Doctors and patients must decide together whether anticoagulation is appropriate

doi:10.1136/bmj.317.7152.210

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A J Howitt, General practitioner principal.

Warders Medical Centre, Tonbridge TN9 1LA.

EDITOR–Thomson et al suggest that variations in recommendations for anticoagulant treatment of atrial fibrillation could be overcome by having a single body responsible for producing evidence based guidelines.1Might giving this responsibility to one body lead to a form of medical tyranny in which only one view of who should be offered anticoagulant treatment is held to be valid? Evidence based medicine does …