Is general inpatient obstetrics and gynaecology evidence-based? A survey of practice with critical review of methodological issues

BMC Women's Health
Aamir T KhanK S Khan

Abstract

To examine the rates of evidence-supported care provided in an obstetrics-gynaecology unit. The main diagnosis-intervention set was established for a sample of 325 consecutive inpatient admissions in 1998-99 in a prospective study in a UK tertiary care centre. A comprehensive literature search was conducted to obtain the evidence supporting the intervention categorised according to the following hierarchy: Grade A, care supported by evidence from randomised controlled trials; Grade B, care supported by evidence from controlled observational studies and convincing non-randomised evidence; and Grade C, care without substantial research evidence. Of the 325 admissions, in 135 (42%) the quality of care was based on Grade A evidence, in 157 (48%) it was based on Grade B evidence, and in 33 (10%) it was based on Grade C evidence. The patterns of care were not different amongst patients sampled in 1998 and 1999. A significant majority (90%) of obstetric and gynaecological care was found to be supported by substantial research evidence.

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Citations

Jan 26, 2013·Evidence-based Medicine·Katrien Oude RengerinkHester Vermeulen
Nov 1, 2009·Journal of Evidence-based Medicine·Rabia Kahveci, Catherine Meads
Aug 22, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·R KulierK S Khan
Jun 10, 2020·Current Opinion in Obstetrics & Gynecology·Carmen Amezcua-PrietoKhalid Saed Khan

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Methods Mentioned

BETA
hysterectomy
dissection

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