School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC.
Med J Aust. 2011 Oct 17;195(8):442-5. doi: 10.5694/mja10.11130.
• Clinical guidelines are being increasingly produced to improve quality of care, but are vulnerable to bias. • Only 15% of guidelines on the National Health and Medical Research Council portal from the most prolific developers have published conflict of interest statements, and fewer detail the processes used to manage conflicts. • Comprehensive disclosure of conflicts is needed to safeguard the integrity of clinical guidelines and the medical profession. • Peak bodies and clinicians should seek to promote an improvement to current poor practice.
• 临床指南的制定日渐增多，旨在提高医疗质量，但易受偏差影响。 • 在国家卫生和医学研究委员会网站上，最活跃的指南制定者中有 15%的指南发表了利益冲突声明，但披露冲突管理流程的指南较少。 • 需要全面披露冲突，以维护临床指南和医疗行业的诚信。 • 专业机构和临床医生应努力改善当前不良做法。
