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Point and Counterpoint |

Rebuttal From Dr Mehta et alRebuttal From Dr Mehta et al

Atul C. Mehta, MD, FCCP; Amit Banga, MD, FCCP; James K. Stoller, MD, FCCP
Author and Funding Information

From the Respiratory Institute (Drs Mehta, Banga, and Stoller) and the Education Institute (Dr Stoller), Cleveland Clinic.

CORRESPONDENCE TO: Atul C. Mehta, MD, FCCP, Respiratory Institute, Cleveland Clinic, 9500 Euclid Ave, A-90, Cleveland, OH 44195; e-mail: Mehtaa1@ccf.org


FINANCIAL/NONFINANCIAL DISCLOSURES: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

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):17-18. doi:10.1378/chest.14-2236
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Extract

We appreciate Drs Nathanson and Oulette’s1 response and concur that American College of Chest Physicians (now branded as CHEST) evidence-based guidelines (EBGs) are rigorously prepared and are of high quality. Notwithstanding their considerable value, CHEST EBGs still fail to achieve global coverage. To offer global coverage and relevance, EBGs must satisfy the condition of addressing clinical issues and circumstances of global patient populations (ie, patients throughout the range of socioeconomic circumstances and access to health-care technology and expertise). Our colleagues offer four lines of reasoning to defend their “pro” position; we believe that this rebuttal debunks each.

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