Evidence-based Orthopedics (Evidence-Based Medicine) by Mohit Bhandari

By Mohit Bhandari

Surgical orthopedic tactics reminiscent of hip replacements, arthroscopy or knee replacements are surrounded by way of pre- and post-operative problems, and there are various assorted equipment for the tactics themselves. This ebook, for the 1st time, brings jointly the easiest proof for remedies in addition to any problems. not just does it disguise the proof base for orthopedic surgical procedure, but in addition orthopedic stipulations requiring scientific remedy, and pediatric orthopedics. utilizing the licensed EBM method, and edited by means of academics of evidence-based medication, it is a actual EBM textbook for all orthopedic experts and trainees.

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New Engl J Med 2009;361(6): 557–68. 2 Understanding Hierarchies of Evidence and Grades of Recommendation Raman Mundi and Brad A. Petrisor McMaster University, Hamilton, ON, Canada Case scenario As an attending orthopedic surgeon at a teaching hospital, you are approached by a medical resident new to the specialty and eager to learn. 2 Nevertheless, clinicians must be aware of the evidence that exists so as to provide their patients with optimal care. 3 In general, such hierarchies rank- order research studies from the most methodologically sound, to those with less methodological rigor and a higher propensity for biased results.

16,17 However, the instrument is not without its limitations. First, it is difficult to classify a clinical practice guideline as “good” or “bad” because it is impossible to set thresholds for the domain scores. In addition, the instrument does not address the clinical content or the quality of evidence supporting the recommendations of clinical practice guidelines. 7,9 Orthopedic surgeons today are faced with the challenge of providing medical care that stems from valid and current evidence. Grading quality of evidence and strength of recommendations.

Raslich MA, Onady GM. Evidence-based medicine: Critical appraisal of the literature (critical appraisal tools). Pediatr Rev 2007;28:132–8. ╇ Bhandari M, Haynes RB. How to appraise the effectiveness of treatment. World J Surg 2005;29:570–5. ╇ Bajammal S, Bhandari M, Dahm P. What every urologist should know about surgical trials Part I: Are the results valid? Indian J Urol 2009;24:281–8. ╇ Busse JW, Heetveld MJ. Critical appraisal of the orthopaedic literature: Therapeutic and economic analysis.

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