Legal Ramifications of Ambiguous Clinical Guidelines—Reply

In Reply In highlighting the potential misuse of practice guidelines in litigation, Mr Kels and Dr Kels draw attention to one of the many unintended consequences of intermediate-grade recommendations; that is, that the authority of a professional society’s imprimatur and the appearance of quantitation inherent in an alphanumeric rating system may convey the impression of an action that is thoroughly evidence-based and ought to be performed, despite any number of layers of equivocation that might be deployed as a hedge against that impression.