Abstract
Millions of major surgical procedures are performed worldwide every year, but despite this, evidence for the indications and benefits of some surgical procedures is lacking. With increasing numbers of surgeries, inappropriate surgical treatments can result in significant cost and hazard to the patient. There has also been an explosion of medical information over the last two decades. The incorporation of such large quantities of knowledge and its application into day-to-day clinical practice is challenging and requires that the best available evidence is required for treatment-related decisions. Rising public and professional expectations are also driving the demand for evidence-based clinical practice. Evidence-based surgery involves the conscientious, explicit, and judicious use of the best clinical and scientific evidence in best clinical care. Evidence-based practice is now an integral part of surgical practice, and its adoption will improve patient and clinical outcomes.
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References
Evidence-Based Medicine Working Group. Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA. 1992;268(17):2420–5.
Sackett DL. Evidence-based medicine: how to practice and teach EBM. 2nd ed. Edinburgh: Churchill Livingstone; 2000.
Eddy DM. Evidence-based medicine: a unified approach. Health Aff (Millwood). 2005;24(1):9–17.
Mulrow CD. The medical review article: state of the science. Ann Intern Med. 1987;106:485–8.
Jadad AR, Rennie D. The randomized controlled trial gets a middle-aged checkup. JAMA. 1998;279(4):319–20.
Silverman WA, Iain C. Sir Austin Bradford Hill: an appreciation. Control Clin Trials. 1992;13(2):100–5.
Miller JN, Colditz GA, Mosteller F. How study design affects outcomes in comparisons of therapy. II: surgical. Stat Med. 1989;8(4):455–66.
Colditz GA, Miller JN, Mosteller F. How study design affects outcomes in comparisons of therapy. I: medical. Stat Med. 1989;8(4):441–54.
Sprague S, McKay P, Thoma A. Study design and hierarchy of evidence for surgical decision making. Clin Plast Surg. 2008;35(2):195–205.
Solomon MJ, McLeod RS. Should we be performing more randomized controlled trials evaluating surgical operations? Surgery. 1995;118(3):459–67.
McCulloch P, Taylor I, Sasako M, Lovett B, Griffin D. Randomised trials in surgery: problems and possible solutions. BMJ. 2002;324(7351):1448–51.
Goodman SN. Stopping trials for efficacy: an almost unbiased view. Clin Trials. 2009;6(2):133–5.
Iltis AS. Stopping trials early for commercial reasons: the risk-benefit relationship as a moral compass. J Med Ethics. 2005;31(7):410–4.
Kasenda B, von Elm E, You J, Blümle A, Tomonaga Y, Saccilotto R, et al. Prevalence, characteristics, and publication of discontinued randomized trials. JAMA. 2014;311(10):1045–52.
Giusti M, Mortara L, Degrandi R, Cecoli F, Mussap M, Rodriguez G, et al. Metabolic and cardiovascular risk in patients with a history of differentiated thyroid carcinoma: a case-controlled cohort study. Thyroid Res. 2008;1(1):2.
Lee DY, Cho J-G, Oh KH, Woo J-S, Jung K-Y, Baek S-K, et al. The benefits and risks of prophylactic central neck dissection for papillary thyroid carcinoma: prospective cohort study. Int J Endocrinol. 2015;2015:1–6.
Brighton B, Bhandari M, Tornetta P 3rd, Felson DT. Hierarchy of evidence: from case reports to randomized controlled trials. Clin Orthop Relat Res. 2003;413(413):19–24.
Urschel JD, Goldsmith CH, Tandan VR, Miller JD. Users’ guide to evidence-based surgery: how to use an article evaluating surgical interventions. Can J Surg. 2001;44(2):95.
Booth A, O’Rourke AJ, Ford NJ. Structuring the pre-search reference interview: a useful technique for handling clinical questions. Bull Med Libr Assoc. 2000;88(3):239–46.
Schardt C, Adams MB, Owens T, Keitz S, Fontelo P. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis Mak. 2007;7(1):16.
Higgins J, Green SP, Cochrane C, Wiley I. Cochrane handbook for systematic reviews of interventions. Hoboken, NJ; Chichester: Wiley-Blackwell; 2008.
Booth A. Clear and present questions: formulating questions for evidence based practice. Library Hi Tech. 2006;24(3):355–68.
Wildridge V, Bell L. How CLIP became ECLIPSE: a mnemonic to assist in searching for health policy/management information. Health Inf Libr J. 2002;19(2):113–5.
Denyer D, Tranfield D, Aken vJEJ. Developing design propositions through research synthesis. Organ Stud. 2008;29(3):393–413.
McCulloch P, Badenoch D. Finding and appraising evidence. Surg Clin North Am. 2006;86(1):41–57. viii
Glenny AM, Iqbal A. General dental practitioners’ knowledge of and attitudes towards evidence based practice. Br Dent J. 2002;193(10):587–91.
John J. Sources of evidence. Evid Based Dent. 2003;4(2):37–9.
Kim P, Eng TR, Deering MJ, Maxfield A. Published criteria for evaluating health related web sites: review. BMJ. 1999;318(7184):647–9.
Fervers B, Carretier J, Bataillard A. Clinical practice guidelines. J Visc Surg. 2010;147(6):e341–9.
Lenzer J. Evidence Based Medicine. Why we can’t trust clinical guidelines. BMJ. 2013;346:f3830.
Paschke R, Cantara S, Crescenzi A, Jarzab B, Musholt TJ, Sobrinho Simoes M. European Thyroid Association Guidelines regarding thyroid nodule molecular fine-needle aspiration cytology diagnostics. Eur Thyroid J. 2017;6(3):115–29.
Zerdoud S, Giraudet AL, Leboulleux S, Leenhardt L, Bardet S, Clerc J, et al. Radioactive iodine therapy, molecular imaging and serum biomarkers for differentiated thyroid cancer: 2017 guidelines of the French Societies of Nuclear Medicine, Endocrinology, Pathology, Biology, Endocrine Surgery and Head and Neck Surgery. Ann Endocrinol (Paris). 2017;78(3):162–75.
Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, et al. 2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017;27(3):315–89.
Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2016;26(1):1–133.
Cook DJ, Sibbald WJ, Vincent JL, Cerra FB. Evidence based critical care medicine; what is it and what can it do for us? Evidence Based Medicine in Critical Care Group. Crit Care Med. 1996;24(2):334–7.
McLeod RS, Wright JG, Solomon MJ, Hu X, Walters BC, Lossing A. Randomized controlled trials in surgery: issues and problems. Surgery. 1996;119(5):483–6.
Lilford R, Braunholtz D, Harris J, Gill T. Trials in surgery. Br J Surg. 2004;91(1):6–16.
Horton R. Surgical research or comic opera: questions, but few answers. Lancet. 1996;347(9007):984–5.
Ubbink DT, Legemate DA. Evidence-based surgery. Br J Surg. 2004;91(9):1091–2.
Howes N, Chagla L, Thorpe M, McCulloch P. Surgical practice is evidence based. Br J Surg. 1997;84(9):1220–3.
Jenkins TR. It’s time to challenge surgical dogma with evidence-based data. Am J Obstet Gynecol. 2003;189(2):423–7.
TR R. What is the future of surgery? Arch Surg. 2003;138(8):825–31.
Pang T, Gray M, Evans T. A 15th grand challenge for global public health. Lancet. 2006;367(9507):284–6.
Porter ME, Teisberg EO. How physicians can change the future of health care. JAMA. 2007;297(10):1103–11.
Athanasiou T, Debas HT, Darzi A. Key topics in surgical research and methodology. Heidelberg: Springer; 2010.
Maier RV. What the surgeon of tomorrow needs to know about evidence-based surgery. Arch Surg. 2006;141(3):317–23.
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Parameswaran, R., Agarwal, A. (2018). Evidence-Based Surgery. In: Parameswaran, R., Agarwal, A. (eds) Evidence-Based Endocrine Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-10-1124-5_1
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