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July 8, 2009

Clinical Practice Guidelines and Scientific Evidence

JAMA. 2009;302(2):142-147. doi:10.1001/jama.2009.913

To the Editor: In their Editorial, Drs Shaneyfelt and Centor1 called for several key changes for developing guidelines, including transparency, centralization, prioritization, and flexibility. The authors concluded that “[u]nless there is evidence of appropriate changes in the guideline process, clinicians and policy makers must reject calls for adherence to guidelines.”

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