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recommendations based on high-quality data (level A). Such
guidelines could further limit themselves to making recommendations either for or against (currently class I and III).
Class II recommendations might be dispensed with altogether.
The resulting guidelines might fit on a single page and be easily
referenced. Perhaps we could trust physicians to navigate treatments and therapies of unclear benefit? After all, physicians have
done this for years through shared decision-making with their
patients. And shared decision-making between physicians and
patients is a class I recommendation.
-Jeffrey Michel, MD
Scott and White Heart & Vascular Institute
Temple, Texas
E-mail: Jeffrey.Michel@BSWHealth.org
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CB, Lange RA, Mack MJ, Mauri L, Mehran R, Mukherjee D, Newby LK,
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