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To the Editor: In their Editorial, Drs Shaneyfelt and Centor¹ stated that guideline development should "be centralized, for example under the guidance of . . . a group similar to the US Preventive Services Task Force [USPSTF]." Why search for what already exists? The USPSTF guidelines are comprehensive, neutral, evidence-based, and referenced. They are updated as frequently as necessary. Their only shortcoming is that they seem to receive insufficient attention.

Financial Disclosures: None reported.

Robert S. Bobrow, MD
rbobrow@notes.cc.sunysb.edu
Department of Family Medicine
Stony Brook University
Stony Brook, New York

1. Shaneyfelt TM, Centor RM. Reassessment of clinical practice guidelines: go gently into that good night. JAMA. 2009;301(8):868-869. FREE FULL TEXT

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2009;302(2):145.

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