Valerie A. Palda, MD, MSc; Ian D. Graham, PhD; Dave Davis, MD; Jako Burgers, MD, PhD; Melissa Brouwers, PhD; Françoise Cluzeau, PhD; On behalf of the AGREE research trust
Potential Financial Conflicts of Interest: None disclosed.
Palda V., Graham I., Davis D., Burgers J., Brouwers M., Cluzeau F., ; Guideline Adaptation: An Appealing Alternative to De Novo Guideline Development. Ann Intern Med. 2008;148:564. doi: 10.7326/0003-4819-148-7-200804010-00022
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Published: Ann Intern Med. 2008;148(7):564.
TO THE EDITOR:
We read with interest the ACP guidelines (1) on glycemic control in type 2 diabetes mellitus. The use of the AGREE instrument to compare the methodological rigor of various guidelines is a meaningful step forward. To our knowledge, it is used regularly only by a few groups, such as the Guidelines Advisory Committee in Ontario (http://www.gacguidelines.ca), and more widely in Europe by the Belgian Centre for Evidence-Based Medicine (http://www.cebam.be) and others (http://www.agreetrust.org/links.htm). Using well-developed guidelines as a basis for forming recommendations is an important strategy to improve quality of care and may also lead to efficiencies in the development process.
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