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Archives of Disease in Childhood 2001;85:445-446; doi:10.1136/adc.85.6.445
Copyright © 2001 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 2001;85:445-446 ( December )

Leading article

Community acquired pneumonia

The first 150 words of the full text of this article appear below.

    Introduction

We live in an era when medical practice is increasingly regulated by guidelines and protocols. Ideally, such guidance should be evidence based, and in particular it is generally recommended that advice on medical treatment should be based on the results of adequately powered, double blind, placebo controlled trials or, some would say, better still, a meta-analysis of several such trials. Unfortunately, evidence of this standard is often lacking, and many guidelines amount to little more than the opinions of the authors.

This is not to say that opinion based guidelines are valueless---the opinions of experienced clinicians may be better than no opinion at all. Thus, a significant proportion of the advice contained in the first edition of the British Thoracic Society Guidelines on asthma management1 was opinion, rather than evidence based, yet its publication was followed by a fall in childhood asthma admissions. This fall might have reflected some . . . [Full text of this article]


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This article has been cited by other articles:

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Response: Community acquired pneumonia
Harold Lambert
ADC Online, 11 Jan 2002 [Full text]

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