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Letters Conflicting asthma guidelines

Conflicting asthma guidelines reflect different motives

BMJ 2018; 360 doi: (Published 06 March 2018) Cite this as: BMJ 2018;360:k898
  1. Dermot Ryan, retired general practitioner
  1. Kegworth, UK
  1. dermotryan{at}

Having a single guideline for the management of asthma in the UK would, of course, be desirable, but the British Thoracic Society (working with the Scottish Intercollegiate Guideline Network) and the National Institute for Health and Care Excellence (NICE) have two separate and differing philosophies, which make this highly unlikely.1

The British Thoracic Society strives for clinical excellence, and its guidelines are internationally recognised and respected. NICE’s motive is cost …

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