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The inadequate evidence base for monitoring in chronic diseases

Carl Heneghan
Last edited 14th March 2011

In today’s BMJ we have published a systematic review of monitoring recommendations in cardiovascular guidelines: part of our program of work in monitoring at MAdOx.

We often undertake projects with folk who visit the department, and for this systematic review, Ivan Moschetti visiting from Italy and Daniel Brandt from Canada did a great job, undertaking the majority of the spade-work.

Our conclusion is pretty straightforward: ‘Many guidelines for cardiovascular disease do not report clearly what to monitor and what to do if a change is detected. If no evidence is available to support a specific monitoring schedule, this should be explicit in the guideline, with a description of the new research that would fill the gap’.

A lot of money is spent on monitoring in chronic diseases, and based on what we found a considerable amount of it is wasted. Read more

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