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Comorbidity and guidelines: conflicting interests.

Weel, C. van, Schellevis, F.G. Comorbidity and guidelines: conflicting interests. Lancet: 2006, 367(9510), 550-551
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The fourth epidemiological transition is characterised by an unprecedented increase in chronic degenerative disorders.1 Thus chronic disease is a particularly important area in which to ensure high-quality care. Clinical practice guidelines are increasingly being used for performance indicators. Stephen Campbell and colleagues recently showed substantial improvement in the quality of clinical care in UK general practice when judged on this basis. Reassuring as this result is, this method ignores the reality that 25–50% of people with a chronic disease have comorbidity or multimorbility. (aut.ref.)
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