Guidelines should be based on systematic reviews of the evidence

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7052.297 (Published 03 August 1996) Cite this as: BMJ 1996;313:297
  1. Ian Roberts,
  2. Phil Alderson,
  3. Kathy Rowan
  1. Senior lecturer in epidemiology Institute of Child Health, University of London, London WC1N 1EH
  2. Senior registrar in public health medicine UK Cochrane Centre, Oxford OX2 7LG
  3. Director Intensive Care National Audit and Research Centre, London WC1H 9HR

    EDITOR,—After surveying 39 intensive care units D R Jeevaratnam and D K Menon conclude that many use treatments that are “at odds with an emerging consensus about the management of patients with severe head injury.”1 Use of steroids despite “increasing evidence of their lack of efficacy” is given as an example of this. The authors call for clinical guidelines.

    Although guidelines may reduce variations in practice, we believe that a more important obstacle to …

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