The STS Workforce on Evidence Based Surgery welcomes suggestions on clinical practice guideline topics. Please complete the form below. Proposed Topic Proposed Task Force Chair Collaboration with External Organizations Yes No If yes, indicate the nature of the relationship: Partnering Organization: Jointly develop and/or publish the guideline with naming rights in title Collaborating Organization: Representation on Guideline Task Force does not include naming rights in title; does include second-line billing (i.e., Developed in Collaboration with X organization) Organization(s) Name Organizational Interest Do the organization’s constituencies have a vested interest in treating patients with the specific disease or procedure addressed in the guideline under development? Organization Partnership Is this an organization representing a major and legitimate area of interest and an established or potential partner for the STS? Yes No External Organization’s Representatives Topic Selection Provide the rationale for creating this guideline, including its relevance and importance to STS members. Please comment on the possible questions or controversies to be addressed and the sufficiency of published evidence to support guideline development.