Thomas Siep
Erasmus Medisch Centrum, afd. Huisartsgeneeskunde, Rotterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2011;155(30-31):A3563.
In the multidisciplinary Dutch guideline on Cardiovascular Risk Management (revision 2011) the recommendation for preventive treatment of elevated risks of cardiovascular disease in patients with arthritis lacks a trial-based justification. This section should therefore be removed. Introduction of clinical guidelines with recommendations justified by evidence of an unacceptably low grade is a growing international tendency that should be stopped.
在荷兰多学科心血管风险管理指南(2011年修订版)中,针对关节炎患者心血管疾病风险升高进行预防性治疗的建议缺乏基于试验的依据。因此,这部分内容应予以删除。引入基于低质量证据的建议的临床指南这种国际趋势日益增长,应当予以制止。