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Analysis Rating quality of evidence and strength of recommendations

GRADE: an emerging consensus on rating quality of evidence and strength of recommendations

BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39489.470347.AD (Published 24 April 2008) Cite this as: BMJ 2008;336:924

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Re: GRADE: an emerging consensus on rating quality of evidence and strength of recommendations

Dear Editor

Medicine and Health care are considered personalized in most parts of the world [1,2]. Hence creating one guideline to be implemented by all seems like a marketing strategy to promote one or another product rather than personalized care for the community.   Guidelines made using jumbling of words like GRADE etc for Universal application - to alter policy, affect clinical practices - is in contradiction to personalized medicine.  

Reference:
1. Damoiseaux RA. 'Personalised care' in richtlijnen: een contradictio in terminis [Personalised care in guidelines is a contradiction in terms]. Ned Tijdschr Geneeskd. 2014;158:A7408. Dutch. PMID: 24594134.

2. El-Alti, L., Sandman, L. & Munthe, C. Person-Centered Care, and Personalized Medicine: Irreconcilable Opposites or Potential Companions? Health Care Anal 27, 45–59 (2019). https://doi.org/10.1007/s10728-017-0347-5

Competing interests: No competing interests

21 August 2023
Neeta Kumar
Scientist
ICMR
E-62 ANSARI NAGAR, ALLL INDIA INSTITITE OF MEDICAL SCIENCES
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