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History of Evidence-Based Surgery (EBS)
Pages 1-8
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.
History of Evidence-Based Surgery (EBS)
Pages 1-8
The Steps of Practicing Evidence-Based Surgery (EBS)
Pages 9-15
Developing a Surgical Clinical Research Question: To Find the Answer in Literature Search or in Pursuing Clinical Research
Pages 17-22
Finding the Evidence Through Searching the Literature
Pages 23-36
Hierarchy of Evidence in Surgical Research
Pages 37-49
Evaluating Surgical Interventions
Pages 51-60
A Primer on Outcome Measures for Surgical Interventions
Pages 61-70
Patient-Important Outcome Measures in Surgical Care
Pages 71-83
Surrogate Endpoints
Pages 85-92
How to Assess an Article that Deals with Health-Related Quality of Life
Pages 93-102
Randomized Controlled Trial Comparing Surgical Interventions
Pages 103-113
How to Assess a Pilot Trial in Surgery
Pages 115-124
Non-inferiority Randomized Controlled Trials
Pages 125-134
Expertise-Based Randomized Controlled Trials
Pages 135-144
The Surgeon’s Guide to Systematic Review and Meta-Analysis
Pages 145-157
Prospective and Retrospective Cohort Studies
Pages 159-170
Case-Control Studies
Pages 171-181
Evaluating Case Series in Surgery
Pages 183-191
Quality Improvement and Patient Safety in Surgery
Pages 193-199
Diagnostic Studies in Surgery
Pages 201-215
How to Assess a Prognostic Study
Pages 217-223
Decision Analysis and Surgery
Pages 225-238
Economic Evaluations in Surgery
Pages 239-253
Studies Reporting Harm in Surgery
Pages 255-263
Evaluating Surveys and Questionnaires in Surgical Research
Pages 265-275
Opinion Pieces in Surgery
Pages 277-284
Simple Statistical Tests and P Values
Pages 285-299
Confidence Intervals
Pages 301-309
Power and Sample Size
Pages 311-325
Subgroup Analyses in Surgery
Pages 327-336
Introduction to Clinical Practice Guidelines
Pages 337-345
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