发炎,手术,基于证据的医学,以及史蒂夫·乔布斯的点:叙事审查
Ferdinando Agresta1, Giulia Montori2, Mauro Podda3
1Unit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy.
概括
对于急性椎炎的紧急治疗缺乏明确的指导. 这篇叙事综述综合了文献,强调了由熟练的外科医生进行基于证据的,上下文化的管理的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术管理的手术管理.
- 临床研究 临床研究
背景情况:
- 治疗急性垂炎仍然是一个有着重大未解答问题的领域.
- 现有的临床研究,随机对照试验 (RCT) 和指导方针提供了有限的最终方向.
研究的目的:
- 审查现有的关于急性管炎紧急治疗的文献.
- 识别和解决急性椎炎管理中的关键但尚未解决的主题.
主要方法:
- 从1963年到现在进行了全面的文献搜索.
- 总结了关键随机对照试验 (RCT) 和观察性研究的数据.
- 焦点领域包括腹腔镜,急性护理设置,指导方针,分类,流行病考虑和治疗适应.
主要成果:
- 该研究提出了研究领域的回顾性分析,而不是概念的前性演变.
- 编制了一篇关于膜炎的文献叙事综述.
- 研究了诸如腹腔镜的作用和适应治疗条件等关键主题.
结论:
- 有效的急性椎炎管理需要不仅仅是基于证据的医学.
- 背景因素和"有能力"的外科医生的专业知识对于新的方法至关重要.
- 建议将证据与临床背景和外科技能的整合.
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