Guideline Adaptation: An Appealing Alternative to De Novo Guideline Development

  1. Valerie A. Palda, MD, MSc;
  2. Ian D. Graham, PhD;
  3. Dave Davis, MD;
  4. Jako Burgers, MD, PhD;
  5. Melissa Brouwers, PhD;
  6. Françoise Cluzeau, PhD; and
  7. On behalf of the AGREE research trust
  1. From the University of Toronto, Toronto, Ontario M5B 1W8, Canada.

    TO THE EDITOR:

    We read with interest the ACP guidelines (1) on glycemic control in type 2 diabetes mellitus. The use of the AGREE instrument to compare the methodological rigor of various guidelines is a meaningful step forward. To our knowledge, it is used regularly only by a few groups, such as the Guidelines Advisory Committee in Ontario (http://www.gacguidelines.ca), and more widely in Europe by the Belgian Centre for Evidence-Based Medicine (http://www.cebam.be) and others (http://www.agreetrust.org/links.htm). Using well-developed guidelines as a basis for forming …

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