The Authors discuss the importance of evidence based medicine (EBM) as related particularly to outpatient surgery. They discuss the five core steps in current EBM and take the reader through each of the steps, listing methods the surgeon can follow to achieve a thorough and relevant evidence based plan. Challenges of EBM such as reporting bias and evidence grading are discussed along with solutions and tools to meet those challenges. The article concludes with a look at data sharing as a means of enabling surgeons to access outcomes and specific aspects of care for a surgical procedure.
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http://dx.doi.org/10.1016/j.cps.2013.04.008 | DOI Listing |
Sci Rep
December 2024
Department of Architecture, Rafsanjan Branch, Islamic Azad University, Rafsanjan, Iran.
The advent of smart cities has brought about a paradigm shift in urban management and citizen engagement. By leveraging technological advancements, cities are now able to collect and analyze extensive data to optimize service delivery, allocate resources efficiently, and enhance the overall well-being of residents. However, as cities become increasingly interconnected and data-dependent, concerns related to data privacy and security, as well as citizen participation and representation, have surfaced.
View Article and Find Full Text PDFSci Rep
December 2024
Department of Geographic Information System, Chinese Academy of Surveying and mapping, Beijing, 100036, China.
Geographic entity matching is an important means for multi-source spatial data fusion and information association and sharing. Corresponding matching methods have been designed by existing studies for different types of entity data characteristics, such as line and area. However, these approaches are often limited in the generalization ability for matching heterogeneous data from multiple sources and the accuracy for complex pattern matching.
View Article and Find Full Text PDFJ Anim Ecol
December 2024
Department of Biology, Edward Grey Institute of Field Ornithology, University of Oxford, Oxford, UK.
In social animals, group dynamics profoundly influence collective behaviours, vital in processes like information sharing and predator vigilance. Disentangling the causes of individual-level variation in social behaviours is crucial for understanding the evolution of sociality. This requires the estimation of the genetic and environmental basis of these behaviours, which is challenging in uncontrolled wild populations.
View Article and Find Full Text PDFJ Pediatr Hematol Oncol
January 2025
Department of Ophthalmology, Hamilton Eye Institute, University of Tennessee Health Science Center.
This quality improvement initiative aimed to reduce the no-show rate at a hospital-based tertiary sickle cell ophthalmology clinic. Missed appointments place a significant burden on the healthcare system, resulting in prolonged waiting times and underutilized clinical resources that impact the quality of care provided. Individuals with sickle cell disease commonly require multiple appointments to address the myriads of comorbidities associated with their disease.
View Article and Find Full Text PDFClin Transplant
January 2025
Division of Abdominal Transplant, Department of Surgery, Stanford University Medical Center, Stanford, California, USA.
Background: In July 2023, the OPTN adopted MELD3.0 to address sex-based disparities in liver transplantation (LT) opportunity and waitlist mortality. No studies have proven that MELD3.
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