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Latency of guideline effects: National Institute for Health and Clinical Excellence and other contributors to head injury management
  1. Dietmar H Borchert1,
  2. Willem Schenk1,
  3. Alain Sauvage2
  1. 1Department of Orthopaedic & Trauma Surgery, West Suffolk Hospitals, Bury St Edmunds, UK
  2. 2Department of Emergency Medicine, West Suffolk Hospitals, Bury St Edmunds, UK
  1. Correspondence to:
 Dr D H Borchert
 Department of Orthopaedic & Trauma Surgery, West Suffolk Hospitals, Hardwick Lane, Bury St Edmunds IP33 2QZ, UK; dietmar.borchert{at}doctors.org.uk

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In 1999, the Royal College of Surgeons updated the guidelines on the management of patients with head injury first issued in 1986.1,2 Prior to this, several other societies in the UK and elsewhere had released similar guidelines, preceded by research in Canada. National guidelines should lead to change of patient management.3 The latency of guideline effects was recently shown by a report in this journal.4 Repeatedly revised guidelines, …

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