Beware the influence of the “SIF” (single issue fanatic) in clinical guidelinesBMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4719 (Published 30 July 2013) Cite this as: BMJ 2013;347:f4719
- Kevin Barraclough, general practitioner1
- 1Painswick, UK
The start of science was arguably Descartes’ formulation of systematic doubt. Yet today the sceptic seems under-represented on expert committees.
Current guidance requires referral of every patient with a raised prostate specific antigen concentration (10% of men over 50), pigmented lesions that score 3 on the 7 point score (50% of pigmented lesions1), microscopic haematuria in the over 50s (up to 16.1% of …