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- W4255572617 abstract "<h3>To the Editor.</h3> —Dr Parmley<sup>1</sup>recently commented on our recommendations for medical management,<sup>2</sup>based on the published clinical practice guideline for heart failure.<sup>3</sup>I largely agree with Parmley's delineation of the value and limitations of such guidelines. These opinions are my own. Guidelines are intended to reduce gaps between scientific knowledge and clinical practice, which may be particularly prevalent among primary care physicians who must follow advances in numerous specialties. As Parmley states, the value of guidelines stems from the authors' having carefully evaluated the world's literature... as the basis for decision making. So much for the easy part. The hard part is implementing guidelines prudently. It is tempting to transform guideline recommendations into dictum, assigning penalties or rewards based on compliance, but one must choose between the following two perceptions of guidelines: (1) they are declarations of standard care that require rigid adherence, or (2) they" @default.
- W4255572617 created "2022-05-12" @default.
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- W4255572617 date "1995-06-28" @default.
- W4255572617 modified "2023-10-01" @default.
- W4255572617 title "Heart failure practice guidelines: guidance, not proscription" @default.
- W4255572617 doi "https://doi.org/10.1001/jama.273.24.1904" @default.
- W4255572617 hasPublicationYear "1995" @default.
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