In theory, clinical practice guidelines (CPGs) are designed to reduce cognitive load, standardize care delivery, improve clinical outcomes, and mitigate disparities through equitable practice.1 

However, pediatric CPGs have recently come under scrutiny for being outdated and methodologically challenged in keeping up with emerging evidence.2 In addition, a systematic review found that, although there were some positive effects of the use of race or ethnicity in pediatric CPGs, there was a potential for negative effect almost half of the time.3 

In this issue of Pediatrics, Kemper et al offer a revision of the CPG on Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation.4 Initially published in 2004 and updated with clarifications and modifications in 2009,5,6 this CPG has been among the most frequently cited of the American Academy of Pediatrics’ practice guidelines, as well as, a highly referenced...

You do not currently have access to this content.