Intended for healthcare professionals

Letters NICE on stroke care

Are NICE stroke guidelines scientific or political?

BMJ 2008; 337 doi: (Published 18 August 2008) Cite this as: BMJ 2008;337:a1339
  1. Nigel Dudley, consultant in elderly/stroke medicine1
  1. 1St James’s University Hospital, Leeds LS9 7TF
  1. nigel.dudley{at}

    The BBC and other media organisations were provided with additional information from the press conference at which the National Institute for Health and Clinical Excellence (NICE) and the Royal College of Physicians released their joint press statement on their stroke guidelines.1 The first line was: “Approx 4500 people could be prevented from being disabled through stroke if they were thrombolysed.” This figure is unbelievable, given the Department of Health’s estimate …

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