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July 8, 2009

Clinical Practice Guidelines and Scientific Evidence

JAMA. 2009;302(2):142-147. doi:10.1001/jama.2009.911

To the Editor: The study by Dr Tricoci and colleagues1 and the accompanying Editorial by Drs Shaneyfelt and Centor2 both rightly justified a cautious approach to standardizing a field on a national level through the use of clinical practice guidelines. However, there is a difference between standardizing care in a field and standardizing care locally, in a hospital or within a specific unit.

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