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NDT Advance Access originally published online on January 29, 2009
Nephrology Dialysis Transplantation 2009 24(3):728-730; doi:10.1093/ndt/gfp006
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Global nephrology guidelines: a first small step in the right direction

Garabed Eknoyan1 and Norbert Lameire2

1 Renal Section, Department of Medicine, Baylor College of Medicine Houston, TX, USA 2 Renal Division, Department of Medicine, University Hospital Ghent, Ghent, Belgium

Correspondence and offprint requests to: Garabed Eknoyan, Department of Medicine (523-D), Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030-3498, USA. Tel: +1-713-798-4748; Fax: +1-713-790-0681; E-mail: geknoyan@bcm.edu

Keywords: chronic kidney disease; guidelines; hepatitis C; nephrology guidelines

The first 10% of the full text of this article appears below.

Guidelines for the care and cure of illnesses have been an integral component of medicine from its origins. Extant records of ancient medicine document precise recommendations of then available therapeutic options, which lend themselves to analysis as algorithms of diagnosis and treatment [1]. The 5000-year-old Babylonian Code of Hammurabi clearly states the compensation for a cure and the punishment for a poor outcome. As the priestly medicine of Mesopotamia and Egypt led to the emergence of Greek rational medicine, therein began the foundations of a scientific basis to guidelines, albeit based on individual case observations and accrued clinical experience. The beginnings of epidemiologic studies and probability mathematics during the Enlightenment added a new dimension and terminology to guidelines. The consequent complexity that resulted is perhaps best exemplified in the publication of an explanatory test titled ‘Medical Arithmetic, As a . . . [Full Text of this Article]



   Guidelines: problems and potential solutions
 


   Conclusion
 

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