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    Add as FriendEvidence-Based Surgery

    by: amer

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    1 : Evidence-based surgery (EBS) involves the integration of the best clinical and scientific evidence to treat patients. Evidence-Based Surgery
    2 : Good surgical practice assumes knowledge of the current literature The term evidence-based medicine was first coined by Sackett and colleagues as the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients
    3 : Traditionally, surgical practice has been experiential and based on the contemporary understanding of basic mechanisms of disease. It was both a science and an art and depended to far too great an extent on the individualism and self belief of its main exponents.
    4 : Surgery is, by definition, an invasion of the patient’s bodily integrity and is ‘‘all or nothing’’ (one cannot do half an operation after all!). In order to justify the procedure to himself and the patient, the surgeon had to travel further along the road of self belief than his physician colleague.
    5 : Evidence-Based Surgery(EBS) The evidence used in EBS is derived from published scientific research.
    6 : Evidence ? “information or signs indicating whether a belief or proposition is true or valid”
    7 : Evidence-Based Surgery The main reason to perform EBS is to improve the quality of care and outcome of our patients by modifying our surgical judgments and decisions.
    8 : “a good surgeon knows how to operate; a better surgeon knows when to operate; the best surgeon knows when not to operate”
    9 : Evidence-based surgical decision making In which best evidence is applied to an individual or a finite group of surgical patients.
    10 : . Evidence-based surgical guidelines – in which best evidence is applied at an institutional or national/ international group of surgical patients.
    11 : “Knowledge is the enemy of disease”,
    12 : Knowledge from research (refined data or evidence) • Knowledge of measurement (statistical methodology) • Knowledge from experience (judgments and decision) • Knowledge of practice (leadership and management
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    14 : Most frequent database used by surgeons PubMed , a free internet-based search engine for accessing the MEDLINE database of citations abstracts of biomedical research articles. Here the vast majority of citations are from 1966 onwards, although they do reach back as far as 1951. PubMed is not the only search engine used, and many surgeons may start a search using Google Inc. search engines such as standard Google or Google Scholar .
    15 : PubMed is an easy-to-use search tool that allows for both basic and advanced search modes. PubMed also allows users to find all of the related articles to any given article instantly.
    16 : x Through PubMed Central, Medline users can access a repository of journal articles from participating journals. The NLM reports that more than 300 online journals now participate in providing links to full-text retrieved articles
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    18 : Evidence-Based Surgery is to improve Patient management Patient care Patient safety Patient outcomes Patient satisfaction
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    20 : Ethics & Evidence-Based Surgery Ethics include beneficence, non-maleficence, autonomy, justice, dignity and truthfulness. Topics arising specifically in EBS cover issues in informed consent where patients need to be clearly aware of when an operation is for research, based on evidence or based purely on tradition.
    21 : Evidence-Based Surgery All surgical and other interventional procedures must be subjected to rigorous, objective, and—if possible—prospective evaluation. The contribution that EBM can make to this is acknowledged, but its simplistic and uncritical application to surgery is ultimately not beneficial to the individual patient
    22 : Clinical audit is a process that has been defined as "a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change".
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