Editorial
National Institute for Clinical Excellence guidance: too NICE to glycoprotein IIb/IIIa inhibitors?
| The first 150 words of the full text of this article appear below. |
The
arrival of the National Institute for Clinical Excellence (NICE) in
1999 was greeted with suspicion by many clinicians who regarded it as
the beginning of an era of overt health care rationing. From a
cardiological perspective, this has not proved to be the case. The
guidelines issued on implantable defibrillators, intracoronary stents,
and glycoprotein (GP) IIb/IIIa inhibitors have been liberal and in the
last instance surprising to many cardiologists.1 Given our
original misgivings, it might seem churlish to complain about NICE's
liberality, but an endorsement from NICE gives a treatment the
appearance of an official seal of approval. This has important
medico-legal implications and may also inhibit further research into
the use and targeting of these compounds
no drug company is going to
look such an attractive gift horse in the mouth and fund selective
studies. Has NICE gone too far with GP IIb/IIIa inhibitors?
GP IIb/IIIa inhibitors are powerful
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