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December 3, 2008

Incorporating Patient Preferences in Evidence-Based Medicine

JAMA. 2008;300(21):2483-2484. doi:10.1001/jama.2008.730

To the Editor: In their Commentary, Drs Krahn and Naglie1 made a strong and compelling case for patients' preferences and values becoming an integral part of clinical practice guidelines. However, their contention that the focus of guidelines on evidence-based medicine (EBM) is responsible for a delay in making values and preferences prominent is contrary to the facts. In the Users' Guides to the Medical Literature, a series of articles published in JAMA beginning in 1993, the Evidence-Based Medicine Working Group championed the crucial role of patient preferences in clinical practice guidelines and in patient care.