Reasons for reluctance to use the guidelines included the following reported opinions: using the guidelines limits their professional independence, there is a gap between practice and guidelines, and using guidelines does not improve their work.
Although previous studies have suggested that the use of parenteral thromboprophylaxis in all ambulatory cancer patients receiving chemotherapy significantly decreases the rate of VTE, current clinical practice guidelines do not recommend routine use of thromboprophylaxis in this patient population.
Although antipsychotics may be used in sleep disorders, treatment guidelines do not recommend using such agents on account of their side effect profiles.
Although ERS/ATS guidelines do not recommend using NIV to avoid reintubation in patients with overt respiratory distress and/or respiratory failure after planned extubation, this recommendation is not considered definitive and may not apply to patients with COPD [31].
The fact that current guidelines do not recommend using AFP screening may reflect the poor quality of current evidence or a lack of explicit attention to cost-effectiveness considerations during the development of clinical guidelines.
Moreover, U.S. EPA testing guidelines do not recommend use of rats with low fecundity, such as the F344, for studies evaluating reproduction (U.S. EPA 1998).
In fact, the actual ASCO and ESMO guidelines do not suggest the use of tumor markers for monitoring BC patients during followup, and both confirm that they should be used only for advanced BC therapy monitoring, especially in cases where cancer lesions response, to therapy are not clinically evaluable.
They added: "PHE guidelines do not prohibit the use of mefloquine in Afghanistan as an alternative if the patient cannot take C&P for individual reasons.
For example, most guidelines do not recommend the use of dipslides.
Norwegian guidelines do not recommend the use of vitamin C for UTI prophylaxis in nursing homes.
