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Related Experiment Videos

Is general thoracic surgical practice evidence based?

J S Lee1, D M Urschel, J D Urschel

  • 1Department of Thoracic Surgical Oncology, Roswell Park Cancer Institute, Buffalo, New York, USA.

The Annals of Thoracic Surgery
|September 2, 2000
PubMed
Summary

Most general thoracic surgery relies on non-experimental evidence. Further research into randomized controlled trials (RCTs) is crucial for advancing evidence-based medicine in thoracic surgery.

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Area of Science:

  • Thoracic Surgery
  • Evidence-Based Medicine
  • Surgical Research

Background:

  • Clinical decisions in evidence-based medicine depend on treatment efficacy data.
  • Current data on the evidence base for general thoracic surgical practice is lacking.

Purpose of the Study:

  • To assess the extent to which general thoracic surgical practice is evidence-based.
  • To categorize the level of evidence supporting common thoracic surgical treatments.

Main Methods:

  • A list of 50 thoracic surgical treatments was compiled.
  • A Medline search identified the best available evidence for each treatment.
  • Evidence was categorized using the Oxford Centre for Evidence-Based Medicine criteria (RCTs, non-experimental, or no substantial evidence).

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Main Results:

  • Only 7 of 50 treatments were supported by evidence from randomized controlled trials (RCTs).
  • 32 treatments had convincing non-experimental evidence.
  • 11 treatments lacked substantial supporting evidence.

Conclusions:

  • The majority of general thoracic surgical procedures are supported by non-experimental evidence.
  • Obstacles exist for surgical RCTs, but their importance is highlighted due to non-randomized study limitations.
  • This study provides a baseline for future assessments of evidence-based practice in thoracic surgery.