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Update on evidence in craniomaxillofacial surgery
1Department of Otolaryngology at SUNY Upstate Medical University, Syracuse, New York, USA.
Summary
Evidence-based medicine is crucial for clinical decisions. Craniomaxillofacial surgery (CMF) evidence quality is improving, with more randomized controlled trials and better data reporting, though challenges remain.
Area of Science:
- Evidence-based medicine
- Surgical research methodology
- Craniomaxillofacial surgery
Background:
- Clinical decision-making ideally relies on systematic reviews of randomized controlled trials (RCTs).
- In practice, reliance on the best available evidence is often necessary.
- Understanding the hierarchy of evidence and potential biases is critical for interpreting research.
Purpose of the Study:
- To review the historical development of evidence-based research and levels of evidence.
- To examine the quality of evidence and bias in craniomaxillofacial (CMF) surgery.
- To identify recent trends and areas for improvement in CMF publications.
Main Methods:
- Historical review of evidence-based research.
- Analysis of levels of evidence and bias in CMF surgery literature.
- Examination of recent trends in CMF publications.
Main Results:
- The quality of evidence in CMF surgery historically lags behind other specialties due to inherent challenges.
- Recent trends show significant improvement in CMF publications.
- There is an increasing rate of randomized controlled trials and better data reporting in CMF surgery.
Conclusions:
- Despite challenges, the quality of evidence in craniomaxillofacial surgery is improving.
- Enhanced reporting standards and a higher frequency of RCTs contribute to this progress.
- Continued focus on methodological rigor will further advance evidence-based CMF practice.
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