A recent study examined the durability over time of class I recommendations (“procedure/treatment should be performed/administered”) from the American College of Cardiology/American Heart Association clinical practice guidelines. When class I recommendations in a past guideline were compared to the corresponding recommendation in the succeeding guideline, which of the following was most likely true?

Clinical practice guidelines are widespread in modern medical practice. Intermittent updating is important to ensure that the guidelines reflect current evidence from the literature. However, updating that occurs too frequently, especially if substantial changes are made, can reduce trust in the guideline process and undermine efforts to promote their use. Additionally, frequent changes increase the possibility that recommendations are made prematurely, prior to the accumulation of sufficient evidence to support their validity. Premature recommendations that are later determined to be inappropriate may not only lead to...

You do not currently have access to this content.