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Evidence-based medicine in neurosurgery: why and how?
Cristian Blanco-Teherán1, Loraine Quintana-Pájaro1, Alexis Narvaez-Rojas2
1Center for Biomedical Research, University of Cartagena, Cartagena, Colombia.
Journal of Neurosurgical Sciences
|August 3, 2021
Summary
Evidence-based medicine (EBM) principles are transforming neurosurgery. This review explores EBM application, current status, and strategies for enhancing high-quality evidence in neurosurgical practice.
Area of Science:
- Neurosurgery
- Evidence-Based Medicine
- Medical Research Methodology
Background:
- Medical training traditionally relies on clinical experience.
- Evidence-Based Medicine (EBM) emerged in the 1990s, emphasizing systematic reviews and research principles.
- Neurosurgery is increasingly integrating EBM, driven by neuroscience and information technology advancements.
Purpose of the Study:
- To describe the application of evidence in neurosurgery.
- To outline the current state of evidence-based neurosurgery.
- To identify steps for generating high-quality evidence in this field.
Main Methods:
- Review of literature on evidence-based neurosurgery.
- Analysis of existing evidence levels in neurosurgical studies.
- Synthesis of strategies for improving evidence quality.
Main Results:
- Reviews indicate a low percentage of high-quality evidence in neurosurgery.
- Current application of EBM in neurosurgery is developing.
- Specific methodologies for evidence generation are needed.
Conclusions:
- Neurosurgery requires a focused effort to improve the quality of evidence.
- Implementing robust EBM principles is crucial for advancing neurosurgical care.
- Future research should prioritize high-quality study designs and systematic reviews.
