; Guidelines: Not Just a Matter of Opinion
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Guidelines: Not Just a Matter of Opinion


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									4 Renal & Urology News        MAY 2010      www.renalandurologynews.com


                                                                                 EDITORIAL ADVISORY BOARD
   Guidelines: Not Just a                                                        Medical Director, Urology                                                       Medical Director, Nephrology
                                                                                 Robert G. Uzzo, MD, FACS                                                        Kamyar Kalantar-Zadeh, MD, PhD, MPH
   Matter of Opinion                                                             G. Willing “Wing” Pepper Chair
                                                                                 in Cancer Research
                                                                                 Professor and Chairman
                                                                                                                                                                 Associate Professor of Medicine
                                                                                                                                                                 and Pediatrics, and Director,
                                                                                                                                                                 Dialysis Expansion & Epidemiology
                                                                                 Department of Surgery                                                           Harbor-UCLA Division of
                                                                                 Fox Chase Cancer Center                                                         Nephrology & Hypertension

               edicine has been called                                           Temple University                                                               Los Angeles BioMedical Research Institute,
               “an art” to describe the                                          School of Medicine                                                              The David Geffen School
                                                                                 Philadelphia                                                                    of Medicine at UCLA
               humanistic aspects of care.
   In this regard, the unique experience                                         Urologists                                                                      Nephrologists
   of seasoned practitioners has been
                                                                                 Frank R. Cerniglia Jr, MD                                                       Andrew J. Bleyer, MD, MS
   emphasized over didactic “cookbook”                                           Attending Pediatric Urologist                                                   Professor of Internal Medicine/Nephrology
                                                                                 Children’s Urology of Virginia                                                  Wake Forest University School of Medicine
   standards of care. Yet over the past                                          Richmond, Va.                                                                   Winston-Salem, N.C.
   decade many have come to realize                                              Christopher S. Cooper, MD                                                       Suphamai Bunnapradist, MD
                                                                                 Director, Pediatric Urology                                                     Director of Research
   that variations in care have led to what                                                                                                                      Department of Nephrology
                                                                                 Children’s Hospital of Iowa
   the Institute of Medicine has termed                                          Iowa City                                                                       Kidney Transplant Research Center
                                                                                                                                                                 The David Geffen School of Medicine
   the “Quality Chasm.” Evidence-based                                           Michael Grasso, MD
                                                                                                                                                                 at UCLA
                                                                                 Chairman, Department of Urology
   medicine has emerged as a new stan-                                           Saint Vincent’s Catholic Medical Centers                                        Csaba P. Kovesdy, MD
                                                                                 New York City                                                                   Assistant Professor of
   dard to reconcile quality and value of life judgments, with evidence                                                                                          Clinical Internal Medicine
                                                                                 R. John Honey, MD
   gained from applying scientific methods to medical decision making.                                                                                            University of Virginia
                                                                                 Head, Division of Urology,
                                                                                 Endourology/Kidney Stone Diseases
     As such, professional organizations have moved to develop best prac-        St. Michael’s Hospital
                                                                                                                                                                 Chief of Nephrology
                                                                                                                                                                 Salem VA Medical Center
   tice guidelines. While non-binding, these guidelines seek to provide a        University of Toronto
                                                                                                                                                                 Salem, Va.
                                                                                 Stanton Honig, MD
   practice framework based on the best available data. As the data have         Associate Clinical Professor of Surgery/Urology
                                                                                                                                                                 Edgar V. Lerma, MD, FACP, FASN, FAHA
                                                                                                                                                                 Clinical Associate Professor of Medicine
   strengthened, the processes of developing guidelines have become              University of Connecticut
                                                                                                                                                                 Section of Nephrology
                                                                                 School of Medicine, Urology Center
   more rigorous. Nonetheless, pundits perceive guidelines as inherently         New Haven
                                                                                                                                                                 Department of Medicine
                                                                                                                                                                 University of Illinois at Chicago
   self serving and based on “opinion,” thereby unnecessarily impinging          J. Stephen Jones, MD, FACS                                                      College of Medicine
                                                                                 Chairman                                                                        Chicago
   on the “art” of medical practice.                                             Department of Regional Urology
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