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Related Experiment Videos

Finding and appraising evidence.

Peter McCulloch1, Douglas Badenoch

  • 1Nuffield Department of Surgery, Oxford University, Level 6, John Radcliffe Hospital, Headington, Oxford OX3 9DU, United Kingdom. peter.mcculloch@nds.ox.ac.uk

The Surgical Clinics of North America
|January 31, 2006
PubMed
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Surgeons are increasingly embracing evidence-based medicine, overcoming past skepticism. Randomized trials in surgery, though challenging, are becoming more common, reflecting a growing understanding of their application.

Area of Science:

  • Surgical Research Methodology
  • Evidence-Based Medicine
  • Clinical Trials

Background:

  • Historical skepticism among surgeons towards evidence-based medicine.
  • Proposed reasons include surgical personality and research question nature.
  • Paucity of randomized trials in surgery has been a long-standing debate.

Purpose of the Study:

  • To explore the reasons behind surgeons' skepticism towards evidence-based medicine.
  • To address the challenges and increasing prevalence of randomized trials in surgical research.

Main Methods:

  • Literature review and analysis of the historical debate on surgical research.
  • Examination of factors influencing the application of randomized trials in surgery.

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Main Results:

  • The debate surrounding surgical randomized trials has matured over the past decade.
  • There is a greater understanding of the complexities of applying randomized trials to surgical procedures.
  • The number of randomized trials in surgery is increasing.

Conclusions:

  • Surgeons' acceptance of evidence-based medicine is growing.
  • Despite inherent difficulties, randomized controlled trials are becoming more feasible and frequent in surgical disciplines.