It was reported recently in this journal that UK occupational physicians have a positive attitude towards evidence-based guidelines and that the most common barriers to practising evidence-based medicine were lack of time and limited availability of guidelines [1]. Guidelines should be of practical relevance to clinicians, employers and workers. When there are limited resources engaged in producing guidelines, the topics reviewed should be prioritized to focus on those diseases that have the biggest impact on individuals and which present the biggest burden to society.
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