At 14.47 26/02/99 +0000, you wrote:
>A reminder that my resource guide to all studies looking at % of
>evidence based health care is available at:
>
>
You can add to your precious resource:
Slim K, Lescure G, Voitellier M, Ferrandis P, Le Roux S, Dumas PJ,
Lere JM, Patouillard P, Caburet A, Baudet B, Rolet JP, Prat M, Pezet D,
Chipponi J. Is laparoscopic surgical practice "factual"
(evidence based)? Results of a prospective regional survey. Presse Med
1998 Nov 21;27(36):1829-33
OBJECTIVE: Evidence-based medicine is a growing paradigm in health
care. We conducted a prospective study to determine whether laparoscopic
surgery is truly evidence-based in everyday practice.
METHODS: A prospective regional survey was performed in 11 French
hospitals (one university and 10 district hospitals) to ascertain how
general laparoscopic surgery was conducted during the last 3 months of
1997. We also searched the electronic databases for original articles on
laparoscopic procedures. The methodology of randomized trials was
analyzed and procedures were classed by level of evidence. We assumed
that an evidence-based procedure was which had been validated by
well-designed randomized controlled or prospective trials giving
homogeneous results.
RESULTS: One half of the procedures performed had been evaluated by
randomized controlled trials. Among the 428 laparoscopic procedures, 334
(78%) were found to be evidence-based (CI 74.1-81.9%). Twelve of the 18
indications for laparoscopy (67%) were evidence based (CI: 62.5%-71.5).
There was no difference between university teaching hospitals and general
district hospitals. CONCLUSION: Contrary to initial criticisms, the
practice of laparoscopic surgery appears to be truly evidence-based in
the majority of cases.
Bests
Antonino Cartabellotta, MD
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