{"id":1383,"date":"2009-12-16T15:15:43","date_gmt":"2009-12-16T20:15:43","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/new-guidelines\/"},"modified":"2011-07-19T17:44:12","modified_gmt":"2011-07-19T21:44:12","slug":"new-guidelines","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2009\/12\/16\/new-guidelines\/","title":{"rendered":"New Guidelines"},"content":{"rendered":"<p>How closely do you watch for new guidelines?\u00a0It seems\u00a0as if\u00a0every week new guidelines are published on a variety of topics including <a href=\"http:\/\/content.onlinejacc.org\/cgi\/content\/full\/48\/4\/e149\">atrial fibrillation<\/a>, <a href=\"http:\/\/content.onlinejacc.org\/cgi\/content\/full\/52\/13\/e1\">valve disease<\/a>,\u00a0<a href=\"http:\/\/content.onlinejacc.org\/cgi\/content\/full\/j.jacc.2009.10.015\">STEMI<\/a> and <a href=\"http:\/\/content.onlinejacc.org\/cgi\/content\/full\/50\/7\/e1\">NSTEMI<\/a>, and, most recently, <a href=\"http:\/\/content.onlinejacc.org\/cgi\/content\/full\/j.jacc.2009.07.004\">the use of perioperative beta blockers<\/a>.\u00a0 Between guidelines, appropriateness criteria and various position papers, it can be extremely challenging to keep abreast of the most recent &#8220;standards of care.&#8221;<\/p>\n<p>How closely do you scrutinize these publications?\u00a0 Do you know what data the recommendations are based upon?\u00a0When I first put together a talk on perioperative beta blockade (back in 2001), it seemed that almost everyone should be on a beta-blocker.\u00a0Now, with the\u00a0incorporation of\u00a0data from several recent studies (including\u00a0<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(08)60601-7\/fulltext\">POISE<\/a> and <a href=\"http:\/\/journals.lww.com\/annalsofsurgery\/Abstract\/2009\/06000\/Bisoprolol_and_Fluvastatin_for_the_Reduction_of.9.aspx\">DECREASE<\/a>), that\u00a0just is not\u00a0the case.<\/p>\n<p>What are your thoughts on making sense of all this &#8211; how do you incorporate new recommendations?\u00a0 What&#8217;s more, do you think that guidelines lag behind the data?\u00a0 Should we wait for these publications to change how we treat our patients?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>How closely do you watch for new guidelines?\u00a0It seems\u00a0as if\u00a0every week new guidelines are published on a variety of topics including atrial fibrillation, valve disease,\u00a0STEMI and NSTEMI, and, most recently, the use of perioperative beta blockers.\u00a0 Between guidelines, appropriateness criteria and various position papers, it can be extremely challenging to keep abreast of the most [&hellip;]<\/p>\n","protected":false},"author":202,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1383","post","type-post","status-publish","format-standard","hentry","category-general"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1383","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/202"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=1383"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1383\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=1383"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=1383"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=1383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}