Is USI ready to develop Guidelines?
This is an
issue that we as Urologists should give much consideration. USI has formed a
guideline committee. But very little is known as regards its function.
If we look
at the guidelines prepared by various guideline developers, it is obvious that
most of them are country specific. In many of them, many aspects in the
guideline published are riddled with â€˜Clinical Principlesâ€™ and â€˜Expert Opinionâ€™
and only few aspects are based on recommendations and that too only few are
Grade A and B Recommendations. Who becomes the expert and what governs clinical
Principles are not clear.
Countries with much more resources than we are yet to develop their own
guidelines but accept the Western guidelines for what it is worth.
One of the
major aspects is the need of proper documentations of illnesses in developing
guidelines. This, unfortunately, is lacking in our country. Is cut and paste
from other Guidelines an acceptable policy to be adopted. India being a vast
country with varied Socio-Cultural differences is by itself an impediment to
produce valid guidelines to suit all with one yardstick.
hopeful that many of us will ponder on this issue and place their views which
will enable us to have a collective notion on what we should expect from the
guidelines we develop.
raised this issue a while ago when we were in â€˜Uroeducationâ€™. We did have some
responses but were not pursued.