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May 8, 2013

Development of Trustworthy Practice Guidelines—Reply

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Department of Medicine, University of North Carolina School of Medicine, Chapel Hill (Drs Ransohoff and Pignone); and Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire (Dr Sox;

JAMA. 2013;309(18):1890-1891. doi:10.1001/jama.2013.3370

In Reply: The purpose of our Viewpoint was to describe the unique contributions of the IOM standards for developing practice guidelines and the additional steps needed to increase their usefulness for appraising the trustworthiness of practice guidelines. We contrasted them with AGREE because AGREE has been widely used and cited, and we based our comments on the 2009 AGREE II standards,1 which we did not state clearly in the Viewpoint. The 2003 AGREE2 and AGREE II1 standards are quite similar except for a new item on evaluating evidence.

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