Principles of Evidence-Based Medicine

被引：18

作者：

Panesar, Sukhmeet S. ^{[2
]}

Philippon, Marc J. ^{[3
]}

Bhandari, Mohit ^{[1
]}

机构：

[1] McMaster Univ, Fac Hlth Sci, Div Surg, Dept Orthoped Surg, Hamilton, ON L8S 4L8, Canada

[2] Natl Patient Safety Agcy, Patient Safety Div, London W1T 5HD, England

[3] Steadman Hawkins Res Fdn, Vail, CO 81657 USA

来源：

ORTHOPEDIC CLINICS OF NORTH AMERICA | 2010年 / 41卷 / 02期

关键词：

Evidence-based medicine; Orthopedics; Statistics; Evidence synthesis; RANDOMIZED-TRIALS; PUBLICATION BIAS; EXPERTISE; SURGERY; EPIDEMIOLOGY; QUALITY;

D O I：

10.1016/j.ocl.2009.12.001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Evidence based medicine integrates clinical expertise, patients' values and preferences, and the best available evidence from the medical literature. 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, orthopedic surgeons should move away from lower forms of evidence. The adoption of randomized trials and high-quality prospective studies to guide patient care requires 2 prerequisites: (1) greater appreciation for the conduct of randomized trials in orthopedics and (2) improved education and training in evidence-based methodologies in surgery.

引用

页码：131 / +

页数：9

共 29 条

[1]

[Anonymous], ANN ROYAL COLL PHYS

[2]

[Anonymous], ACP J CLUB

[3] Orthopaedic surgeons prefer to participate in expertise-based randomized trials [J].

Bednarska, Elzbieta ;

Bryant, Dianne ;

Devereaux, P. J. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2008, 466 (07) :1734-1744

[4] Hierarchy of evidence: differences in results between non-randomized studies and randomized trials in patients with femoral neck fractures [J].

Bhandari, M ;

Tornetta, P ;

Ellis, T ;

Audige, L ;

Sprague, S ;

Kuo, JC ;

Swiontkowski, MF .

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2004, 124 (01) :10-16

[5] User's guide to the orthopaedic literature: How to use an article about a surgical therapy [J].

Bhandari, M ;

Guyatt, GH ;

Swiontkowski, MF .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (06) :916-926

[6] Evidence-Based Medicine: Why Bother? Introduction [J].

Bhandari, Mohit .

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2009, 25 (03) :296-297

[7] Grading quality of evidence and strength of recommendations in clinical practice guidelines [J].

Brozek, J. L. ;

Akl, E. A. ;

Alonso-Coello, P. ;

Lang, D. ;

Jaeschke, R. ;

Williams, J. W. ;

Phillips, B. ;

Lelgemann, M. ;

Lethaby, A. ;

Bousquet, J. ;

Guyatt, G. H. ;

Schuenemann, H. J. .

ALLERGY, 2009, 64 (05) :669-677

[8] The quality of reporting of orthopaedic randomized trials with use of a checklist for nonpharmacological therapies [J].

Chan, Simon ;

Bhandari, Mohit .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (09) :1970-1978

[9]

Dawes Martin, 2005, BMC Med Educ, V5, P1

[10] Need for expertise based randomised controlled trials [J].

Devereaux, PJ ;

Bhandari, M ;

Clarke, M ;

Montori, VM ;

Cook, DJ ;

Yusuf, S ;

Sackett, DL ;

Cinà, CS ;

Walter, SD ;

Haynes, B ;

Schünemann, HJ ;

Norman, GR ;

Guyatt, GH .

BMJ-BRITISH MEDICAL JOURNAL, 2005, 330 (7482) :88-91

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