Expertise: No Longer a Sine Qua Non for Guideline Authors?
Franz H. Messerli,Louis Hofstetter,Enrico Agabiti-Rosei,Michel Burnier,William J. Elliott,Stanley S. Franklin,Tomasz Grodzicki,Kazuomi Kario,Sverre E. Kjeldsen,John B. Kostis,Stephane Laurent,Frans H. Leenen,Per Lund-Johansen,Giuseppe Mancia,Krzysztof Narkiewicz,Vasilios Papademetriou,Gianfranco Parati,Neil Poulter,Josep Redon,Stefano F. Rimoldi,Luis M. Ruilope,Ernesto L. Schiffrin,Roland E. Schmieder,Allan B. Schwartz,Peter S. Sever,James R. Sowers,Jan A. Staessen,Ji-Guang Wang,Michael A. Weber,B. Williams +29 more
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 …read more
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Jeff D. Williamson,Mark A. Supiano,Mark A. Supiano,William B. Applegate,Dan R. Berlowitz,Dan R. Berlowitz,Ruth C. Campbell,Glenn M. Chertow,Larry J. Fine,William E. Haley,Amret T. Hawfield,Joachim H. Ix,Joachim H. Ix,Dalane W. Kitzman,John B. Kostis,Marie Krousel-Wood,Lenore J. Launer,Suzanne Oparil,Carlos J. Rodriguez,Christianne L. Roumie,Christianne L. Roumie,Ronald I. Shorr,Ronald I. Shorr,Kaycee M. Sink,Virginia G. Wadley,Paul K. Whelton,Jeff Whittle,Jeff Whittle,Nancy Woolard,Jackson T. Wright,Nicholas M. Pajewski +30 more
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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,Kara Nerenberg,Stella S. Daskalopoulou,Kerry McBrien,Kelly B. Zarnke,Kaberi Dasgupta,Lyne Cloutier,Mark Gelfer,Maxime Lamarre-Cliche,Alain Milot,Peter Bolli,Guy Tremblay,Donna McLean,Sheldon W. Tobe,Marcel Ruzicka,Kevin D. Burns,Michel Vallée,G. V. Ramesh Prasad,Marcel Lebel,Ross D. Feldman,Peter Selby,Andrew L. Pipe,Ernesto L. Schiffrin,Philip A. McFarlane,Paul Oh,Robert A. Hegele,Milan Khara,Thomas W. Wilson,S. Brian Penner,Ellen Burgess,Robert J. Herman,Simon L. Bacon,Simon W. Rabkin,Richard E. Gilbert,Tavis S. Campbell,Steven A. Grover,George Honos,Patrice Lindsay,Michael D. Hill,Shelagh B. Coutts,Gord Gubitz,Norman R.C. Campbell,Gordon W. Moe,Jonathan G. Howlett,Jean-Martin Boulanger,Ally P.H. Prebtani,Pierre Larochelle,Lawrence A. Leiter,Charlotte Jones,Richard I. Ogilvie,Vincent Woo,Janusz Kaczorowski,Luc Trudeau,Robert J. Petrella,Swapnil Hiremath,Denis Drouin,Kim L. Lavoie,Pavel Hamet,George Fodor,Jean Grégoire,Richard Lewanczuk,George K. Dresser,Mukul Sharma,Debra Reid,Scott A. Lear,Gregory Moullec,Milan Gupta,Milan Gupta,Laura A. Magee,Alexander G. Logan,Kevin C. Harris,Janis M. Dionne,Anne Fournier,Geneviève Benoit,Janusz Feber,Luc Poirier,Raj Padwal,Doreen M. Rabi +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.
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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.