The Steps of Practicing Evidence-Based Surgery (EBS)

Thoma, Achilleas; Sprague, Sheila; Braga, Luis H.; Voineskos, Sophocles H.

doi:10.1007/978-3-030-05120-4_2

Cited by 7 publications

(11 citation statements)

References 4 publications

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“…23 See Table 2 for a comparison of methodologic and reporting quality of economic evaluations across various specialties. 1–81…”

Section: Discussionmentioning

confidence: 99%

“…For a surgical technique to be deemed “cost-effective,” both effectiveness and costs must be integrated into a single measure [e.g., incremental cost-utility ratio (in cost-utility analysis), incremental cost-effectiveness ratio (in cost-effectiveness analysis), or net social benefit (in cost-benefit analysis)]. 4 Unfortunately, the most common type of economic evaluation in the surgical literature is partial economic evaluation (i.e., cost analysis). 5–9 The usefulness of cost analyses is generally low, as often only costs are compared and all other outcomes are assumed to be equivalent.…”

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confidence: 99%

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Methodologic and Reporting Quality of Economic Evaluations in Hand and Wrist Surgery: A Systematic Review

Uhlman

Miroshnychenko

Duku

et al. 2022

Plastic &Amp; Reconstructive Surgery

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New hand interventions constantly arise and often have greater reported effectiveness yet higher cost. 1 Economic evaluations can be used by hand surgeons, as they provide a decision-making framework on the effects of alternative interventions on health outcomes and costs. 2 Types of economic evaluations include the following: cost-utility analysis, cost-effectiveness analysis, cost-benefit analysis, and cost analysis 3 (Table 1). For a surgical technique to be deemed "cost-effective," both effectiveness and costs must be integrated into a single measure [e.g., incremental cost-utility ratio (in cost-utility analysis),

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“…23 See Table 2 for a comparison of methodologic and reporting quality of economic evaluations across various specialties. 1–81…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Methodologic and Reporting Quality of Economic Evaluations in Hand and Wrist Surgery: A Systematic Review

Uhlman

Miroshnychenko

Duku

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…It should be based on our ability to critically appraise the evidence in front of us. In surgery and medicine, we have guides 7 and resources [8][9][10] to teach us the skills of critical appraisal.…”

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confidence: 99%

The Battle for the Truth: Social Media Versus Critical Appraisal

Thoma

2023

Plast Surg (Oakv)

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“…Many sources are available outlining how to manage and produce high-quality research. 25,26 However, a succinct checklist outlining the requirements for producing credible research is needed. In this article, we present a simple, six-step framework to improve the science in plastic surgery by producing credible research (Table 1).…”

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confidence: 99%

Improving the Science in Plastic Surgery

Thoma

Murphy

Voineskos

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Summary: In 1906, George Bernard Shaw criticized the medical profession for its lack of science and compassion. Since then, advances in both medical and surgical subspecialties have improved quality of patient care. Unfortunately, the reporting of these advances is variable and is frequently biased. Such limitations lead to false claims, wasted research dollars, and inability to synthesize and apply evidence to practice. It was hoped that the introduction of evidence-based medicine would improve the quality of health care and decrease health dollar waste. For this to occur, however, credible “best evidence”—one of the components of evidence-based medicine—is required. This article provides a framework for credible research evidence in plastic surgery, as follows: (1) stating the clinical research question, (2) selecting the proper study design, (3) measuring critical (important) outcomes, (4) using the correct scale(s) to measure the outcomes, (5) including economic evaluations with clinical (effectiveness) studies, and (6) reporting a study’s results using the Enhancing the Quality and Transparency of Health Research, or EQUATOR, guidelines. Surgeon investigators are encouraged to continue improving the science in plastic surgery by applying the framework outlined in this article. Improving surgical clinical research should decrease resource waste and provide patients with improved evidence-based care.

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The Steps of Practicing Evidence-Based Surgery (EBS)

Cited by 7 publications

References 4 publications

Methodologic and Reporting Quality of Economic Evaluations in Hand and Wrist Surgery: A Systematic Review

Methodologic and Reporting Quality of Economic Evaluations in Hand and Wrist Surgery: A Systematic Review

The Battle for the Truth: Social Media Versus Critical Appraisal

Improving the Science in Plastic Surgery

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