In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:. Wheeler TL, II, Blackhurst DW, Dellinger EH, Ramsey PS. Usage of spot urine protein-to-creatinine ratios in the evaluation of preeclampsia. Am J Obstet Gynecol 2007;196:465.e1-465.e4.