Evidence-based surgery: The obstacles and solutions.
Surgeons are often accused of lagging behind their medical colleagues in embracing evidence based medicine and utilizing new research tools to conducting high quality randomized controlled trials. Although there has been a noticeable improvement in the quantity and quality of high quality studies in surgical journals, the widespread practice of evidence based surgery is still poor. Unlike evidence based medicine, the practice of evidence based surgery is hampered by inherent problems and obstacles. This article reviews these difficulties and the limitations of randomized controlled trials in surgical practice. It also outlines some solutions that may help remedy this ongoing problem.
Section of General and Minimally Invasive Surgery, Department of Surgery, King Fahad Specialist Hospital, Al-Muraikibat, Dammam 31444, Saudi Arabia. Electronic address: meshikhes@gmail.com.
Abdul-Wahed Nasir
AW
Meshikhes
D019317:Evidence-Based Medicine; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D013514:Surgical Procedures, Operative
Evidence based medicine; Evidence based surgery; Randomized controlled trial; Surgical technique