The JAMA article paraphrases the eight critical elements in the 2008 Institute of Medicine report required to generate a "trustworthy" article, such as systematic methodology, appropriate stakeholders, etc. Most prominently, however, several deal specifically with transparency, including this paraphrased bullet point:
- Conflicts of interest: Potential guideline development group members should declare conflicts. None, or at most a small minority, should have conflicts, including services from which a clinician derives a substantial proportion of income. The chair and co-chair should not have conflicts. Eliminate financial ties that create conflicts.
Sadly, another dismal addition to the all-too-frequent narrative describing the rotten foundation of modern medical practice.
"How to Decide Whether a Clinical Practice Guideline Is Trustworthy"
"Failure of Clinical Practice Guidelines to Meet Institute of Medicine Standards"