Politics in Service of Public Health

Kenneth Lin

First published 8/1/11 on Common Sense Family Doctor

Below is the text of a proposed resolution that will be submitted by the District of Columbia Academy of Family Physicians to next month’s Congress of Delegates of the American Academy of Family Physicians in Orlando, Florida.

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WHEREAS family physicians rely on current, unbiased sources of evidence-based guidelines to select appropriate screening tests and counseling services for their patients;

WHEREAS the primary source of evidence-based prevention guidelines for family physicians is the federally-sponsored U.S. Preventive Services Task Force (USPSTF), whose recommendation statements commonly serve as the basis for AAFP clinical policies on preventive services;

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Clinical Practice Guidelines on Trial

David Cundiff

On March 23, the Institute of Medicine issued a report entitled, “Standards for Developing Trustworthy Clinical Practice Guidelines (CPGs).”  The report noted that the National Guideline Clearinghouse accepted722 new guidelines to its database in 2008, bringing the total to nearly 2,700. Almost 1,000 CPGs have been updated because they didn’t quite get it right the first time. A staggering 1,978 CPGs were withdrawn from the database, presumably because they were just too wrong to be updated.

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