US institute points up inconsistencies between guidelines on same condition

BMJ 2011; 342 doi: (Published 28 March 2011) Cite this as: BMJ 2011;342:d1991
  1. Bob Roehr
  1. 1Washington, DC

Biases and methodological shortcomings often undermine the value of clinical practice guidelines and the foundation of systematic reviews on which they are based. These faults pose various challenges for providers, patients, and policy makers alike, the US Institute of Medicine concludes.

The institute was charged with developing best practice guidance for conducting both types of evaluation. It released its recommendations in a pair of reports on 23 March.

The panel looking at clinical practice guidelines identified more than 3700 guidelines from 39 countries. It often found inconsistencies between guidelines covering the same condition in the same country …

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