PulmCCM

Share this post

Citing COI, IOM issues guidelines for new guidelines

www.pulmccm.org

Citing COI, IOM issues guidelines for new guidelines

Dec 26, 2011
Share

The Institute of Medicine has issued stern new guidelines on guideline development. Apparently a good portion of the 2,700 clinical practice guidelines in the Agency of Healthcare Research and Quality's database are not based on a foundation of good evidence, do not acknowledge when the evidence is shaky, and their authors often have financial conflicts of interest.

The IOM calls for transparency and a rigorous evidence-based approach, and prohibition of COI in guideline chairpeople -- with COI defined beyond industry bedfellowship to include board certification in any subspecialty, since self-interested guideline-crafting could potentially boost revenues within a practice specialty. (Of course, this begs the question, who will actually write the guidelines, if not the experts?) JAMA 2011;305(18):1846-1848.

Share
Previous
Next
Comments
Top
New
Community

No posts

Ready for more?

© 2023 PulmCCM
Privacy ∙ Terms ∙ Collection notice
Start WritingGet the app
Substack is the home for great writing