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NICE guidelines and other stories . . .

BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h2447 (Published 13 May 2015) Cite this as: BMJ 2015;350:h2447

The UK National Institute for Health and Care Excellence (NICE) develops guidelines through a complex and rigorous system in which evidence synthesis is combined with iteration by specialists, generalists, and patient representatives. Yet guidelines are often criticised for making recommendations that go beyond the evidence. A qualitative study of conflicts of interest (COIs) within NICE guideline development committees (PLoS One 2015;10:e0122313, doi:10.1371/journal.pone.0122313) finds that most participants regard current policy as comprehensive, leading to transparent and independent guidance. However, certain kinds of non-financial COIs are hard to manage, and the authors conclude that clearer policies and procedures are needed, with appropriate training for chairs of guideline development groups and an evaluation of how the policy is used in practice.

For parents looking haggard due to a sleepless toddler, a study in JAMA Pediatrics (2015, doi:10.1001/jamapediatrics.2015.0187) seems to bring little comfort. In a Norwegian cohort of 32 662 children, short sleep duration (≤10 hours) in 556 children …

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