Relevance of NICE guidelines to GPs ?as low as 2%?

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Fewer than a quarter of NICE recommendations for GPs are based on studies that are relevant to primary care, concludes an independent investigation into the institute?s methods.

Researchers looked at all the guidelines issued by NICE over two years and found only 39% of the studies used to develop recommendations for GPs were relevant to primary care, with the relevance of some guidelines as low as 2%.

The study ? independently funded by the National Institute for Health Research ? uncovers the evidence base behind the decisions taken by NICE from January 2010 and December 2011.

The research ? led by RCGP honorary secretary Professor Amanda Howe and clinical senior lecturer at the University of East Anglia and GP Dr Nicholas Steel ? looked at 32 primary care-relevant guidelines.

Two independent GPs reviewed each guideline and identified the evidence base for each recommendation aimed at primary care. Of the 555 recommendations, they found 292 specific to primary care, and 21% of these were based on evidence that was directly relevant to primary care.

http://www.pulsetoday.co.uk/20000618.article

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