Douglas K. Owens, MD, MS
Disclaimer: The views expressed in this article are those of the author and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the U.S. government.
Acknowledgment: The author thanks Alan M. Garber, MD, PhD, and Sara H. Cody, MD, for their comments and suggestions.
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-0687.
Requests for Single Reprints: Douglas K. Owens, MD, MS, Center for Primary Care and Outcomes Research, Stanford University, 117 Encina Commons, Stanford, CA 4305-6019; e-mail, email@example.com.
Owens D.; Improving Practice Guidelines With Patient-Specific Recommendations. Ann Intern Med. 2011;154:638-639. doi: 10.7326/0003-4819-154-9-201105030-00010
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Published: Ann Intern Med. 2011;154(9):638-639.
Clinical practice guidelines aim to help providers make decisions that optimize patient care (1). Both developers and users of guidelines understand that guidelines could be improved by tailoring the recommendations to the specific circumstances of an individual patient. Tailored guideline recommendations may improve health outcomes when a group of patients can be divided into subgroups in which the tailored recommendations would increase benefits, reduce harms, or save costs relative to more generic recommendations. For example, a guideline for hypertension may recommend antihypertensive treatment in patients whose blood pressure is higher than 140/90 mm Hg. However, patients with diabetes or high cardiovascular risk may benefit from receiving treatment at lower blood pressures, whereas other patients may benefit from less aggressive treatment.
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Cardiology, Endocrine and Metabolism, Nephrology, Diabetes, Hypertension.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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