评估外科创新的挑战
Patrick L Ergina1, Jonathan A Cook, Jane M Blazeby
1Department of Surgery, McGill University Health Centre, Montreal, QC, Canada. patrick.ergina@muhc.mcgill.ca
Lancet (London, England)
|September 29, 2009
概括
评估手术干预在研究设计和方法学方面提出了独特的挑战. 解决这些障碍对于推进基于证据的外科实践和改善患者治疗结果至关重要.
科学领域:
- 医学研究方法论医学研究方法论.
- 外科创新和外科评估.
背景情况:
- 手术研究面临着许多方法和实践方面的挑战.
- 这些挑战在外科评估中经常被放大,因为它们的重叠性质.
研究的目的:
- 讨论对手术干预的随机对照试验和非随机研究的研究设计中的障碍.
- 描述手术过程中固有的问题,包括复杂性和外科医生特定因素.
主要方法:
- 审查手术干预研究设计中的挑战.
- 分析影响外科手术程序评估的因素.
主要成果:
- 由于各种研究挑战的结合,外科评估具有苛刻的要求.
- 复杂性,外科医生的可变性和结果测量存在重大障碍.
结论:
- 尽管存在困难,但严格的外科评估是可以实现和必不可少的.
- 需要量身定制的解决方案和证据生成的框架来支持外科实践.
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