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September 26, 2001

Development and Aftercare of Clinical GuidelinesThe Balance Between Rigor and Pragmatism

JAMA. 2001;286(12):1509-1511. doi:10.1001/jama.286.12.1509

As health care technologies, evidence-based practice, and clinical guidelines continue to evolve, so does understanding of their limitations.1-3 The emphasis of the debate regarding evidence-based guidelines recently has shifted from the what to the how.4 Formal evaluations of guideline quality have called for improvements in their development.5 Guideline development represents an alloy of evidence, expert opinion, and the views and opinions of other stakeholders.6

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