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- Page navigation anchor for Commentary on Hoffman et al.Commentary on Hoffman et al.Show More
Dr. Hoffman and colleagues comment on the discrepancy between the perspectives of specialists and primary care physicians in the matter of guidelines for cancer screening. Their main argument appears to be that this discrepancy would be reduced if only specialty organizations followed appropriate standards for developing guidelines. To illustrate this point they use the example of prostate cancer screening and guidelines...
Competing Interests: None declared. - Page navigation anchor for Commentary on 'Reconciling Primary Care and Specialist Perspectives on Prostate Cancer Screening'Commentary on 'Reconciling Primary Care and Specialist Perspectives on Prostate Cancer Screening'Show More
First, a disclaimer: while a member of the AUA and former Chair of the Prostate Cancer Treatment Guideline Panel, I was not on the Panel that developed the PSA Best Practices Statement.(1,2) Note: this was a Statement, not a formal Guideline. While the reader of the Statement will see the rigor of the literature review, it was not performed in the more formalized manner of an AUA Guideline. The NCCN methodology was sim...
Competing Interests: None declared. - Page navigation anchor for Authors' ResponseAuthors' ResponseShow More
We appreciate Dr. Lin's insightful comments. Not only has the AUA criticized the USPSTF for not including a urologist on the guideline panel, but they have strongly endorsed House of Representatives bill 5998 (http://www.govtrack.us/congress/bills/112/hr5998/text), the USPSTF Transparency and Accountability Act of 2012. This bill would require changing the composition of the guideline panel to include not only special...
Competing Interests: None declared. - Page navigation anchor for Practice guidelines produced by subspecialists must meet higher standardsPractice guidelines produced by subspecialists must meet higher standardsShow More
This excellent commentary by Dr. Hoffman and colleagues rightly points out that practice guidelines produced without the involvement of generalists are less likely to be trustworthy or based on high-quality evidence. Since the release of the USPSTF's recommendation against PSA- based prostate cancer screening earlier this year, the American Urological Association has loudly criticized the USPSTF for not including a urologi...
Competing Interests: None declared.