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Glib aside: sulphonylureas in advanced kidney disease
  1. James Shand1,
  2. Kate Bradley2
  1. 1 Departent of Geriatric Medicine, North Shore Hospital, Auckland, New Zealand
  2. 2 Department of General Medicine, Middlemore Hospital, Auckland, New Zealand
  1. Correspondence to Dr James Shand, North Shore Hospital, Auckland 0620, New Zealand; james.shand{at}

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Recent, BMJ Evidence Based Medicine (EBM) articles have highlighted a number of concerns pertaining to academic validity in medical guidelines. In the September 2019 issue, Braithwaite1 decried a ‘startling disconnect’ between EBM theory and the processes by which academic authorities accumulate and communicate evidence. Meanwhile, in the February 2020 issue, Bareket et al 2 noted the often inadvertent accumulation of error through authors ‘citing non-primary data and amplifying the errors of their predecessors’. Taken together, these procedural errors erode the academic backbone of medical guidelines and are thereby threaten the real-world foundation of evidence-based practice.3 However, these factors may be overlooked by the busy …

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  • Contributors Both authors contributed equally to all facets of this project from design through to sign off of the completed product.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.