James N. George, MD; Frank Davidoff, MD, Editor
George J., Davidoff F.; Idiopathic Thrombocytopenic Purpura: Lessons from a Guideline. Ann Intern Med. 1997;126:317-318. doi: 10.7326/0003-4819-126-4-199702150-00009
Download citation file:
Published: Ann Intern Med. 1997;126(4):317-318.
In 1994, the American Society of Hematology established a committee to explore the development of clinical guidelines on hematologic disorders; a clinical guideline on idiopathic thrombocytopenic purpura (ITP) is the initial product of this effort. The complete document was accepted by the Society in December 1995 and was published in Blood in July 1996 .
Given that the full text has already appeared in print, why publish a shorter version of this guideline in this issue ?
First, the whole point of creating and distributing clinical guidelines is to bring the widest possible consistency and rationality to the diagnosis and management of disease. This stands in marked contrast to the purpose of original research papers, which is to make highly selective, incremental contributions to the body of underlying scientific knowledge and debate. Looked at this way, publication of the ITP guideline in Annals seems logical and useful because a broad spectrum of regular Annals readers (including many generalists, most of whom do not regularly read Blood) are involved in the diagnosis and management of ITP. Second, much of the material in the full guideline concerns ITP in children and pregnant women. The version of the guideline published in this issue contains only the material from the full document that is most directly relevant to the practice of internal medicine, further modified and adapted in response to external Annals peer review. Interestingly, material from the full document that is pertinent to pediatrics and obstetrics is being excerpted and prepared for publication in journals of these disciplines, a new departure in collaborative development and distribution of guidelines that seems both responsible and efficient.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Hematology/Oncology, Platelet Disorders, Coagulopathies.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only