RT Journal A1 Shaneyfelt T T1 In guidelines we cannot trust: Comment on “failure of clinical practice guidelines to meet institute of medicine standards” JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2012 FD November 26 VO 172 IS 21 SP 1633 OP 1634 DO 10.1001/2013.jamainternmed.335 UL http://dx.doi.org/10.1001/2013.jamainternmed.335 AB In the late 1990s, 2 colleagues and I critically appraised a broad set of published guidelines and found that guidelines adhered to less than half of the methodological standards for guideline development.2 We opined that since the guideline industry was in its infancy, over time developers would adhere to recommended standards of guideline development. As demonstrated by Kung et al3 in this issue of the Archives, guidelines are still not following guidelines.