Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Surgical practice is evidence based

N Howes1, L Chagla, M Thorpe

  • 1Aintree Hospitals NHS Trust, UK.

The British Journal of Surgery
|October 6, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

DECIDE-AI: a new reporting guideline and its relevance to artificial intelligence studies in radiology.

Clinical radiology·2023
Same author

Hospital admission for symptomatic COVID-19 and impact of vaccination: analysis of linked data from the Coronavirus Clinical Information Network and the National Immunisation Management Service.

Anaesthesia·2022
Same author

Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient.

Applied ergonomics·2021
Same author

Evaluating the potential utility of three-dimensional printed models in preoperative planning and patient consent in gastrointestinal cancer surgery.

Annals of the Royal College of Surgeons of England·2021
Same author

Improving the WHO Surgical Safety Checklist sign-out.

BJS open·2021
Same author

Loco-regional recurrence after skin and nipple-sparing mastectomy and immediate breast reconstruction using free flap autologous tissue in a single institution.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2021

Most inpatient general surgery uses satisfactory scientific evidence. However, treatments supported by randomized controlled trials are less common than in general medicine, indicating a need for reevaluation.

Area of Science:

  • Medical Research
  • Surgical Practice
  • Evidence-Based Medicine

Background:

  • Surgical research quality, particularly the limited use of randomized controlled trials (RCTs), has faced criticism.
  • The extent to which surgical treatments are supported by robust scientific evidence remains unevaluated.

Purpose of the Study:

  • To evaluate the proportion of surgical treatments supported by satisfactory scientific evidence.
  • To assess the level of evidence for interventions in inpatient general surgery.

Main Methods:

  • A 1-month prospective audit of 100 surgical inpatients was conducted.
  • Treatment efficacy literature was reviewed and evidence categorized into RCTs, other convincing evidence, or insufficient evidence.

Main Results:

Related Experiment Videos

  • 95% of patients received treatments based on satisfactory evidence (RCTs or other convincing evidence).
  • Only 24% of treatments were supported by RCT evidence; 71% were based on other convincing evidence.

Conclusions:

  • Inpatient general surgery largely aligns with evidence-based practice.
  • The proportion of surgical treatments supported by RCTs is significantly lower than in general medicine.
  • Further reevaluation of surgical practice and improved methods for evidence classification are needed.