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Developing sexually transmitted disease guidelines in the USA and the UK.
International Journal of STD & AIDS 2007; 18:7-10.
FitzGerald M, Workowski K.
Abstract
Management guidelines for sexually transmitted diseases are reviewed and updated
every four years at a workshop of experts convened by the US Centers for Disease
Control and Prevention. They are disseminated in paper and electronic formats,
and are widely accessed. Their recommendations are graded according to quality
of evidence, benefits versus harms, and applicability. In the UK, guidelines
are commissioned by the Clinical Effectiveness Group, following a specific
methodology, then modified after consultation within the specialty of genitourinary
medicine. Some issues are problematic for both guidelines, notably areas where
the evidence is weak, where diagnostics and treatments are changing rapidly,
and in knowing the extent to which guidelines actually influence practice