The UHC Act Section 27.7 states that “the DOH, in cooperation with professional societies and the academe, shall set standards for clinical care through the development, appraisal, and use of clinical practice guidelines (CPGs) based on best evidence, to assist practitioners in clinical decision making”. In response to this, the DOH Disease Prevention and Control Bureau, which houses the Expanded National Practice Guidelines Program (NPGP), issued Administrative Order No. 2023-0002 entitled “Institutionalization of the Expanded National Practice Guidelines Program”. This issuance requires locally-developed CPGs to undergo an appraisal of their reporting quality using the Appraisal of Guidelines, Research and Evaluation II (AGREE II), assuring target users that these CPGs were developed in a rigorous scientific manner with appropriate management of conflicts of interests. CPGs must satisfy at least 75% for the domains of rigor of development and editorial independence before they are endorsed to the Secretary of Health and included in the Compendium of DOH-approved clinical practice guidelines. These CPGs shall be used to guide health service delivery, policy-making, health technology assessment, benefit package development, and healthcare curricula updating. It is important to note that CPGs are based on the best available evidence on interventions for different health conditions. However, these guidelines should be interpreted based on the patient’s individual circumstances and applied with sound clinical judgment. Guidelines should not be interpreted as strict rules on which legal action may be based, nor should they be the sole basis for evaluating insurance claims. Clinicians are expected to maintain discretion and exercise due diligence while upholding the patient’s best interests in the utilization of CPGs. For feedback and other inquiries, the DPCB-EGMD can be contacted at [email protected].
The following are included in the Compendium of DOH-approved CPGs:
Title | Year | Lead Developers |
Clinical Practice Guidelines for the Management of Chronic Obstructive Pulmonary Disease | 2023 | Lung Center of the Philippines & University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Clinical Practice Guidelines on the Diagnosis, Management and Prevention of Dengue for Adult and Pediatric Filipinos in the Primary Care Setting | 2023 | Research Institute for Tropical Medicine & University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Clinical Practice Guidelines on the Management of Gastric Cancer and Helicobacter pylori in the Philippines | 2023 | Bicol Medical Center , University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology, & Philippine Society of Digestive Endoscopy |
Philippine Clinical Practice Guideline on Palliative and End-of-Life Care for Adults with Cancer | 2023 | Jose B. Lingad Memorial General Hospital, Healthcare Practice and Policy Management (HPPM), Inc., & University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Clinical Practice Guidelines for Cervical Cancer Prevention and the Treatment of Premalignant Lesions of the Cervix | 2023 | Jose R. Reyes Memorial Medical Center |
Philippine Clinical Practice Guidelines for the Screening and Diagnosis of Obesity in Adults | 2023 | Vicente Sotto Memorial Medical Center, Philippine Association for the Study of Overweight and Obesity, & University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Clinical Practice Guidelines on Contact Dermatitis | 2023 | Jose R. Reyes Memorial Medical Center & University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Clinical Practice Guidelines on Screening, Diagnosis, Management, and Prevention of Primary Osteoporosis and Fragility Fractures Among Postmenopausal Women and Older Men | 2023 | Osteoporosis Society of the Philippines Foundation, Inc. |
Philippine Clinical Practice Guidelines on the Diagnosis and Management of Chronic Heart Failure with Reduced Ejection Fraction (HFrEF) for Primary Care Physicians | 2023 | Philippine Heart Center & University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Clinical Practice Guidelines on the Diagnosis and Management of Urinary Tract Infection Among Filipino Children and Adults: Update of the 2013 Philippine CPG on the Diagnosis and Management of UTI in Adults by the PSMID | 2023 | National Kidney and Transplant Institute, Philippine Society for Microbiology and Infectious Diseases, & University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Adult Immunization, 2023 Updates | 2023 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Pediatric Immunization, 2023 Updates | 2023 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Renal, Metabolic, Nutrition and Endocrine Disorders | 2023 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Screening for Hearing Disorders | 2023 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Screening for Infectious Diseases | 2023 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Screening for Musculoskeletal Disorders | 2023 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on the Management of Wilms Tumor | 2023 | Philippine Children’s Medical Center |
Philippine Head and Neck Cancer Clinical Practice Guidelines | 2023 | Jose R. Reyes Memorial Medical Center |
The PSCPC Clinical Practice Guidelines for the Management of Abnormal Cervical Cancer Screening Results | 2023 | Philippine Society for Cervical Pathology and Colposcopy |
2021 Clinical Practice Guidelines in the Evaluation and Management of Pediatric Community-Acquired Pneumonia | 2022 | Philippine Academy of Pediatric Pulmonologists, Inc. & Pediatric Infectious Disease Society of the Philippines, Inc. |
Acute Myeloid Leukemia National Clinical Practice Guidelines | 2022 | East Avenue Medical Center |
Breast Cancer National Clinical Practice Guidelines | 2022 | East Avenue Medical Center |
Colorectal Cancer National Clinical Practice Guidelines | 2022 | East Avenue Medical Center |
Diffuse Large B-Cell Lymphoma National Clinical Practice Guidelines | 2022 | East Avenue Medical Center |
Philippine Guidelines on Periodic Health Examination: Immunization for Adults | 2022 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Lifestyle Advice | 2022 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Pediatric Immunization | 2022 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Screening for Cardiovascular Disease | 2022 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Screening for Congenital and Developmental Disorders | 2022 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Screening for Mental Health and Addiction | 2022 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination: Screening for Neoplastic Diseases | 2022 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Living COVID-19 Clinical Practice Guidelines Phase 2 | 2022 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical EpidemiologyUniversity of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Pediatric COVID-19 Living Clinical Practice Guidelines | 2022 | Philippine Pediatric Society, Inc. & Pediatric Infectious Disease Society of the Philippines, Inc. |
2021 Clinical Practice Guidelines on the Management of Hepatitis B in the Philippines | 2021 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Clinical Practice Guideline for the Diagnosis and Management of Acute Lymphoblastic Leukemia | 2021 | Southern Philippines Medical Center |
Leprosy Clinical Practice Guidelines | 2021 | Healthcare Practice and Policy, Management, Inc., National Leprosy Control Program, & International Leprosy Association |
PAPP Clinical Practice Guidelines for Pediatric Asthma 2021 | 2021 | Philippine Academy of Pediatric Pulmonologists, Inc. |
Philippine Clinical Practice Guideline for the Diagnosis and Management of Hepatocellular Carcinoma | 2021 | Rizal Medical Center |
Philippine Clinical Practice Guideline for the Diagnosis and Management of Prostate Cancer | 2021 | National Kidney and Transplant Institute |
Philippine Clinical Practice Guidelines for the Diagnosis and Treatment of Adult Tuberculosis 2021 Update | 2021 | Philippine Coalitions Against Tuberculosis, Philippine Society for Microbiology and Infectious Diseases, & Philippine College of Chest Physicians |
Philippine Clinical Practice Guidelines for the Diagnosis, Staging, and Management of Lung Carcinoma | 2021 | Rizal Medical Center |
Philippine COVID-19 Living Clinical Practice Guidelines Phase 1 | 2021 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
Philippine Guidelines on Periodic Health Examination (Phase 1) | 2021 | University of the Philippines Manila – National Institutes of Health – Institute of Clinical Epidemiology |
The Philippine Clinical Practice Guidelines on the Diagnosis, Management, Psychosocial Support and Palliative Care of Burkitt Lymphoma in Children and their Families | 2021 | Southern Philippines Medical Center |
The Philippine Interim Clinical Practice Guidelines for the Diagnosis and Management of Well-Differentiated Thyroid Cancer 2021 | 2021 | Jose R. Reyes Memorial Medical Center |
Update of the Clinical Practice Guidelines on the Diagnosis and Management of Nicotine Dependence 2021 | 2021 | University of the Philippines Manila – Philippine General Hospital |
Clinical Practice Guidelines for Sepsis and Septic Shock in Adults in the Philippines | 2020 | Philippine Society for Microbiology and Infectious Diseases, Inc. |
Clinical Practice Guidelines for the Management of Dyslipidemia in the Philippines | 2020 | Philippine Lipid and Atherosclerosis Society |
Clinical Practice Guidelines for the Management of Hypertension in the Philippines | 2020 | Philippine Society of Hypertension, Inc. |
Clinical Practice Guidelines for the Screening, Diagnosis, Treatment and Prevention of Neonatal Sepsis | 2019 | Philippine Society of Newborn Medicine, Inc. |
The CPG on the Management of Acute Infectious Diarrhea in Children and Adults | 2019 | Disease Prevention and Control Bureau, San Lazaro Hospital, & Philippine Society for Microbiology and Infectious Diseases, Inc. |
Philippine Clinical Practice Guidelines on Hemodialysis* | 2018 | Philippine Society of Nephrology |
Clinical Practice Guidelines on Immunization for Women* | 2017 | Philippine Obstetrical and Gynecological Society Foundation, Inc. |
Clinical Practice Guidelines on Stroke Rehabilitation (2nd Edition)* | 2017 | Philippine Academy of Rehabilitation Medicine |
Clinical Practice Guidelines on the Diagnosis and Management of Low Back Pain (2nd Edition)* | 2017 | Philippine Academy of Rehabilitation Medicine |
* Due for updating by the lead developer(s) in accordance with the five-year validity period of DOH-approved CPGs, as outlined in Administrative Order No. 2023-0002: Institutionalization of the Expanded National Practice Guidelines Program.