PMID: 9639610Jun 26, 1998Paper

Evidence-based operations in paediatric surgery

Pediatric Surgery International
V BaraldiniA Pierro

Abstract

It has been assumed that only 10% of medical interventions are supported by solid scientific evidence. The aim of this study was to determine the type of research evidence supporting operations in a tertiary referral paediatric surgical unit. All patients admitted over a 4-week period to two surgical firms were enrolled in the study. All major operations carried out on each patient since birth were evaluated. Patients for whom a diagnosis was not reached were excluded. A bibliographic database (MEDLINE) was used to search for the articles published between January 1986 and December 1995 on the analysed operations. The type of evidence supporting the operations was classified as follows: I=evidence from randomised controlled trials (RCTs); II=self-evident intervention (obvious effectiveness not requiring RCTs); III=evidence from prospective and/or comparative studies; IV=evidence from follow-up studies and/or retrospective case series; and V=intervention without substantial evidence for or against results of randomised trials. Seventy operations (32 individual types) were performed on 49 patients (1-5 operations/patient); 18 (26%) were supported by RCTs (type of evidence I). Two patients (3%) received a self-evident intervention...Continue Reading

Citations

Dec 11, 2003·Journal of Pediatric Surgery·Shawn J RangelR Lawrence Moss
Mar 6, 2004·Seminars in Neonatology : SN·Agostino Pierro
Aug 14, 2002·Journal of Paediatrics and Child Health·V A MoyerE J Elliott
Oct 20, 2004·Annals of Surgery·Nigel J HallAgostino Pierro
Jan 26, 2013·Evidence-based Medicine·Katrien Oude RengerinkHester Vermeulen
Jun 14, 2014·PloS One·Hyeung C LimIan A Harris
Jul 30, 2002·Seminars in Pediatric Surgery·Shawn J Rangel, R Lawrence Moss
Oct 27, 2005·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Luis H Toledo-Pereyra
Sep 15, 2009·Early Human Development·Nigel J HallAgostino Pierro
Nov 1, 2009·Journal of Evidence-based Medicine·Rabia Kahveci, Catherine Meads
Mar 17, 2015·Pediatric Surgery International·Iain E Yardley
Apr 4, 2015·Pediatric Surgery International·Elke Zani-RuttenstockAgostino Pierro
May 25, 2004·Pediatric Surgery International·Hans SkariRagnhild Emblem
Sep 28, 2021·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·George VaosNick Zavras

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