Doctor warns of endemic guideline fatigue

The proliferation of shoddy medical guidelines is threatening patient safety and fuelling “guideline fatigue” in doctors, it has been claimed.

Although cast as bastions of evidence-based medicine, around half of all guidelines are in fact based only on weak evidence, anecdote and opinions, a Scottish doctor wrote last week in the BMJ.

Dr Grant Hutchison said that while high-quality guidelines were clearly beneficial, “the risks associated with the dissemination of poorly