628:therapy; D014481:United States