Doctors and patients must decide together whether anticoagulation is appropriate

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7152.210 (Published 18 July 1998) Cite this as: BMJ 1998;317:210
  1. A J Howitt, General practitioner principal.
  1. 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 …

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