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Do we really apply evidence-based-recommendations to spine surgery? Results of an international survey.
Bozkurt, Ismail; Holt, Matthew W; Robinson, Eric C; Chaurasia, Bipin; Zileli, Mehmet.
Afiliação
  • Bozkurt I; Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turkey.
  • Holt MW; Department of Neurosurgery, School of Medicine, Yuksek Ihtisas University, Ankara, Turkey.
  • Robinson EC; Department of Natural Sciences, University of South Carolina Beaufort, Bluffton, SC, USA. MWHOLT@email.uscb.edu.
  • Chaurasia B; Ross University School of Medicine, Miramar, FL, 33027, USA.
  • Zileli M; Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.
Neurosurg Rev ; 47(1): 264, 2024 Jun 10.
Article em En | MEDLINE | ID: mdl-38856823
ABSTRACT

OBJECTIVE:

This international survey investigated Evidence-Based Medicine (EBM) in spine surgery by measuring its acceptance among spine surgeons. It assessed their understanding of EBM and how they apply it in practice by analyzing responses to various clinical scenarios.. MATERIALS AND

METHODS:

Following the CHERRIES guidelines, an e-survey was distributed to multiple social media forums for neurosurgeons and orthopedic surgeons on Facebook, LinkedIn, and Telegram and circulated further through email via the authors' network. Three hundred participants from Africa, Asia, Europe, North America, and Oceania completed the survey.

RESULTS:

Our study revealed that 67.7% (n = 203) of respondents used EBM in their practice, and 97.3% (n = 292) believed training in research methodology and EBM was necessary for the practice of spine surgery. Despite this endorsement of using EBM in spine surgery, we observed varied responses to how EBM is applied in practice based on example scenarios. The responders who had additional training tended to obey EBM guidelines more than those who had no additional training. Most surgeons responded as always or sometimes prescribing methylprednisolone to patients with acute spinal cord injury. Other significant differences were identified between geographical regions, training, practice settings, and other factors.

CONCLUSIONS:

Most respondents used EBM in practice and believed training in research methodology and EBM is necessary for spine surgery; however, there were significant variations on how to use them per case. Thus, the appropriate application of EBM in clinical settings for spinal surgery must be further studied.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Coluna Vertebral / Medicina Baseada em Evidências Limite: Female / Humans / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Coluna Vertebral / Medicina Baseada em Evidências Limite: Female / Humans / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article