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Open AccessJournal ArticleDOI

Expertise: No Longer a Sine Qua Non for Guideline Authors?

TLDR
The Free Dictionary defines expertise as "special skills or knowledge acquired by a person through education, training, or experience" as mentioned in this paper, which can be used to assess the quality and quantity of expertise of a guideline author.
Abstract
See Related Editorial, pp 238–239 > Quis custodiet ipsos custodes?—Who will guard the guards themselves? > > —Decimus Iunius Iuvenalis (Juvenal), 1st–2nd century AD, Satire VI, lines 347–348 Guidelines are traditionally scripted by a panel of experts who are intimately familiar with the topic in question. Practicing physicians inherently trust guideline authors and rarely ever question their expertise, especially when guidelines are endorsed by such venerable societies as the American College of Physicians (ACP) and the American Academy of Family Practitioners (AAFP) and are published in high-impact journals, such as the Annals of Internal Medicine . The >250 000 members of the ACP and AAFP have come to expect that any set of clinically meaningful guidelines has been put together by authors who were selected because of their outstanding skills and expertise pertaining to the topic in question. Thus, there is little if any reason to voice doubt as to the validity of published guidelines The Free Dictionary defines expertise as special skills or knowledge acquired by a person through education, training, or experience. For a physician unfamiliar with the experts, there are several simple ways to get a grasp on the quality and quantity of expertise: 1. One can scrutinize the publication list of the experts to assess how often they have been involved with the guideline topic. Any expert is expected to be well published in the specific area of the expertise. 2. One may take into account an expert’s membership in professional organizations pertaining to the subject matter. Obviously, membership and participation in annual meetings demonstrates an ongoing interest in the guideline topic. 3. One may examine whether the physician/scientist has been invited to serve on editorial boards of journals dealing with the topic in question. Being a member of an editorial board and peer reviewing submissions attest to some expertise pertaining to the …

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Lowering the Thresholds of Diseases: Is Anyone Still Healthy?

TL;DR: Levels deemed no longer acceptable of blood pressure, lipids, blood sugar, body mass index, and estimated glomerular filtration rate have all been set lower and reclassification can be considered like replacing the fishing rod by a fishing trawler, thereby “capturing many more innocent subjects than it should.
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The new US and European guidelines in hypertension: A multi-dimensional analysis.

TL;DR: A qualitative multi-dimensional analysis was performed in order to answer two key questions: will the new guidelines deliver the stated benefits?
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The hidden curriculum and continuing professional development for family physicians.

TL;DR: The Harveian Oration traced the roots of the division of clinical medicine into generalists and specialists to the mid-19th century with the Medical Act of 1858.
Journal ArticleDOI

Guidelines Under Fire Again

TL;DR: An editorial in this issue of Hypertension takes issue with aspects of the recent Clinical Practice Guidelines published in the Annals of Internal Medicine, on behalf of the American College of Physicians and the American Academy of Family Physicians.
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Reply: Hypertension Treatment in the Elderly: Individualized Target or Intensive Blood Pressure Lowering?

TL;DR: The difference in results of this study and the recent systematic review and meta-analysis conducted as a part of the guideline from the American College of Physicians and the American Academy of Family Physicians on pharmacological treatment of hypertension in this study is pointed out.
References
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Journal ArticleDOI

Hypertension Canada's 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension

Alexander A. Leung, +77 more
TL;DR: In the diagnosis and assessment of hypertension, automated office blood pressure, taken without patient-health provider interaction, is now recommended as the preferred method of measuring in-office blood pressure as mentioned in this paper.
Journal ArticleDOI

Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline From the American College of Physicians and the American Academy of Family Physicians

TL;DR: This guideline presents evidence-based recommendations on the benefits and harms of higher (<150 mm Hg) versus lower (140 mm HG) SBP targets for the treatment of hypertension in adults aged 60 years or older and graded the recommendations using the GRADE method.
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