Leitlinienwatch (GuidelineWatch) evaluates medical treatment guidelines regarding their independence from the pharmaceutical industry. Our point system rewards measures that reduce the impact of conflicts of interest. Leitlinienwatch is supported by Mezis, NeurologyFirst and Transparency Deutschland.
Median: 8 points
European Society of Cardiology
Median: 3 points
Doctors need guidelines in order to provide treatment for their patients based on the best scientific evidence. Consequently, the guidelines should not be influenced by the commercial interests of pharmaceutical companies or the medical device industry.
The doctors who author these medical guidelines, however, often have ties to the industry in the form of consulting contracts, lecturer fees, and industry-financed studies. This results in conflicts of interest that not only need to be disclosed – their impact must also be minimized.
Or, to put it another way: Anyone who works for a manufacturer cannot evaluate the manufacturer’s products in guidelines.
Five principles have emerged from the international debate on how to properly handle conflicts of interest: 1-2
The leitlinienwatch.de project evaluates guidelines in order to convey the expectations of doctors and society regarding the development of independent guidelines. The objective of leitlinienwatch.de is to provide examples of good guidelines and guidelines that need improvement.
In recent years, the Association of the Scientific Medical Societies in Germany (AWMF) has tightened its requirements for new guidelines. In addition to calling for the disclosure of conflicts of interest, it now supports excluding biased members from individual votes or from holding key positions. Many current guidelines still lag behind these standards, as this website documents. Our results on 67 German S3 guidelines enacted before 2016 were published in the journal BMC Medical Ethics.
Each guideline is evaluated by two reviewers, at least one of whom is a physician. Evaluations are based on the information published in the guidelines and the accompanying guideline report regarding the handling of conflicts of interest (www.awmf.org; www.escardio.org/Guidelines/Clinical-Practice-Guidelines).
We inform the scientific societies involved of each new evaluation and give them the opportunity to conduct a self-assessment and comment on the evaluation.
All evaluations are in German. An English translation is available for evaluations of several cardiological guidelines issued by the European Society of Cardiology (ESC).
Rating: good! (11-18 points), warning! (6-10 points), needs reform! (0-5 points)
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