Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
To the Editor: Dr Cabana and colleagues1 provide a comprehensive review of the many and
varied reasons why physicians do not follow clinical practice guidelines.
However, effective implementation of research evidence does not end with simply
convincing physicians to use guidelines. To be translated into improvements
in patient care and health outcomes, guidelines must be used accurately and
properly. Within the context of a randomized controlled trial, in which health
care professionals used absolute cardiovascular risk guidelines in the management
of hypertension,2 we have not found this
Montgomery AA, Peters TJ, Fahey T. Reasons Physicians Do Not Follow Clinical Practice Guidelines. JAMA. 2000;283(13):1685–1686. doi:10.1001/jama.283.13.1685
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