This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Don Riesenberg, MD

JAMA. 1987;258(19):2738.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Two articles in this issue of THE JOURNAL pertain to the National Institutes of Health Consensus Development Program. One is the Consensus Conference statement on the management of clinically localized prostate cancer.¹ The other is an investigation by Kosecoff and colleagues² into the effect of Consensus Conference recommendations on how physicians practice. The former summarizes clinical and histological grading of, and surgical and radiation therapy for, a common malignancy. The latter suggests that the former will make little difference.

Kosecoff et al² reviewed charts from ten Washington State hospitals before and after four Consensus Conferences, two on various aspects of breast cancer and one each on coronary artery bypass surgery and cesarean childbirth. Although there was a trend across time toward greater "compliance" with consensus-panel recommendations, that trend peaked prior to the conferences. And compliance with six of 11 recommendations remained at less than 50% two years . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?