Broad versus narrow clinical practice guidelines: avoiding rules for the high risk 1%
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Broad versus narrow clinical practice guidelines: avoiding rules for the high risk 1% Vishnu Harikumar1 · Brandon Worley1 · Sarah A. Ibrahim1 · Bianca Y. Kang1 · Ian A. Maher2 · Todd V. Cartee3 · Joseph F. Sobanko4 · Nour Kibbi5 · Joshua L. Owen1,29 · Kelly A. Reynolds1 · Diana Bolotin6 · Abigail H. Waldman7 · Kira Minkis8 · Brian Petersen9 · M. Laurin Council10 · Kishwer S. Nehal11 · Y. Gloria Xu12 · S. Brian Jiang13 · Ally‑Khan Somani14 · Conway C. Huang15 · Daniel B. Eisen16 · David M. Ozog17 · Erica H. Lee11 · Faramarz H. Samie18 · Isaac M. Neuhaus19 · Justin J. Leitenberger20 · Margaret W. Mann21,22 · Naomi Lawrence23 · Nathalie C. Zeitouni24 · Nicholas Golda25 · Ramona Behshad26 · Sherrif F. Ibrahim27 · Siegrid S. Yu19 · Thuzar M. Shin4 · William G. Stebbins28 · Murad Alam1 Received: 14 October 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Keywords Clinical Practice · Guidelines · High Risk · Evidence-based medicine · Cancer
Clinical practice guidelines are intended to help practitioners and patients select the diagnostic and therapeutic approaches that are best supported by the evidence. Guidelines are particularly useful in the context of evolving research, as they
free practitioners from the burden of personally evaluating the often overwhelming corpus of knowledge [1, 2]. When high-level evidence is unavailable, guidelines rely on expert consensus to resolve uncertainty.
* Murad Alam m‑[email protected]
10
Division of Dermatology, Center for Dermatologic and Cosmetic Surgery, Washington University in Saint Louis, Saint Louis, MO, USA
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Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
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Department of Dermatology, University of Wisconsin-Madison, Madison, WI, USA
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Department of Dermatology, University of California San Diego, San Diego, CA, USA
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Department of Dermatology, Indiana University School of Medicine, Indianapolis, IN, USA
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Department of Dermatology, University of Alabama, Birmingham, AL, USA
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Department of Dermatology, University of California Davis, Sacramento, CA, USA
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Department of Dermatology, Henry Ford Hospital, Detroit, MI, USA
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Department of Dermatology, Columbia University Irving Medical Center, New York, NY, USA
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Department of Dermatology, University of California at San Francisco, San Francisco, CA, USA
20
Department of Dermatology, Oregon Health and Science University, Portland, OR, USA
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Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N St Clair St, Suite 1600, Chicago, IL 60611, USA
2
Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
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Department of Dermatology, Penn State College of Medicine, Hershey, PA, USA
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Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
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Department of Dermatology, Stanford University School of Medicine, Redwood City, CA, USA
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Section of Dermatology, The University of Chicago, Chicago, IL, USA
7
Brigham and
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