Document Detail


Levels of evidence and grades of recommendations in general thoracic surgery.
MedLine Citation:
PMID:  15646449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the grades of recommendations and levels of evidence available if the formal practice of evidence-based medicine is applied to general thoracic surgery.
METHODS: Three general thoracic surgeons, by consensus, developed a sample of 10 clinically important questions. The first 3 steps of evidence-based medicine (creation of answerable clinical questions, search for best external evidence, and critical appraisal of literature) were performed. Abstracts and appropriate articles were identified through Medline from January 1999 through December 2001. A hierarchical series of search strategies was employed to identify the best level of evidence. The best evidence found was categorized according to the Oxford Centre for Evidence-Based Medicine into 4 grades of recommendations (A-D) and 5 levels of evidence (1-5).
RESULTS: The best evidence found for the 10 sample questions was categorized as grade A recommendations in 5 and grade B, also in 5 questions. The levels of evidence found were la in 3 studies, 1b in 5, and 2b in 2.
CONCLUSIONS: A formal evidence-based-medicine approach to general thoracic surgery found the grades of recommendation and levels of evidence for a sample of clinically important questions to be high.
Authors:
Andrew J Graham; Gary Gelfand; Sean D McFadden; Sean C Grondin
Related Documents :
12811089 - The healthcare manager as catalyst for evidence-based practice: changing the healthcare...
20224459 - How to practice evidence-based medicine.
12195609 - Progress in clinical neurosciences: status epilepticus: a critical review of management...
17660119 - Evidence-based medicine.
8320379 - The significance of the relationship between a discipline and its practice.
20177649 - Omics-based medicine and systems pathology. a new perspective for personalized and pred...
9155299 - Pressure sores: adopting the principles of risk management.
7561439 - A case of pneumatosis coli managed by restorative proctectomy and ileal pouch-anal anas...
15642449 - Effects of yoku-kan-san on undifferentiated somatoform disorder with tinnitus.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  47     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-01-13     Completed Date:  2005-03-24     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  461-5     Citation Subset:  IM    
Affiliation:
Division of Thoracic Surgery, University of Calgary, Calgary, Alta. andrew.graham@calgaryhealthregion.ca
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Evidence-Based Medicine / methods*
Humans
Professional Practice / standards
Thoracic Surgery / standards*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Isolated blunt splenic injury: do we transfuse more in an attempt to operate less?
Next Document:  The digital readiness of imaging facilities in Saskatchewan.