When medical evidence alone is simply not enough


  • See referenced original article on pages 2660–70, this issue.


A report in this issue by Messing and colleagues on postoperative bladder chemotherapy does much to demonstrate that medical evidence alone is not always sufficient to enable the efficient implementation of changes in clinical practice. Practice patterns, information dissemination, advocacy programs, guidelines, logistics, and reimbursement policies must all synchronize to promote effective change.