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Rebuttal From Drs Nathanson and OuelletteRebuttal From Drs Nathanson and Ouellette

Ian Nathanson, MD, FCCP; Daniel R. Ouellette, MD, FCCP
Author and Funding Information

Dr Nathanson is the Section Editor for Guidelines and Consensus Statements for CHEST. From the Department of Pulmonary and Critical Care Medicine, Henry Ford Health Care System (Dr Ouellette).

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


FINANCIAL/NONFINANCIAL DISCLOSURES: The authors have reported to CHEST the following conflicts of interest: Dr Nathanson is a former Chair of the Guidelines Oversight Committee. Dr Ouellette is the current Chair of the Guidelines Oversight Committee. He received a research grant from Cardeas Pharma (Principal Investigator, all funds to institution) and has been an expert witness on the topic of venous thromboembolism.

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


Chest. 2015;147(1):16-17. doi:10.1378/chest.14-2234
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Dr Mehta and colleagues1 assert that optimal guidelines have four key characteristics: globalizing evidence; identifying ways to help consumers implement guidelines; focusing on important questions for patients and clinicians; and ensuring adaption, applicability, and transferability of guidelines.2 These are just the first four of 10 “key visions” listed in a 2012 workshop sponsored by the American Thoracic Society/European Respiratory Society that was an effort to standardize COPD evidence-based guidelines (EBGs).2 This represents a derivation of earlier collaborative work by the Institutes of Medicine (IOM) and the Agency for Health Research and Quality (AHRQ), wherein eight “Standards for Developing Trustworthy Guidelines” were developed.3 We stipulate that American College of Chest Physicians (now branded as CHEST) EBGs are developed with close attention to IOM and AHRQ recommendations and reaffirm that CHEST EBGs are global.

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