In Reply The letters from Dr Shrestha, Drs Wira and Swenson, and Drs Burnham and Roman raise valid and important critiques about a process that is inherently complex and imperfect.
We, the 2 co-chairs, determined the composition of the Sepsis Definitions task force after first being appointed by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine. We invited 15 highly published individuals with broad knowledge over a wide range of sepsis-related topics and 2 members who drove the massive data analyses needed to develop the new clinical criteria. Several other individuals, including a leading female scientist, were invited but were otherwise committed. We recognize that our solitary focus on expertise resulted in a task force that lacked diversity. We sincerely regret this result and hope that future efforts will result in broader representation.
Deutschman CS, Singer M. Composition of the Sepsis Definitions Task Force—Reply. JAMA. 2016;316(4):461-462. doi:10.1001/jama.2016.6395