Clinical guidelines were first developed in the 1980s, but even now over 20 years later, the process for creating guidelines can be idiosyncratic and error-prone, especially in regard to children’s health, leading to sudden shifts that confuse doctors and parents.
A report in The Journal of the American Medical Association found that only about a third of clinical guidelines reviewed current medical evidence. Fewer than half followed any kind of standard format. And yet we know that Evidence-based guidelines are critical to protecting public health from bad medicine. You can read the essay on the New York Times website.
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