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April 1993

In Response to the New Guidelines for Patients With Cataracts

Arch Ophthalmol. 1993;111(4):460-461. doi:10.1001/archopht.1993.01090040052028

In 1990 the director of the Agency for Health Care Policy and Research (AHCPR) appointed a multidisciplinary panel to develop guidelines for the treatment of patients with cataracts. This panel was chaired by Denis O'Day, MD, and was composed of physicians, nonphysician health care providers, and patients. Included in this issue of the Archives is a brief version of the clinical guidelines called the Quick Reference Guide for Physicians.1 Also available from AHCPR are the full report (125 pages) and a version suitable for use by patients entitled Cataracts in Adults: A Patient's Guide.

The agency required the panel to develop the guidelines based on a careful review of the published literature. However, after reviewing the abstracts of approximately 8000 articles, the scientific reviewers determined that, owing to a lack of standardization of methods and outcome assessment, the majority of articles could not be used to support many of