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Healthy Skepticism Library item: 15939

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Hirsh J, Guyatt G.
Clinical experts or methodologists to write clinical guidelines?
Lancet 2009 Apr 24;
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60787-X/fulltext


Abstract:

The guidelines by the American College of Chest Physicians (ACCP) on antithrombotic therapy, first published in 1986 and subsequently every 4 years, have become an institution. 1 One of us (JH) was a founding editor and retired from that position in June, 2008; the other (GG) has been an editor for the past three iterations. Although the ACCP guidelines have had an important impact on patients’ care, we have become increasingly aware of their deficiencies and of deficiencies of clinical guidelines …

 

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You are going to have many difficulties. The smokers will not like your message. The tobacco interests will be vigorously opposed. The media and the government will be loath to support these findings. But you have one factor in your favour. What you have going for you is that you are right.
- Evarts Graham
See:
When truth is unwelcome: the first reports on smoking and lung cancer.