Letters
Questions before guideline use
NICE supports shared decision making
BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l1038 (Published 12 March 2019) Cite this as: BMJ 2019;364:l1038
- Martin A Allaby, consultant clinical adviser,
- Paul Chrisp, director
- Centre for Guidelines, National Institute for Health and Care Excellence (NICE), London SW1A 2BU, UK
- martin.allaby{at}nice.org.uk
Mathew mentions some sensible questions that can help doctors avoid guideline centred decision making.1 We share her view that clinical guidelines should not over-rule clinical reasoning and what matters to the patient, and that doctors can—and should—give themselves the freedom to step away from …
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