Abstract
Whilst guidelines are issued in abundance, little work has been undertaken to evaluate impact of their recommendations on acceptability by clinicians and to evaluate any change in practice. Of particular interest in this time frame in the UK, the simultaneous introduction of an opposing recommendation between professional society (BTS/SCTS) and national (NICE) guidelines on surgery for N2 disease, providing a unique opportunity to ascertain the practice of clinicians in the presence of direct conflicting clinical recommendation.
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