NICE may have no impact

Guidance from the National Institute for Clinical Excellence (NICE) must be implemented more effectively to improve NHS practice. Bloor and colleagues (p 578) analysed surgical repair of inguinal hernias before and after NICE recommended the open mesh technique rather than laparoscopic repair. One year after the guidelines were published, the authors found they had had no impact. They state that although laparoscopic repair of hernias is a small part of NHS practice, lack of impact suggests that NICE guidelines need more active dissemination and implementation procedures.


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Relevant Article

Impact of NICE guidance on laparoscopic surgery for inguinal hernias: analysis of interrupted time series
Karen Bloor, Nick Freemantle, Zarnie Khadjesari, and Alan Maynard
BMJ 2003 326: 578. [Extract] [Full Text] [PDF]

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