Gordon Guyatt, MD, MSc; Holger Schünemann, MD, PhD; Elie Akl, MD, PhD
Potential Conflicts of Interest: None disclosed.
Guyatt G, Schünemann H, Akl E. Guidelines and Conflicts of Interest. Ann Intern Med. 2010;153:422. doi: 10.7326/0003-4819-153-6-201009210-00022
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Published: Ann Intern Med. 2010;153(6):422.
Dr. Berger wants to hear the opinions of authors with intellectual conflicts of interest. We agree, which is why we ensure the active engagement of these experts in the process of gathering, summarizing, and interpreting the evidence used in our guidelines.
Dr. Fava implies that we should be recruiting experts without financial conflicts of interest to our guideline panels. In areas of investigation in which most world leaders are free of financial conflicts, this may be a good idea. However, in several areas, including thrombosis, many of the international authorities have financial conflicts. Excluding them from gathering and interpreting the evidence would result in lower-quality guidelines.
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