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Evidence in Neurosurgery

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Evidence for Neurosurgery

Abstract

Evidence-based medicine is currently state of the art also within neurosurgery. However, most of the known techniques and approaches have been developed before the nineties of the former century. Series of cases were published reporting the success of a method. These were supported by personal views of charismatic leading neurosurgeons. For example, for a long time it was well known that evacuation of an epidural hematoma can be lifesaving, that decompression of a nerve root by removing a compressing lumbar disc can relieve the pain, or the CSF drainage in case of a hydrocephalus can relief signs and symptoms or be, ultimately, lifesaving. Trials have never been performed.

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References

  1. Tunis SR, Stryer DB, Clancy CM. Practical clinical trials: increasing the value of clinical research for decision making in clinical and health policy. JAMA. 2003;290(12):1624–32.

    Article  CAS  Google Scholar 

  2. Bauer P, Bretz F, Dragalin V, Konig F, Wassmer G. Twenty-five years of confirmatory adaptive designs: opportunities and pitfalls. Stat Med. 2016;35(3):325–47.

    Article  Google Scholar 

  3. Bhatt DL, Mehta C. Adaptive designs for clinical trials. N Engl J Med. 2016;375(1):65–74.

    Article  Google Scholar 

  4. Guyatt G, Oxman AD, Akl EA, Kunz R, Vist G, Brozek J, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol. 2011;64(4):383–94.

    Article  Google Scholar 

  5. Wasserstein RL, Lazar NA. The ASA’s statement on p-values: context, process, and purpose. Am Stat. 2016;702:129–33.

    Article  Google Scholar 

  6. Ioannidis JPA. The proposal to lower p value thresholds to .005. JAMA. 2018;319(14):1429–30.

    Article  Google Scholar 

  7. Rothoerl RD, Klier J, Woertgen C, Brawanski A. Level of evidence and citation index in current neurosurgical publications. Neurosurg Rev. 2003;26(4):257–61.

    Article  Google Scholar 

  8. Yarascavitch BA, Chuback JE, Almenawer SA, Reddy K, Bhandari M. Levels of evidence in the neurosurgical literature: more tribulations than trials. Neurosurgery. 2012;71(6):1131–7.

    Article  Google Scholar 

  9. Mansouri A, Cooper B, Shin SM, Kondziolka D. Randomized controlled trials and neurosurgery: the ideal fit or should alternative methodologies be considered? J Neurosurg. 2016;124(2):558–68.

    Article  Google Scholar 

  10. Martens J, de Jong G, Rovers M, Westert G, Bartels R. Importance and presence of high-quality evidence for clinical decisions in neurosurgery: international survey of neurosurgeons. Interact J Med Res. 2018;7(2):e16.

    Article  Google Scholar 

  11. Wallis CJD, Detsky AS, Fan E. Establishing the effectiveness of procedural interventions: the limited role of randomized trials. JAMA. 2018;320(23):2421–2. https://doi.org/10.1001/jama.2018.16329.

    Article  PubMed  Google Scholar 

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Correspondence to Ronald H. M. A. Bartels .

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Bartels, R.H.M.A., Westert, G.P., Rovers, M.M. (2019). Evidence in Neurosurgery. In: Bartels, R., Rovers, M., Westert, G. (eds) Evidence for Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16323-5_1

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  • DOI: https://doi.org/10.1007/978-3-030-16323-5_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16322-8

  • Online ISBN: 978-3-030-16323-5

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