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Editorials |

Guidelines and ConflictsConflicts in Clinical Practice Guidelines: A New Twist

Ian Nathanson, MD, FCCP
Author and Funding Information

From eQ Health Solutions.

Correspondence to: Ian Nathanson, MD, FCCP, 838 Lake Catherine Ct, Maitland, FL 32751; e-mail: inathanson@cfl.rr.com


Financial/nonfinancial disclosures: The author has reported to CHEST the following conflicts: Dr Nathanson chaired the ACCP Health and Science Policy Committee (now Guidelines Oversight Committee) for part of the time AT9 was being developed.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(4):1087-1089. doi:10.1378/chest.13-1166
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In this issue of CHEST (see page 1111), Neumann et al1 report that some panelists participating in the development of the Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (AT9)2 cast anonymous votes on controversial recommendations when they should have recused themselves because of conflicts of interest (COIs). One might question the wisdom of writing this article, because three of the authors (Gordon H. Guyatt, MD, FCCP; Elie A. Akl, MD, PhD, MPH; and Holgar Schünemann, MD, PhD) bore major responsibilities for birthing AT9, but I applaud them for having the courage to share their findings.

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