guidelines

Tom Benzoni benzonit at GMAIL.COM
Mon Dec 12 13:30:25 UTC 2016


Group challenge:
3 societies publish guidelines on ER treatment of A fib.
ESC, ACC, Canada
-Give strong recommendations based on weak evidence (their own finding) of
expert opinion, not clinical trials
-Among 21 questions addressed, 5 completely different recommendations, 6
partial agreements, 10 agreements
-Only 1 group recommended absence of conflict of interest for >50% of its
panel.

Thus:

Do you:
-Take the result with which you disagree, find a guideline that agrees with
you and pronounce the care bad
or
-Do the opposite
or
Poclaim guidelines are useless and take pity on the person having to select
these at the point of care?

tom






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