Evidence-based practice in pediatric surgery
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Cited by (91)
Rise of pediatric surgery collaboratives to facilitate quality improvement
2023, Seminars in Pediatric SurgeryDevelopment of a multi-institutional clinical research consortium for pediatric surgery
2017, Journal of Pediatric SurgeryCitation Excerpt :Prospective trials can overcome many of these limitations, but the number of prospective trials in pediatric surgery has been limited. In recent reviews of pediatric surgery publications, only 1.5% were prospective studies and < 0.4% were randomized controlled trials (RCTs) [1,2,3]. Furthermore, many of the RCTs that have been performed in pediatric surgery have been noted to have flaws in study design, randomization techniques, sample size calculations, or inadequate power or statistical analysis to demonstrate a difference between treatment arms [1,3].
Barriers and facilitators to the implementation of evidence-based practice by pediatric surgeons
2017, Journal of Pediatric SurgeryCitation Excerpt :Nurses also indicated a desire to have an EBP mentor [22,23]. Previous studies investigating EBP in pediatric surgeons have hypothesized that a substantial barrier was the lack of high quality RCTs [2,3]. To substantiate this, Hardin et al. (1999) conducted a review of all available literature published in five core pediatric surgery journals up to 1998.
A systematic review and meta-analysis of the clinical outcomes for various surgical modalities in the management of temporomandibular joint ankylosis
2015, International Journal of Oral and Maxillofacial SurgeryCitation Excerpt :Several obstacles have been proposed to explain the paucity of randomized trials and other high-quality prospective study designs. These include the rarity of many surgical conditions, diminishing funding in support of clinical trials, difficulty with standardizing surgical procedures, surgeon preference for specific operations, and the reluctance of patients to assign their children randomly to a potentially invasive treatment arm, among others.75–82 Although no significant publication bias was observed using funnel plots, it is still feasible that negative or null findings from studies were not published, leading to publication bias and possibly accounting for the small number of studies in this review.
A pilot investigation of a pediatric surgery journal club
2014, Journal of Pediatric SurgeryCitation Excerpt :These results are summarized in Fig. 3. It has been well demonstrated that one of the main barriers to evidence-based practice in pediatric surgery is the lack of high level studies to inform clinical decision-making [4,12,13]. Even when a well-conducted trial is performed, recognized hurdles inhibit practice change by impeding the dissemination, acceptance and application of that evidence.
Adherence of randomized trials within children's surgical specialties published during 2000 to 2009 to standard reporting guidelines
2013, Journal of the American College of Surgeons
Presented at the 1998 Annual Meeting of the Section on Surgery of the American Academy of Pediatrics, San Francisco, California, October 16–19, 1998.