Clinical Practice Guidelines must change!

End of Guidelines, parody of “End of the Line” by James McCormack feat. ZDoggMD + friends)

End of Guidelines by James McCormack, published on 28 Apr 2016.

Chronic disease state guidelines (blood pressure/lipids/glucose/bone density) do not provide clinicians with complete enough information that they can use to do shared decision-making. This is a problem that needs to be fixed ASAP.

We need patient centred care, including discussion of the values of the patient, the harms of intervention, and alternative options. Right now we have a bunch of arbitrary target numbers for treatment that medicalize normal people.
These guidelines are mired in conflict of interest as the majority of guideline-authors having egregious conflicts of interest with industry.

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