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Physicians need the best up-to-date information to make rational clinical decisions. Ideally, this comes from randomized controlled trials (RCT; Class I data). However, in areas like epilepsy surgery, the number of RCTs is extremely limited. Consequently, clinical decisions are often based on consensus expert opinion and individual physicians' preferences. There are established processes for making practice recommendations based on expert opinion, but whether following such paradigms improves care and outcomes is unknown.
In this issue of Neurology®, Jette et al.,1 using the RAND/UCLA Appropriateness Method, propose a tool based on patient characteristics and test results that may be used …
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