Editorial
Using guidelines for coronary revascularisation: how many are needed and are they any good?
| The first 150 words of the full text of this article appear below. |
Gone are the days when guidelines could be ignored as cookbook medicine, the overweening influence of purchasers, or a simplistic view of the world with little value in practical patient management. Most would now accept the broad principle that it is a part of good clinical medicine to assess practice against standards linked explicitly to scientific evidence. In this issue Peters and Bredee1 discuss new guidelines from the Netherlands on coronary revascularisation and make a bold proposal for their use in practice. What sense are we to make of this among the plethora of guidelines and quality of care studies?
Guidelines: proliferation or unification?Guidelines, scarce 10 years ago, now abound; most areas of
suspected and proved coronary artery disease are now covered by one or
more guideline. In the US, aspects of the invasive management of
coronary disease are dealt with in procedure specific guidelines (on
exercise electrocardiography, coronary angiography,
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Tan, C., Treasure, T., Browne, J., Utley, M., Davies, C. W H, Hemingway, H.
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