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Rheumatology 2006 45(1):6-8; doi:10.1093/rheumatology/kei232
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org


EDITORIAL

Primary care guidelines in rheumatology

E. Wise1, N. Kumar2 and D. Walker1

1 Musculoskeletal Unit, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, UK 2 University Hospital of North Durham, Durham, DHI STW, UK

Correspondence to: D. Walker. E-mail: david.walker@nutu.rhs.uk

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

‘Guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances’ [1]. Their development began in the 1970s and there has been a huge proliferation of guidelines for the management of medical conditions over recent years. This has been fuelled by The National Institute for Clinical Excellence (NICE), who produce clinical guidelines and recommendations on the appropriate treatment and care of people with specific diseases and conditions within the NHS in England and Wales. NICE suggest four ways in which clinical guidelines should be helpful: (i) they should improve patient care by making recommendations for the treatment and care of people by health professionals; (ii) they should be used to develop standards to assess the clinical practice of health professionals; (iii) they should be used in the education and training of health professionals; and (iv) they should help patients to . . . [Full Text of this Article]


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E. M. Wise, T. O'Brien, and D. J. Dickson
Guidelines causing iatrogenic disease?
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