As the healthcare environment changes, the need for outcomes-based tre atment planning becomes even more critical. This book guides the reade r through current outcomes-based research as it pertains to surgery.
Author: Toby A. Gordon
As the healthcare environment changes, the need for outcomes-based tre atment planning becomes even more critical. This book guides the reade r through current outcomes-based research as it pertains to surgery. F irst, it gives a complete overview of the practice of evidence-based s urgery (EBS), with topics such as treatment planning, policy issues, a nd ethical issues. Then it gives practical, step-by-step advice on the methodology of EBS, with chapters on study design, outcomes measures, adjustments for complications and comorbidities, cost, and data sourc es. Last, it publishes the results of numerous respected EBS studies.
The purpose of this book specifically is to teach surgeons (academic or community), surgical fellows and surgical residents regardless of the surgical specialty, the skills to appraise what they read in the surgical literature.
Author: Achilles Thoma
The purpose of this book specifically is to teach surgeons (academic or community), surgical fellows and surgical residents regardless of the surgical specialty, the skills to appraise what they read in the surgical literature. Surgeons need to be able to understand what they read before applying the conclusions of a surgical article to their practice. As most surgeons do not have the extra training in health research methodology, understanding how the research was done, how to interpret the results and finally deciding to apply them to the patient level is indeed a difficult task. Chapters explain the methodological issues pertaining to the various study designs reported in the surgical literature. Most chapters begin with a clinical scenario with uncertain course of action with which most surgeons are struggling. Readers are taught how to search the literature for the best evidence that will answer the surgical problem under discussion. An identified article that seems relevant to the problem you are investigating can be appraised by addressing 3 key questions: 1). Is the study I am reading valid? 2). What are the results of this study? 3). Can I apply these results to my patients? While the primary goal of Evidence-Based Surgery is to teach surgeons how to appraise the surgical literature, an added benefit is that the concepts explained here may help research-minded surgeons produce higher quality research.
This issue will offer articles on developing skills for evidence-based surgery, the nature of surgical evidence, producing the evidence, and evidence-based decision making.
Author: Jonathan L. Meakins
Publisher: W B Saunders Company
Shared decision making is integral to future surgical care. It is not possible without the organization and applications of knowledge. Evidence-based surgical practice is inevitable as practice and outcomes become patient centered. This issue will offer articles on developing skills for evidence-based surgery, the nature of surgical evidence, producing the evidence, and evidence-based decision making.
A guide to "when to" and "what to" rather than "how to", this book provides evidence-based surgical reviews to provide credible answers to age-old surgical management questions.
A guide to "when to" and "what to" rather than "how to", this book provides evidence-based surgical reviews to provide credible answers to age-old surgical management questions. The management issues presented are oriented toward interventions and use evidence-based techniques to assess the safety and efficacy of new treatments and rehabilitative or preventative interventions. Each chapter is organised around the key questions essential to delineating the current status of evidence related to the subject reviewed. Publications from the past decade are cited that provide Level I and II evidence using the Oxford scale. Throughout Elective General Surgery, careful assessment of the validity of intervention studies and the strength of the evidence that they provide underlies the choices of cited publications. The information presented in this volume guides the scientific surgeon in providing state-of-the-art care and in optimizing the use of medical resources without losing sight of the need to address the unique needs of individual patients.
Evidence-based plastic surgery integrates the best research evidence with clinical expertise and patient values.
Author: Achilleas Thoma
Publisher: W B Saunders Company
Evidence-based plastic surgery integrates the best research evidence with clinical expertise and patient values. The purpose of this issue is to assist surgeons at any stage in their careers, from residents and clinical fellows to established clinical surgeons and academic practitioners, to address important clinical questions through correct research methods. Topics covered in the issue include how to formulate clinically important questions; what study design can best answer a specific research question; how to measure the results of surgical interventions, in particular the health status and quality of life of patients; and how to evaluate one's practice through cost-effectiveness analysis.
Also new to this edition are discussions of electrosurgical instruments, robotics, imaging modalities, and other emerging technologies influencing the modern practice of surgery.
Author: Jeffrey Norton
Publisher: Springer Science & Business Media
Much anticipated, the Second Edition of Surgery: Basic Science and Clinical Evidence features fully revised and updated information on the evidence-based practice of surgery, including significant new sections on trauma and critical care and the often challenging surgical care of unique populations, including elderly, pediatric, immunocompromised, and obese patients as well as timely new chapters on the pre- and post-operative care of the cardiac surgery patient, intestinal transplantation, surgical infections, the fundamentals of cancer genetics and proteomics. Also new to this edition are discussions of electrosurgical instruments, robotics, imaging modalities, and other emerging technologies influencing the modern practice of surgery. Clinically focused sections in gastrointestinal, vascular, cardiothoracic, transplant, and cancer surgery enable the surgeon to make decisions based upon the most relevant data in modern surgical practice. The text is enhanced by more than 1,000 illustrations and hundreds of the signature evidence-based tables that made the first edition of SURGERY an instant classic.
This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process.
Author: Rifat Latifi
This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process. These include patient’s anatomy and pathophysiology as well as the magnitude of the injury at hand, the surgeon's own physiologic and mental status, training and experience, and many other factors such as creativity, leadership skills, and overall "biochemistry" of the environment. The text reviews theoretical as well as objective information that surgeons use to make intraoperative decisions in situations, often with very limited data; decisions that will decide between a patient's living or dying, such as in trauma surgery and other complex surgeries. How surgeons choose one technical approach over another in these situations is covered. This book fills a critical need for resource materials on these topics and includes both theoretical as well as practical presentations of many typical patients seen in operating rooms around the world. Surgical Decision Making: Beyond the Evidence Based Surgery is written by academic and clinical practicing surgeons that face intraoperative decision situations on a daily basis and therefore provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical or research practice.
The second edition of Difficult Decisions in Thoracic Surgery: An Evidence- Based Approach addresses the growing complexity of decision making in thoracic surgery.
Author: Mark K. Ferguson
Publisher: Springer Science & Business Media
The second edition of Difficult Decisions in Thoracic Surgery: An Evidence- Based Approach addresses the growing complexity of decision making in thoracic surgery. More than half of the clinical questions posed in this book are new, and of the questions that remain as holdovers from the previous edition, virtually all have been revised and updated. As new technology is introduced, physicians from nonsurgical specialties offer alternative and competing therapies for what was once the exclusive province of the thoracic surgeon. In addition, there is increasing knowledge regarding the efficacy of traditional thoracic surgical therapies. How to select among these varied and complex approaches is becoming increasingly difficult. Concise chapters are devoted to one or two specific questions, or decisions, in general thoracic surgery that are difficult or controversial. The authors identify relevant publications in their selected topics, grade the quality of the evidence offered by those reports, apply that knowledge to objective management recommendations in an idealized world, and then comment on how they personally use the information in their own clinical practices. The book is a valuable reference source for practicing surgeons, surgeons in training, and educators.
Practicing evidence-based surgery is challenging, and applying it to surgical
practice is a four-step process: creating evidence, summarizing evidence,
disseminating evidence, and implementing evidence into practice [1, 35].
Author: Rajeev Parameswaran
In this textbook, leading experts from highly acclaimed institutions describe evidence-based best practice in the management of a wide range of benign and malignant thyroid, parathyroid, adrenal, and neuroendocrine conditions. Detailed attention is devoted to the current role of surgery, including minimally invasive surgery and robotic surgery, in different endocrine disorders. The reader will also learn how best to respond to the problems that may be encountered during endocrine surgical practice. While much of the focus is on surgical aspects, the approach is multidisciplinary, with inclusion of information on recent advances in epidemiology, genetics, cytology, pathology, imaging modalities, and other treatment options. The clear text is complemented by instructive clinical cases as well as numerous high-quality illustrations and tables summarizing key points. This book will be of value for specialists in endocrine medicine and surgery as well as general surgeons with an interest in endocrine surgery.
Ideal for both nursing students and practicing nurses, this collection of research-based guidelines helps you evaluate and apply the latest evidence to clinical practice.
Author: Betty J. Ackley
Publisher: Elsevier Health Sciences
From an internationally respected team of clinical and research experts comes this groundbreaking book that synthesizes the body of nursing research for 192 common medical-surgical interventions. Ideal for both nursing students and practicing nurses, this collection of research-based guidelines helps you evaluate and apply the latest evidence to clinical practice.
This book provides a comprehensive overview of difficult decisions encountered within endocrine surgery.
Author: Peter Angelos
This book provides a comprehensive overview of difficult decisions encountered within endocrine surgery. Brief uniformly formatted chapters are devoted to answering specific questions relevant to a range of topics across endocrine surgery based upon detailed analysis of available evidence.Topics covered include clinical decision analysis, decision making from the surgeon’s and patient’s perspective, using surgery as opposed to observation for papillary thyroid microcarcinoma, and the use of parathyroid cryopreservation. Difficult Decisions in Endocrine Surgery: An Evidence-Based Approach features a wealth of information on ideal approaches for making clinical decisions in selected clinical situations. It is an important and timely resource for all endocrine surgical trainees, fellows, practitioners, educators, and healthcare providers involved in the management of these patients. .
The work is all here in one place for the first time, leading to some surprising conclusions. For plastic surgeons who prefer data to dogma, Evidence-Based Cosmetic Breast Surgery provides a unique and invaluable resource.
Author: Eric Swanson
Insisting on an evidence-based approach, Dr. Swanson brings the light of science to bear on the many controversies in cosmetic breast surgery today. Conventional wisdom is challenged with factual analysis, made possible by Dr. Swanson’s large body of published research. In his hallmark detailed style, the author lays the foundation with clinical studies, measurements, and patient-reported outcomes. The work is all here in one place for the first time, leading to some surprising conclusions. For plastic surgeons who prefer data to dogma, Evidence-Based Cosmetic Breast Surgery provides a unique and invaluable resource.
This atlas, featuring numerous superb illustrations and vivid photographs, aims to create a bridge between research and practice in the field of periodontal plastic surgery and cosmetic dentistry with a view to enabling optimal decision ...
Author: Leandro Chambrone
This atlas, featuring numerous superb illustrations and vivid photographs, aims to create a bridge between research and practice in the field of periodontal plastic surgery and cosmetic dentistry with a view to enabling optimal decision making in daily practice. After an opening overview of evidence-based decision making and discussion of treatment planning, subsequent chapters address the surgical treatment of recession-type defects, use of soft tissue substitutes, aesthetic clinical crown lengthening and peri-implant plastic surgery. Illustrated case studies depict application of the described surgical procedures in daily practice and advice is provided on clinical indications and contraindications and basics of the surgical sequence. In addition, critical summaries of the results of systematic reviews are provided. Further chapters consider aspects of multidisciplinary decision-making and present decision trees for soft tissue augmentation procedures proposed by the American Academy of Periodontology. The atlas will be a valuable clinical guide for general dentists and specialists in periodontology/periodontics and implantology.
Evidence-based orthopedics is a model to assist surgeons to improve the
process of asking questions, obtaining relevant information efficiently, and
making informed decisions with patients. With an increasing appreciation for
higher levels of ...
Author: Safdar N. Khan
Publisher: Elsevier Health Sciences
Articles include: Definition and Principles, Evidence-Based Orthopaedics: Is it possible? Conflict of Interest and Orthopaedic Publications, SPRINT Trial, Clavicle fractures, Intracapsular femur neck fractures, SPORT trial: Spinal stenosis, Cervical spondylotic myelopathy – anterior vs posterior approaches, Total disc replacement vs Fusion, Flexible constructs for spinal fusion, DVT prophylaxis in adult reconstruction, Hip resurfacing – what is the evidence, Graft selection/type in ACL surgery, LEAP Trial, BESTT Trial, SPORT trial: Lumbar disc herniations, SPORT trial: Degenerative spondylolisthesis.
Understanding the concept of NNT and NNH for relevant events helps the
surgeon and patient weighthe benefits against ... This process will help surgeons
incorporate evidence-based surgery into their practice and improve patient care.
Author: Jennifer Waljee
Publisher: Elsevier Health Sciences
This issue focuses on the integration of health services research into clinical practice. It provides an overview of the field of health services research for the practicing hand surgeon and highlights pertinent topics that can inform clinical care in any practice setting.
This book is designed to guide the dental practitioner in the medical and surgical management of the oral surgery patient.
Author: Elie M. Ferneini
This book is designed to guide the dental practitioner in the medical and surgical management of the oral surgery patient. It provides dentists and dental professionals with up-to-date, evidence-based information on how to handle any oral surgical problem and how to work up a patient. The book is divided into five sections, the first two of which present overviews of general and basic perioperative topics and the principles of exodontia. Management of oral pathology is then discussed in detail, covering odontogenic infections, osteonecrosis, preprosthetic surgery, common oral pathology, biopsy techniques, and dentoalveolar trauma. The fourth section is devoted to topics in advanced oral surgery, such as disturbances of the temporomandibular joint apparatus, facial deformities, and dental implants. Finally, a series of illustrative case reports and unusual surgical cases is presented. The book is multi-institutional and multispecialty based. Both editors have extensive academic experience and have authored numerous scientific publications.
Divided into 63 chapters, the book begins with a chapter on minimally invasive and robotic oesophagectomy, followed by overviews of oesophageal conditions requiring surgery.
Author: Govind Nandakumar
Publisher: JP Medical Ltd
Textbook of Hepatobiliary & Gastrointestinal Surgery is an extensive, illustrated, evidence-based review of complex liver and gastrointestinal surgery, edited by gastrointestinal expert Govind Nandakumar, based at Weill Cornell Medical College, New York. Divided into 63 chapters, the book begins with a chapter on minimally invasive and robotic oesophagectomy, followed by overviews of oesophageal conditions requiring surgery. Subsequent chapters cover the surgical management of a broad range of disorders including Crohn’s disease, colitis, and several cancers affecting the hepatobiliary and gastrointestinal systems. Surgical techniques discussed include gastric bypass, banding and sleeve gastrectomy, liver and pancreas transplantation, and a separate chapter on bariatric surgery in developing countries. Textbook of Hepatobiliary & Gastrointestinal Surgery concludes with discussion on radiology techniques, pathology, and nutrition for gastrointestinal patients, and recovery after surgery. 638 full colour illustrations enhance this comprehensive resource for surgeons in training and in practice. Key Points Comprehensive guide to liver and gastrointestinal surgery for surgeons in training and in practice Contributions from internationally recognised experts, edited by Govind Nandakumar from Weill Cornell Medical College, New York Provides information on a broad range of surgical techniques and management of many disorders 638 illustrations full colour
This book is distinctive in that it focuses exclusively on current laparoscopic and endoscopic techniques for inguinal, primary and incisional abdominal wall, and hiatal hernias.
Author: Reinhard Bittner
This book is distinctive in that it focuses exclusively on current laparoscopic and endoscopic techniques for inguinal, primary and incisional abdominal wall, and hiatal hernias. Individual steps in diagnosis and treatment are described by experts in the field, but this clinical expertise is also integrated with the best available external evidence from systematic research as encapsulated in statements, recommendations, and guidelines. The reader will thus not only learn how to perform techniques systematically and reproducibly but also come to understand which of the procedures have been scientifically validated by studies, reviews, and meta-analyses and which have simply developed empirically. The descriptions of technique are supplemented by detailed guidance on such aspects as indications, anesthesia, aftercare and pain management, and the prevention and management of complications. Where appropriate, careful comparisons are made of competing repair options, including open techniques. In summary, this book will help practicing surgeons to standardize their operative technique so as to reflect current scientific knowledge and thereby improve the quality of laparoscopic/endoscopic hernia surgery.
It is absolutely necessary that the practising ophthalmologist bases clinical and surgical decisions on valid data rather than simply on intuition, hearsay or peer-practice, although this is not to denigrate either one's own opinion or ...
Author: Jay Bhopi
Publisher: CRC Press
It is absolutely necessary that the practising ophthalmologist bases clinical and surgical decisions on valid data rather than simply on intuition, hearsay or peer-practice, although this is not to denigrate either one's own opinion or those of colleagues. Evidence-based medicine helps to improve clinical or surgical practice by evaluating the qual
The author has found sonography as important adjuvant for hysteroscopic
myomectomy, adhesiolysis, reoperative hysteroscopy surgery, and
endomyometrial resection (Wortman 2012, Wortman 2013, Wortman et al. 2014).
We utilize a ...
Author: Jon Ivar Einarsson
Publisher: JP Medical Ltd
Minimally Invasive Gynecologic Surgery provides a complete, practical and timely review of the minimally invasive surgical techniques used to treat gynaecologic diseases and conditions. This book describes the full range of minimally invasive procedures in current gynaecologic practice, with discussion of the indications and contraindications and a summary of available evidence.