Intended for healthcare professionals

Rapid response to:

News

Doctors and drug companies are locked in “vicious circle”

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7473.998 (Published 28 October 2004) Cite this as: BMJ 2004;329:998

Rapid Response:

What practice guidelines are for ?

I'd like to point out that some of the practice guidelines, which
are growing
rapidly in number, can be very powerful advertising tool and boost sales
of
pharmaceutical companies. The companies are deeply involved in the whole

process of making the guidelines; they pay for the meetings, committees,
participants, and authors of the guidelines. They also play an active
role in
spreading the guidelines. All of these efforts can be paid back if their

products are 'officially' recommended in the guidelines. Dominant drug
companies are conducting large clinical studies to label their product as
'highly recommened' in the guidelines. These trends have potential harm
to
deviate medical practice and can result in a great profit to the
pharmaceutical companies at the expense of patients.

Competing interests:
None declared

Competing interests: No competing interests

02 February 2005
Takeharu Koga
Attending physician
Kurume University School of Medicine, Department of Internal Medicine, Kurume, 830-0011 Japan