Evidence based Surgery

PRINCIPLES OF EVIDENCE - BASED SURGERY CHAPTER 1 Evolution of
Modern Surgery Toby A. Gordon , ScD , and John L. Cameron , MD , FACS
Surgery's origins and history have been extensively documented , revealing the
myths ...

Evidence based Surgery

Author: Toby A. Gordon

Publisher: PMPH-USA

ISBN: 9781550091168

Page: 688

View: 880

As the healthcare environment changes, the need for outcomes-based tre atment planning becomes even more critical. This book guides the reade r through current outcomes-based research as it pertains to surgery. F irst, it gives a complete overview of the practice of evidence-based s urgery (EBS), with topics such as treatment planning, policy issues, a nd ethical issues. Then it gives practical, step-by-step advice on the methodology of EBS, with chapters on study design, outcomes measures, adjustments for complications and comorbidities, cost, and data sourc es. Last, it publishes the results of numerous respected EBS studies.

Evidence Based Surgery

Evidence Based Surgery

Author: Achilles Thoma

Publisher: Springer

ISBN: 303005120X

Page: 360

View: 522

The purpose of this book specifically is to teach surgeons (academic or community), surgical fellows and surgical residents regardless of the surgical specialty, the skills to appraise what they read in the surgical literature. Surgeons need to be able to understand what they read before applying the conclusions of a surgical article to their practice. As most surgeons do not have the extra training in health research methodology, understanding how the research was done, how to interpret the results and finally deciding to apply them to the patient level is indeed a difficult task. Chapters explain the methodological issues pertaining to the various study designs reported in the surgical literature. Most chapters begin with a clinical scenario with uncertain course of action with which most surgeons are struggling. Readers are taught how to search the literature for the best evidence that will answer the surgical problem under discussion. An identified article that seems relevant to the problem you are investigating can be appraised by addressing 3 key questions: 1). Is the study I am reading valid? 2). What are the results of this study? 3). Can I apply these results to my patients? While the primary goal of Evidence-Based Surgery is to teach surgeons how to appraise the surgical literature, an added benefit is that the concepts explained here may help research-minded surgeons produce higher quality research.

Evidence based Surgery

This issue will offer articles on developing skills for evidence-based surgery, the nature of surgical evidence, producing the evidence, and evidence-based decision making.

Evidence based Surgery

Author: Jonathan L. Meakins

Publisher: W B Saunders Company

ISBN: 9781416035572

Page: 225

View: 137

Shared decision making is integral to future surgical care. It is not possible without the organization and applications of knowledge. Evidence-based surgical practice is inevitable as practice and outcomes become patient centered. This issue will offer articles on developing skills for evidence-based surgery, the nature of surgical evidence, producing the evidence, and evidence-based decision making.

Evidence Based Endocrine Surgery

Practicing evidence-based surgery is challenging, and applying it to surgical
practice is a four-step process: creating evidence, summarizing evidence,
disseminating evidence, and implementing evidence into practice [1, 35].
Evidence-based ...

Evidence Based Endocrine Surgery

Author: Rajeev Parameswaran

Publisher: Springer

ISBN: 9811011249

Page: 484

View: 917

In this textbook, leading experts from highly acclaimed institutions describe evidence-based best practice in the management of a wide range of benign and malignant thyroid, parathyroid, adrenal, and neuroendocrine conditions. Detailed attention is devoted to the current role of surgery, including minimally invasive surgery and robotic surgery, in different endocrine disorders. The reader will also learn how best to respond to the problems that may be encountered during endocrine surgical practice. While much of the focus is on surgical aspects, the approach is multidisciplinary, with inclusion of information on recent advances in epidemiology, genetics, cytology, pathology, imaging modalities, and other treatment options. The clear text is complemented by instructive clinical cases as well as numerous high-quality illustrations and tables summarizing key points. This book will be of value for specialists in endocrine medicine and surgery as well as general surgeons with an interest in endocrine surgery.

Evidence Based Medicine in Orthopedic Surgery An Issue of Orthopedic Clinics E Book

Evidence-based orthopedics is a model to assist surgeons to improve the
process of asking questions, obtaining relevant information efficiently, and
making informed decisions with patients. With an increasing appreciation for
higher levels of ...

Evidence Based Medicine in Orthopedic Surgery  An Issue of Orthopedic Clinics   E Book

Author: Safdar N. Khan

Publisher: Elsevier Health Sciences

ISBN: 1455700509

Page: 167

View: 819

Articles include: Definition and Principles, Evidence-Based Orthopaedics: Is it possible? Conflict of Interest and Orthopaedic Publications, SPRINT Trial, Clavicle fractures, Intracapsular femur neck fractures, SPORT trial: Spinal stenosis, Cervical spondylotic myelopathy – anterior vs posterior approaches, Total disc replacement vs Fusion, Flexible constructs for spinal fusion, DVT prophylaxis in adult reconstruction, Hip resurfacing – what is the evidence, Graft selection/type in ACL surgery, LEAP Trial, BESTT Trial, SPORT trial: Lumbar disc herniations, SPORT trial: Degenerative spondylolisthesis.

Health Services Research and Evidence Based Medicine in Hand Surgery An Issue of Hand Clinics

Understanding the concept of NNT and NNH for relevant events helps the
surgeon and patient weighthe benefits against ... This process will help surgeons
incorporate evidence-based surgery into their practice and improve patient care.

Health Services Research and Evidence Based Medicine in Hand Surgery  An Issue of Hand Clinics

Author: Jennifer Waljee

Publisher: Elsevier Health Sciences

ISBN: 0323320325

Page: 145

View: 773

This issue focuses on the integration of health services research into clinical practice. It provides an overview of the field of health services research for the practicing hand surgeon and highlights pertinent topics that can inform clinical care in any practice setting.

Minimally Invasive Gynecologic Surgery Evidence Based Laparoscopic Hysteroscopic Robotic Surgeries

The author has found sonography as important adjuvant for hysteroscopic
myomectomy, adhesiolysis, reoperative hysteroscopy surgery, and
endomyometrial resection (Wortman 2012, Wortman 2013, Wortman et al. 2014).
We utilize a ...

Minimally Invasive Gynecologic Surgery  Evidence Based Laparoscopic  Hysteroscopic   Robotic Surgeries

Author: Jon Ivar Einarsson

Publisher: JP Medical Ltd

ISBN: 1909836095

Page: 270

View: 730

Minimally Invasive Gynecologic Surgery provides a complete, practical and timely review of the minimally invasive surgical techniques used to treat gynaecologic diseases and conditions. This book describes the full range of minimally invasive procedures in current gynaecologic practice, with discussion of the indications and contraindications and a summary of available evidence.

Recommendations for evidence based endoscopic surgery

In general, laparoscopic antireflux surgery has advantages over open
conventional procedures if performed by trained ... The best available evidence
from the literature was collected using a strategy similar to evidence-based
medicine.

Recommendations for evidence based endoscopic surgery

Author: Edmund Neugebauer

Publisher: Springer Science & Business Media

ISBN: 2817808495

Page: 97

View: 605

PRESIDENTIAL ADDRESS There is no doubt that the content of this EAES Consensus Development Conferences (CDC's) booklet represents an extremely important contribution to answering the following questions: which area of endoscopic surgery requires quality assurance ? what methodology should be employed ? what further action is required ? In order to try to answer these questions, the Executive Office of the EAES decided to appoint an "ad hoc" working group which started its activity in 1993. Under the Presidency of Professor Hans Troidl and the scientific mandate of Professor Edmund Neugebauer the Consensus Development Conferences appea red as one of the essential educational programmes of the EAES. These were orga nized thanks to the scientific and secretarial assistance of the 2nd Department of Surgery, University of Cologne. Besides the appointed chairperson, each Conference was led by a clinical chairman who included surgical experts from various countries of Europe: J. Perissat, W. Wayand, A. Fingerhut, A. Paul, E. Eypasch, C.K. Kum. Of course the EAES Congress Presidents and the panel members should be ack nowledged for their important input in the Consensus Conferences. From 1994 to 1998 six themes of endoscopic surgery have been assessed and their recommendation were presented and discussed during the European Congresses held in Madrid, Trondheim, Istanbul and in the World Congress Rome 98.

Evidence based Approach in Cataract Surgery

L et al: pH adjusted periocular anesthesia for primary vitreoretinal surgery. Indian
J Ophthalmol 1999, 47:223-227. 2. Khurana AK: Rsribulbar anesthesia for ocular
surgery. In Gupta AK (Ed): Current Topics in Ophthalmology-IV New Delhi: B-I ...

Evidence based Approach in Cataract Surgery

Author: Jay Bhopi

Publisher: CRC Press

ISBN: 0203320298

Page: 176

View: 118

It is absolutely necessary that the practising ophthalmologist bases clinical and surgical decisions on valid data rather than simply on intuition, hearsay or peer-practice, although this is not to denigrate either one's own opinion or those of colleagues. Evidence-based medicine helps to improve clinical or surgical practice by evaluating the qual

Surgical Decision Making

This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process.

Surgical Decision Making

Author: Rifat Latifi

Publisher: Springer

ISBN: 3319298240

Page: 265

View: 327

This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process. These include patient’s anatomy and pathophysiology as well as the magnitude of the injury at hand, the surgeon's own physiologic and mental status, training and experience, and many other factors such as creativity, leadership skills, and overall "biochemistry" of the environment. The text reviews theoretical as well as objective information that surgeons use to make intraoperative decisions in situations, often with very limited data; decisions that will decide between a patient's living or dying, such as in trauma surgery and other complex surgeries. How surgeons choose one technical approach over another in these situations is covered. This book fills a critical need for resource materials on these topics and includes both theoretical as well as practical presentations of many typical patients seen in operating rooms around the world. Surgical Decision Making: Beyond the Evidence Based Surgery is written by academic and clinical practicing surgeons that face intraoperative decision situations on a daily basis and therefore provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical or research practice.

Evidence Based Practice of Anesthesiology E Book

Safety of outpatient surgery: is mandatory accreditation of outpatient surgery
centers enough? Plast Reconstr Surg 2001;107:189–92. Haeck PC, Swanson JA
, Iverson RE, Lynch DJ, ASPS Patient Safety Committee. Evidence-based safety ...

Evidence Based Practice of Anesthesiology E Book

Author: Lee A Fleisher

Publisher: Elsevier Health Sciences

ISBN: 1455740381

Page: 612

View: 447

Make informed clinical decisions with reliable, up-to-date guidance from Evidence-Based Practice of Anesthesia, 3rd Edition! Leading authority Lee A. Fleisher, MD expertly explores the full range of important issues in perioperative management, discussing the available options, examining the relevant research, and presenting practical recommendations. Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located. Make sound, evidence-based decisions on every aspect of patient care: preoperative assessment, monitoring and administration of anesthesia during surgery, postoperative intensive care management, and postoperative pain management. Master the current best practices you need to know for day-to-day practice and oral board review. Confidently navigate the latest issues thanks to new chapters on optimal airway management in GI endoscopy, the role of Ketamine for perioperative management, fast-track surgery, and hypothermia after intraoperative cardiac arrest, plus many other vital updates. Efficiently translate evidence into practice with numerous quick-reference tables and short, well-organized chapters that promote fast and effective decision making. Get practical decision-making tools you can use in both routine care and complicated or special situations.

The Evidence for Vascular Surgery second edition

The Evidence for Vascular Surgery surgeons are resistant to change, others
besotted with the latest gadgetry; personal opinion and hubris go largely
unchallenged. Even in enlightened departments, dissemination of evidence-
based ...

The Evidence for Vascular Surgery  second edition

Author: Jonothan J Earnshaw,

Publisher: tfm Publishing Limited

ISBN: 190898614X

Page: 278

View: 265

Winner of a HIGHLY COMMENDED AWARD in the Surgery category of the 2007 BMA Medical Book Competition. The first edition published in 1999, was described as a "longed for addition to the literature", and as a text that "cannot be compared with any other book on vascular surgery" (Lancet 2000; 355: 1918). At the time it was different; a book to help busy clinicians sift through surgical research and use it to make sensible decisions for their clinical practice. The challenge for this second edition is to produce something better still. The new edition is larger and more comprehensive, thanks to valuable suggestions from colleagues and reviewers. The text is as accessible as possible, with short chapters, recommendations for management, comprehensive referencing and full colour illustration. It belongs on the shelf, or in the briefcase of everyone who has to treat patients with vascular disease.

Evidence based Nursing Care Guidelines

Ideal for both nursing students and practicing nurses, this collection of research-based guidelines helps you evaluate and apply the latest evidence to clinical practice.

Evidence based Nursing Care Guidelines

Author: Betty J. Ackley

Publisher: Elsevier Health Sciences

ISBN: 032304624X

Page: 980

View: 611

From an internationally respected team of clinical and research experts comes this groundbreaking book that synthesizes the body of nursing research for 192 common medical-surgical interventions. Ideal for both nursing students and practicing nurses, this collection of research-based guidelines helps you evaluate and apply the latest evidence to clinical practice.

Evidence Based Clinical Practice in Otolaryngology An Issue of Otolaryngologic Clinics E Book

Nasopharyngeal Carcinoma (NPC) Evidence level 4 Evidence for endoscopic
versus tCFR approaches for salvage surgery of recurrent NPC is lacking. Two
studies published encouraging reports of short-term results for endoscopic ...

Evidence Based Clinical Practice in Otolaryngology  An Issue of Otolaryngologic Clinics   E Book

Author: Timothy L. Smith

Publisher: Elsevier Health Sciences

ISBN: 1455747440

Page: 240

View: 963

The concept of Evidence Based Medicine (EBM) has flourished in recent years and it seems that clinicians, more than ever, crave evidence from the medical literature to inform their clinical care decision making. While it is heartening that great volumes of evidence may exist, it is a daunting task to assimilate, critically review, prioritize, grade, and operationalize this crucial information. This volume of Otolaryngologic Clinics attempts to do just that. This book examines Evidence Based Practices on topics of critical importance to otolaryngologists-head and neck surgeons. The evidence has been gathered and is presented by leaders in their respective fields. Topics cover evidence-based practice of: Management of Vertigo, Management of Adult Sensory Neural Hearing Loss, Cochlear Implantation, Reflux in Sinusitus, Balloon Dilation in Otolaryngology, Postoperative Care in Endoscopic Sinus Surgery, Functional Rhinoplasty, Sublingual Immunotherapy for Allergic Rhinitis, Adult Obstructive Sleep Apnea, Pediatric Obstructive Sleep Apnea, Pediatric Tonsillectomy, Management of Vocal Cord Paralysis, Management of Hoarseness, Endoscopic Skull Base Resection for Malignancy, Management of Glottic Cancer, Management of Thyroid Cancer, and Management of N0 Neck.

Evidence Based Procedural Dermatology

Wound infection is a dreaded complication in Dermatologic Surgery, which is
associated with increased cost and patient morbidity. Wound infection ...
Evidence-Based Procedural Dermatology, the surgeon (Table 10.2). The risk of
surgical ...

Evidence Based Procedural Dermatology

Author: Murad Alam

Publisher: Springer Science & Business Media

ISBN: 9780387094243

Page: 474

View: 860

In Evidence-Based Procedural Dermatology, Dr. Alam has compiled the subspecialty’s latest research findings in a reference for researchers and dermatologists. It covers the spectrum of procedural dermatology, including skin cancer surgery, laser techniques, fillers and neurotoxins, minimally invasive cosmetic surgery, and emerging procedures. Leading experts present and evaluate evidence in each subfield, providing a solid manual for the present, and a guide for research in the future. Features: · A numerical system to appraise research findings used throughout the book · Question and answer section to reinforce knowledge at the end of most chapters · Serves as a tutorial for those interested in performing clinical research. · Holds practical value for dermatologists who are treating or counseling patients.

Difficult Decisions in Endocrine Surgery

This book provides a comprehensive overview of difficult decisions encountered within endocrine surgery.

Difficult Decisions in Endocrine Surgery

Author: Peter Angelos

Publisher:

ISBN: 9783319928593

Page:

View: 865

This book provides a comprehensive overview of difficult decisions encountered within endocrine surgery. Brief uniformly formatted chapters are devoted to answering specific questions relevant to a range of topics across endocrine surgery based upon detailed analysis of available evidence.Topics covered include clinical decision analysis, decision making from the surgeon’s and patient’s perspective, using surgery as opposed to observation for papillary thyroid microcarcinoma, and the use of parathyroid cryopreservation. Difficult Decisions in Endocrine Surgery: An Evidence-Based Approach features a wealth of information on ideal approaches for making clinical decisions in selected clinical situations. It is an important and timely resource for all endocrine surgical trainees, fellows, practitioners, educators, and healthcare providers involved in the management of these patients. .

Sabiston Textbook of Surgery E Book

Evidence-Based Approach to Surgery Evaluating Research Study Questions
Study Design Synthetic and Systematic Outcome ... Central to this mission is the
process of critically appraising the surgical evidence base at every opportunity
and ...

Sabiston Textbook of Surgery E Book

Author: Courtney M Townsend, Jr MD

Publisher: Elsevier

ISBN: 0323640648

Page: 2176

View: 567

For more than 80 years, Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice has been the go-to text for trainees and surgeons at all levels of experience for definitive guidance on every aspect of general surgery. As the oldest continuously published textbook of surgery in North America, this fully revised 21st Edition continues to provide the key information, essential teaching pearls, and completely updated content needed to make the most informed surgical decisions and achieve optimal outcomes for patients. Concisely written and evidence based throughout, it covers the breadth of material required for certification and practice of general surgery, highlighted by detailed, full-color intraoperative illustrations and high-quality video clips. Follows a clear, consistent progression beginning with principles common to surgical specialties including fluid and electrolyte management, metabolic support, and wound healing. Subsequent sections review the management of injury, transplantation, oncology, breast, endocrine, and abdominal procedures. Covers key topics such as emerging surgical technologies and devices, regenerative medicine, the latest concepts in cancer biology and treatments, and evidence-based management and treatment. Emphasizes the most up-to-date minimally invasive techniques and the use of robotics when indicated. Features more than 2,000 superb illustrations and intraoperative photographs and 25 procedural videos that facilitate quick comprehension of surgical techniques. Includes more schematic diagrams, summary tables, boxes, and algorithms that provide a rich resource for reviewing surgical techniques and preparing for in-training and board exams. Shares the expertise of dozens of new authors and includes two new chapters on robotic surgery and fetal surgery. Contains fully updated content on topics encountered by general surgery residents in training as well as in-depth coverage of subspecialty areas including head and neck, thoracic, vascular, urology, neurosurgery, pediatrics, and gynecology.

Evidence Based Approach to Minimally Invasive Surgery

This book comprises a review of the scientific literature in the field of minimally invasive surgery.

Evidence Based Approach to Minimally Invasive Surgery

Author: Kenric M. Murayama

Publisher: Cine Med, Incorporated

ISBN: 9780984617111

Page: 468

View: 424

This book comprises a review of the scientific literature in the field of minimally invasive surgery. Each chapter includes a summary of the current management strategy for the disease process, review of published literature on the topic, and a summary of potential changes in the treatment algorithm. A review of scientific literature on disease processes, operations/procedures, and technology published within the last 24 months. 45 chapters of evidence-based opinion on a wide spectrum of general surgery procedures, including the latest on robotics, NOTES, and single-incision surgery. Editorial comment offered on each chapter. Topics Include Esophageal Surgery Gastric Surgery Bariatric Surgery Small Bowel Surgery Colorectal Surgery Biliary Tract Surgery Solid Organ Surgery Hernia Surgery NOTES Robotics in Surgery Retroperitoneal MIS Procedures

Difficult Decisions in Thoracic Surgery

The impetus to develop a text on evidence-based decision making in thoracic
surgery was stimulated by a conference for cardiothoracic surgical trainees
developed in 2004 and sponsored by the American College of Chest Physicians.
During ...

Difficult Decisions in Thoracic Surgery

Author: Mark K. Ferguson

Publisher: Springer Science & Business Media

ISBN: 1846284740

Page: 526

View: 410

This book describes the recommended ideal approach, rather than customary care, in selected clinical situations. Brief chapters are devoted to a specific question or decision in general thoracic surgery that is difficult or controversial. The chapters contain both evidence-based recommendations and descriptions of surgeons’ personal practices. Chapters are organized around clearly identified recommendations, making possible the identification of useful material at a glance. Over 50 different topics are presented. This book is a valuable reference source for practicing surgeons, surgeons in training, and educators.

Essentials of Clinical Surgery E Book

Surgery is not just about the operation and technical expertise. It includes expert
skills in communication and the delivery of informed consent. Surgeons today
need to base their practice on evidence-based material, conduct regular audit
and ...

Essentials of Clinical Surgery E Book

Author: Ian J. Franklin

Publisher: Elsevier Health Sciences

ISBN: 0702051152

Page: 452

View: 900

Covers all aspects of general surgery (including emergencies, practical procedures and self-assessment) and is ideal for revision and examination preparation. It is also a portable and convenient mini textbook for medical students, house officers and trainee surgeons. A succinct guide to general surgery. Covers basic issues of pre- and post-operative care; common surgical problems; and a systematic review of surgery by system. In the Kumar & Clark style and format. Ideal for revision.