Abstract
Although a central thesis of EBM is the putative superiority of scientific evidence over opinion, expert opinion still plays an important role both in scientific research and in clinical practice. Even the surgical practice is still not only guided by the latest scientific evidences, but often strongly influenced by the opinion of the single surgeon. The experience of international surgeons from different continents published in the literature confirms this trend showing an extremely heterogeneous attitude with respect to the treatment of acute cholecystitis. In this chapter we present the results of an international audit about the more discussed and challenging topics about the surgical treatment of gallbladder stones. After a literature search, 169 authors of relevant papers were selected as experts; a questionnaire of 20 multiple-choice questions was mailed them. The participation rate was 11.3 % with 19 responses received. The results of the audit show an evident alignment between the international expert opinion and the recommendations emerged from the present work.
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References
CEBM – Oxford Centre for Evidence-based Medicine (http://www.cebm.net/index.aspx?o=1025)
Woolf SH (2000) Evidence-based medicine and practice guidelines – an overview. Cancer Control 7(4):4
Vecchio R, MacFadyen BV, Latteri S (1998) Laparoscopic cholecystectomy: an analysis on 114,005 cases of United States series. Int Surg 83:215–219
Livingston EH, Rege RV (2004) A nationwide study of conversion from laparoscopic to open cholecystectomy. Am J Surg 188:205–211
Cameron IC, Chadwick C, Phillips J, Johnson AG (2004) Management of acute cholecystitis in UK hospitals: time for a change. Postgrad Med J 80:292–294
Sekimoto M, Imanaka Y, Hirose M, Ishizaki T, Murakami G, Fukata Y, QIP Cholecystectomy Expert Group (2006) Impact of treatment policies on patient outcomes and resource utilization in acute cholecystitis in Japanese hospitals. BMC Health Serv Res 6:40
Askew J (2005) A survey of the current surgical treatment of gallstones in Queensland. ANZ J Surg 75:1086–1089
Lin A, Stiven P, Bagshaw P, Connor S (2006) Cholecystectomy following acute presentation to a major New Zealand metropolitan hospital: change to the timing of surgery is needed. N Z Med J 119(1239):U2104
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© 2014 Springer International Publishing Switzerland
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Carrara, A., Agresta, F., Ricciardelli, L., Motter, M., Ghezzi, G. (2014). The Expert Opinion: An International Audit. In: Agresta, F., Campanile, F., Vettoretto, N. (eds) Laparoscopic Cholecystectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-05407-0_12
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DOI: https://doi.org/10.1007/978-3-319-05407-0_12
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