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IDepartment of Public Health, Universidade Federal de Ciências da Saúde de Porto Alegre – Porto Alegre (RS), Brazil. IIPrograma de Pós-Graduação em Avaliação e Produção de Tecnologias para o SUS, Grupo Hospitalar Conceição – Porto Alegre (RS), Brazil. IIICumming School of Medicine at the University of Calgary – Calgary, Alberta, Canada. IVZone Clinical Department Head for Emergency Medicine in Calgary – Calgary, Alberta, Canada. VInstituto Nacional de Cardiologia – Rio de Janeiro (RJ), Brazil. VIInstituto Nacional de Câncer José Alencar Gomes da Silva – Rio de Janeiro (RJ), Brazil. Corresponding author: Airton Tetelbom Stein, Universidade Federal de Ciências da Saúde de Porto Alegre, Rua Sarmento Leite, 245, CEP: 90050-170, Porto Alegre, RS, Brazil. E-mail: astein@ufcspa.edu.br Conflict of interests: nothing to declare – Financial support: none. DOI: 10.1590/1980-549720180021

Implementing clinical guidelines: a need to follow recommendations based on the best evidence available