Evidence-Based Plastic Surgery: Is it real and relevant?

Dhar, Shymal C. (2009). Evidence-Based Plastic Surgery: Is it real and relevant?. In: Positioning the Profession: the Tenth International Congress on Medical Librarianship, Brisbane, Australia, (1-26). August 31-September 4, 2009.

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Author Dhar, Shymal C.
Title of paper Evidence-Based Plastic Surgery: Is it real and relevant?
Conference name Positioning the Profession: the Tenth International Congress on Medical Librarianship
Conference location Brisbane, Australia
Conference dates August 31-September 4, 2009
Publication Year 2009
Sub-type Fully published paper
Start page 1
End page 26
Formatted Abstract/Summary
Evidence-based clinical practice is the integration of individual clinical expertise with the best available external clinical evidence from systematic research while factoring patient values into clinical decision making. It is a life-long process of self-directed learning in which patient care creates the ever present need for clinically relevant information regarding diagnosis, prognosis and therapy. For ethical reasons, level 1 “best-evidence” is not always possible in surgery. In the past, the majority of studies in the plastic surgical literature lacked a proper study design and valid size estimation. A comprehensive review of the literature identifies several obstacles facing the plastic surgeon when trying to ensure that practice is evidence-based.

Despite the difficulties inherent in evidence-based plastic surgery, two fundamental principles exist. First, the evidence alone is never sufficient to make a clinical decision because plastic surgeons must always consider the benefits and the risks, inconvenience, and cost associated with alternative techniques. The patient’s values and preferences must always be taken into consideration. Second, evidence-based plastic surgery requires a hierarchy of evidence to guide surgical decision making. The difficulty in conducting surgical randomized control trials should not be an overwhelming dilemma in producing good quality evidence in plastic surgery. In recent years, the plastic surgery community has recognized the necessity of performing outcome studies designed to move practice away from empiricism and toward a foundation based on assessment by outcome. By increasing our critical appraisal skills, the clinician can begin to make best use of the current evidence available.
Subjects 0807 Library and Information Studies
110323 Surgery
Keyword Plastic Surgery
Evidence Based Medicine
Q-Index Code E1
Q-Index Status Provisional Code
Institutional Status Unknown

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Created: Thu, 08 Oct 2009, 16:10:46 EST by Majella Pugh on behalf of The University of Queensland Library