He has called for all drug companies to sign up to the Good Publication Practice Guidelines for Pharmaceutical Companies, which encourage companies to publish all trial results, and to put into place mechanisms to oversee adherence to these guidelines.

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He was widely published and active in the field, serving as a member of the European Society of Cardiology committee for practice guidelines and as the chairperson of the ESC guidelines on pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery.

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However, it is less widely understood that the PCA also proposed two governmental bodies to broadly apply cost effectiveness research in order to develop guidelines to govern the practice of, and payment for, medical care.

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