scholarly journals The Role of Imaging Specialists as Authors of Systematic Reviews on Diagnostic and Interventional Imaging and Its Impact on Scientific Quality: Report from the EuroAIM Evidence-based Radiology Working Group

Radiology ◽  
2014 ◽  
Vol 272 (2) ◽  
pp. 533-540 ◽  
Author(s):  
Francesco Sardanelli ◽  
Humayun Bashir ◽  
Dominik Berzaczy ◽  
Guglielmo Cannella ◽  
Ansgar Espeland ◽  
...  
Keyword(s):  
Systematic Reviews ◽  
Working Group ◽  
Scientific Quality ◽  
Evidence Based ◽  
Interventional Imaging ◽  
Quality Report

scholarly journals Evidence-Based Surgical Treatment Algorithm for Unstable Syndesmotic Injuries

2022 ◽  
Vol 11 (2) ◽  
pp. 331
Author(s):  
Markus Regauer ◽  
Gordon Mackay ◽  
Owen Nelson ◽  
Wolfgang Böcker ◽  
Christian Ehrnthaller
Keyword(s):  
Surgical Treatment ◽  
Systematic Reviews ◽  
Treatment Guidelines ◽  
Screw Fixation ◽  
External Rotation ◽  
Treatment Algorithm ◽  
Evidence Based ◽  
Posterior Malleolus ◽  
Anatomic Reduction

Background: Surgical treatment of unstable syndesmotic injuries is not trivial, and there are no generally accepted treatment guidelines. The most common controversies regarding surgical treatment are related to screw fixation versus dynamic fixation, the use of reduction clamps, open versus closed reduction, and the role of the posterior malleolus and of the anterior inferior tibiofibular ligament (AITFL). Our aim was to draw important conclusions from the pertinent literature concerning surgical treatment of unstable syndesmotic injuries, to transform these conclusions into surgical principles supported by the literature, and finally to fuse these principles into an evidence-based surgical treatment algorithm. Methods: PubMed, Embase, Google Scholar, The Cochrane Database of Systematic Reviews, and the reference lists of systematic reviews of relevant studies dealing with the surgical treatment of unstable syndesmotic injuries were searched independently by two reviewers using specific terms and limits. Surgical principles supported by the literature were fused into an evidence-based surgical treatment algorithm. Results: A total of 171 articles were included for further considerations. Among them, 47 articles concerned syndesmotic screw fixation and 41 flexible dynamic fixations of the syndesmosis. Twenty-five studies compared screw fixation with dynamic fixations, and seven out of these comparisons were randomized controlled trials. Nineteen articles addressed the posterior malleolus, 14 the role of the AITFL, and eight the use of reduction clamps. Anatomic reduction is crucial to prevent posttraumatic osteoarthritis. Therefore, flexible dynamic stabilization techniques should be preferred whenever possible. An unstable AITFL should be repaired and augmented, as it represents an important stabilizer of external rotation of the distal fibula. Conclusions: The current literature provides sufficient arguments for the development of an evidence-based surgical treatment algorithm for unstable syndesmotic injuries.

Evidence-Based I–O Psychology: Not There Yet but Now a Little Nearer?

2011 ◽  
Vol 4 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Rob B. Briner ◽  
Denise M. Rousseau
Keyword(s):  
Systematic Reviews ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
First Category ◽  
Second Category

Our focal article sought to promote discussion of evidence-based approaches to practice in industrial–organizational (I–O) psychology. It did so by describing the meanings and origins of evidence-based practice, evaluating the extent to which I–O psychology practice is currently evidence-based, and considering the role of systematic reviews in promoting evidence-based practice. The commentaries on our focal article raised many interesting and important points. In our response, we divide them into two broad categories. The first category consists of comments and objections that arise from what we believe to be misinterpretations of evidence-based practice and our focal article. The second category contains those comments that in various ways extend and elaborate the issues raised in our focal article. Although we are not there yet, we hope that these commentaries will take us a little nearer to an evidence-based approach to I–O psychology.

Opportunistic evidence: evidence-based policy in the setting of the Australian Government's chlamydia screening pilot

2012 ◽  
Vol 36 (1) ◽  
pp. 57
Author(s):  
Simon R. Crouch
Keyword(s):  
Systematic Review ◽  
Health Policy ◽  
Systematic Reviews ◽  
Policy Development ◽  
Good Health ◽  
Chlamydia Screening ◽  
Evidence Based ◽  
Policy Decisions ◽  
Evidence Based Policy

Objective. Chlamydia prevention and control form a significant part of the Australian Government’s sexual health policy. This paper examines the evidence for policy development and in particular the role of systematic reviews in evidence-based policy. Methods. The author undertook a review of the literature on evidence-based policy. The major theories for evidence-based policy were then linked to the Australian Government’s main chlamydia policy. Results. A systematic review on chlamydia screening has been influential in policy development, but like all systematic reviews its validity must be assessed. It has been suggested that methodological appropriateness and the question being asked are perhaps more important than study design per se. Partnerships between researchers and policymakers are important but it should be noted that experts have their own particular biases. Policymaking can also be determined by political ideologies. Conclusions and implications. The publication of a systematic review has provided a good summative evaluation of chlamydia screening that has been built upon through partnerships with researchers. The resulting chlamydia screening pilot will provide further evidence for future policy; however, a variety of sources are required to develop robust policy directions. What is known about the topic? Systematic reviews are often considered to be the best evidence on which to base policy decisions. In practice it is not always the case that best evidence is used to form policy. As well as systematic reviews, which are not always infallible, there are many other factors that affect the development of national health policy. What does the paper add? This paper provides a consideration of the role of systematic reviews in policy-making, as well as some of the pitfalls to this approach. As an example, it provides the Australian Government’s policy on chlamydia control and looks at other factors that may have contributed to the development of this policy. What are the implications for practitioners? All practitioners involved in policy decisions should consider the evidence-base from which their policies are derived. They should understand the sound basis of the systematic review while accepting that other pressures may affect the processes leading up to the formation of good health policy.

What is Evidence-Based Practice?

1997 ◽  
Vol 60 (11) ◽  
pp. 470-474 ◽  
Author(s):  
M Clare Taylor
Keyword(s):  
Systematic Reviews ◽  
Clinical Guidelines ◽  
Critical Appraisal ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Clinical Decision ◽  
Evidence Based ◽  
Critical Appraisal Skills

Evidence-based practice are the buzz words of current health care. This article explores what evidence-based practice actually means for occupational therapists. Evidence-based practice has two strands. The first strand involves using the best available evidence as part of the clinical decision-making process. The second strand involves drawing the evidence together in the form of systematic reviews. These reviews may then be used to help inform the development of clinical guidelines. This article outlines and discusses both strands of evidence-based practice and the relevance of each strand to practising occupational therapists. It explores how therapists can locate, evaluate and use evidence to inform their practice. The article focuses particularly on the development of critical appraisal skills. The role of systematic reviews and the relevance of clinical guidelines for occupational therapy are discussed.

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