Whereas patient choice was a factor in 22 % of cases that were potentially candidates for but did not receive BCT, other factors, such as physician recommendations, could play a role in surgical decisions.
Fear of an influenza pandemic, the increased use of the seasonal influenza vaccine in the private sector, the actions of neighboring countries, and the influence of PAHO's TAG recommendations likely played a role in country and territory decisions to begin to administer the vaccine in the public sector.
Other area-level and individual-level factors not included in the BRFSS, such as managed care coverage, availability of primary care physicians, knowledge about cancer risk factors, psychosocial factors, and physician recommendations could play a role in the association between adverse area poverty and CRC screening [ 21, 28, 29].
In contrast, a social context where screening is viewed as routine and the offer framed possibly, if not strongly, as a recommendation may play a role in the relatively high uptake of DSS in Denmark.
Also, the post-discharge therapy recommendations may also play a role.
The OARSI experts did not consider the term "uncertain" as a negative recommendation; rather it requires a role for physician-patient interaction because of their favorable risk-benefit ratio and its moderate to high effect size.
The hypothesis that the obesity-associated discrepancies in nutrient intake from recommendations in guidelines could have a role in worsening the cardiovascular risk of these subjects was supported by the evidence that the percent of cardiovascular, antidiabetic, or lipid-lowering drug assumption was higher in OB and OW than in NW patients.
These findings highlight the importance of the family doctor in either seeking out information, advice, or playing a role in screening recommendations.
Many factors play a role in making recommendations.
Next to the scientific evidence, other considerations play a role in formulating recommendations for clinical practice.
