Credibility of Clinical Guidelines

From today’s AMA Morning News we learn than an article published in today’s JAMA [JAMA. 2009;301(8):831-841.] reports that “that “heart disease is among the most studied illnesses in all of medicine, yet just 11 percent of more than 2,700 recommendations approved by cardiologists for treating heart patients are supported by high-quality scientific testing,” according to a study published in the Feb. 25 edition of the JAMA.” How can anyone know which to select from among so many recommendations, especially when so many arte of poor evidentiary quality?

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