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Expertise: no longer a sine qua non for guideline authors?*

Messerli, Franz H.a,b,c; Hofstetter, Louisa; Agabiti-Rosei, Enricod; Burnier, Michele; Elliott, William J.f; Franklin, Stanley S.g; Grodzicki, Tomaszh; Kario, Kazuomii; Kjeldsen, Sverre E.j; Kostis, John B.k; Laurent, Stephanel; Leenen, Frans H.m; Lund-Johansen, Pern; Mancia, Giuseppeo,p; Narkiewicz, Krzysztofq; Papademetriou, Vasiliosr; Parati, Gianfrancos,t; Poulter, Neilu; Redon, Josepv; Rimoldi, Stefano F.a; Ruilope, Luis M.w; Schiffrin, Ernesto L.x; Schmieder, Roland E.y; Schwartz, Allan B.z,aa; Sever, Peterbb; Sowers, James,dd,ee; Staessen, Jan A.ff; Wang, Jiguanggg; Weber, Michaelhh; Williams, Bryanii; de Leeuw, Peter W.jj

doi: 10.1097/HJH.0000000000001435

Several sets of guidelines have been published recently and more are in the works. The very recent American College of Physicians/American Academy of Family Practitioners guidelines were put together by a set of authors and consultants without any expertise in the topic under discussion, that is, hypertension. Although we are not maintaining that all guidelines should be written exclusively by experts, complete lack of expertise among guideline authors is not acceptable.

aDepartment of Cardiology and Clinical Research, Inselspital Bern, University of Bern, Bern, Switzerland

bMount Sinai Icahn School of Medicine, New York, New York, USA

cJagiellonian University Krakow, Kraków, Poland

dDepartment of Clinical and Experimental Sciences, Clinica Medica, University of Brescia, Brescia, Italy

eService de Néphrologie et Hypertension, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland

fDepartment of Biomedical Sciences, Pacific Northwest University of Health Sciences, Yakima, Washington

gHeart Disease Prevention Program, Division of Cardiology, Department of Medicine, C240 Medical Sciences, University of California, Irvine, California, USA

hDepartment of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland

iDivision of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan

jDepartment of Cardiology, University of Oslo, Ullevaal Hospital, Oslo, Norway

kCardiovascular Institute, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

lDepartment of Pharmacology, European Georges Pompidou Hospital, Assistance Publique Hôpitaux de Paris, Inserm UMR 970, University Paris Descartes, Paris, France

mHypertension Unit, University of Ottawa Heart Institute, Ottawa, Ontario, Canada

nDepartment of Heart Diseases, University of Bergen, Haukeland Hospital, Bergen, Norway

oUniversity of Milano-Bicocca

pIRCCS Istituto Auxologico Italiano, Milan, Italy

qDepartment of Hypertension and Diabetology, Medical University of Gdansk, Gdańsk, Poland

rHypertension and Cardiovascular Research Clinic, Veterans Affairs and Georgetown University Medical Centers, Washington, District of Columbia, USA

sDepartment of Cardiovascular, Neural and Metabolic Sciences, Ospedale S. Luca IRCCS Istituto Auxologico Italiano

tDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy

uImperial Clinical Trials Unit, Imperial College London, London, UK

vHospital Clinico Unviersitario de Valencia, Valencia

wDepartment of Nephrology, Hypertension Unit, Hospital 12 de Octubre, Madrid, Spain

xDepartment of Medicine, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Québec, Canada

yDepartment of Nephrology and Hypertension, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany

zDivision of Nephrology and Hypertension, Department of Medicine

aaAmerican Society of Hypertension, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA

bbInternational Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London – Hammersmith Campus, London, UK

ccDiabetes and Cardiovascular Center, University of Missouri School of Medicine

ddDepartment Service, Harry S Truman Memorial Veterans Hospital

eeDepartment of Medical Pharmacology and Physiology, University of Missouri School of Medicine, Columbia, Missouri, USA

ffUniversity of Leuven, Leuven, Belgium

ggDepartment of Hypertension, Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

hhSUNY Downstate Medical Center, Brooklyn, New York, USA

iiUniversity College London and NIHR University College London Hospitals Biomedical Research Centre, University College London, London, UK

jjDepartment of Medicine, Masstricht University Medical Center, Maastricht University, Maastricht, the Netherlands

Correspondence to Franz H. Messerli, MD, FACC, Professor of Medicine, University of Bern, Bern, Switzerland; Mount Sinai Icahn School of Medicine, New York, New York, USA, Jagiellonian University Krakow, Kraków, Poland. Tel: +41 77 468 13 63; fax: +41 31 632 42 11; e-mail:

* This article has been copublished in Hypertension.

Received 29 March, 2017

Accepted 11 May, 2017

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