Guidelines Under Fire Again!
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See Related Editorial, pp 235–237
In an editorial in this issue of Hypertension, copublished in The Journal of Hypertension, a group of luminaries in our field, led by Franz Messerli, takes issue with aspects of the recent Clinical Practice Guidelines published in the Annals of Internal Medicine, on behalf of the American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP).1–3 A similar critique was made by Messerli in a letter to the editors of Hypertension in 2014 in relation to a Science Advisory issued by the American Heart Association, the American College of Cardiology, and the Center for Disease Control in 2014.4,5
The editorial makes salient points, but the dominant criticism is that the authors of the ACP/AAFP guidelines, 6 in total, lack the expertise expected of authors of major guidelines as judged by the number of publications on the subject in question (in this instance, on hypertension) by recognition as a hypertension specialist certified by the American Society of Hypertension, by membership of relevant societies such as the American Society of Hypertension, or the Council for Hypertension of the American Heart Association, and by membership of editorial boards of relevant scientific journals. In these respects, the editorial compares the expertise of the authors of the Eighth Joint …