Gaps of Evidence in ENT-Surgery - a Qualitative Survey

被引:3
|
作者
Loehler, J. [1 ,2 ]
Akcicek, B. [2 ]
Muller, F. [3 ]
Dreier, G. [1 ,4 ]
Meerpohl, J. J. [5 ]
Vach, W. [6 ]
Werner, J. [1 ,3 ]
机构
[1] Kopf & Halschirurg, Deutsch Studienzentrum HNO Heilkunde, Bonn, Germany
[2] Wissensch Inst Angew HNO Heilkunde, Bad Bramstedt, Germany
[3] Univ Marburg, Lehrstuhl HNO Heilkunde, Marburg, Germany
[4] Univ Freiburg Klinikum, Studienzentrum, Freiburg, Germany
[5] Univ Freiburg Klinikum, Cochrane Germany, Freiburg, Germany
[6] Univ Freiburg Klinikum, Dept Med Biometrie & Med Informat, Freiburg, Germany
关键词
Evidence-based medicine; ENT medicine; evidentiary gaps; survey; healthcare research; RESPONSE RATES; QUESTIONNAIRES;
D O I
10.1055/s-0041-108949
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Introduction: As in other disciplines, the burgeoning knowledge in ENT medicine long ago surpassed our ability to adequately absorb it and maintain a proper overview. This can give rise to actual or assumed knowledge gaps that can impede the progress of the discipline and evidence-based treatment of patients. Clinics and medical practices also hold to traditional doctrines that shape day-to-day medicine, without these schools being challenged based on evidence. Methods: Between February and June 2015, 160 ENT clinics, including 34 university hospitals, and 2,670 ENT practices took part in a two-arm online survey on existing or perceived evidentiary gaps in ENT medicine using a previously development questionnaire. The survey used for half the participants was open in form; the other half were given a closed survey with systematics of the field for orientation. The survey was augmented with additional data such as the number of publications and focus areas in the clinics and the age and type of practice of the established physicians. Results: The return rate from the clinics was 39.7%; the return rate of the closed surveys was 29.3%. Of the physicians in medical practice, 14.6% responded to the closed and 18.6% to the open survey. There were no major differences between the two forms of survey. Otological and oncological issues comprised approximately 30% of the list of answers from clinics. Corresponding questions were formulated regarding the current diagnostic and therapeutic problems, such as with stage-related tumor treatment or implantable hearing aids. Diagnostic procedures, e.g., special new procedures in audiology and vestibulogy, dominated the surveys from the practices. However clinics and practices alike cited marginal areas of the discipline that are of daily relevance. Discussion: The cited knowledge gaps then needed to be verified or refuted and clarified based on research of the literature as to whether the existing evidence actually reached healthcare providers in the form of guidelines, publications, conferences or continuing training for application in daily practice. Other steps would include prioritizing future research, evidence mapping, deciding on further systematic reviews, and targeted studies in conjunction with procuring third-party funding and in cooperation with patient associations. The knowledge thus gained should ultimately be transferred in improved form for application in daily clinical practice. Ten questions of key importance each needed to be formulated for the hospitals and practices.
引用
收藏
页码:S13 / S37
页数:25
相关论文
共 50 条
  • [31] Safety in ENT surgery
    Mahmoud H. M. Hasan
    The Egyptian Journal of Otolaryngology, 2018, 34 (3) : 165 - 166
  • [32] HEADLAMP FOR ENT SURGERY
    MOREY, GW
    BRITISH MEDICAL JOURNAL, 1949, 2 (4623): : 383 - 383
  • [33] Safety in ENT surgery
    Hasan, Mahmoud H. M.
    EGYPTIAN JOURNAL OF OTOLARYNGOLOGY, 2018, 34 (03): : 165 - 166
  • [35] A survey of how and why medical students and junior doctors choose a career in ENT surgery
    Bhutta, M.
    Mandavia, R.
    Syed, I.
    Qureshi, A.
    Hettige, R.
    Wong, B. Y. W.
    Saeed, S.
    Cartledge, J.
    JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2016, 130 (11): : 1054 - 1058
  • [36] Is undergraduate medical education working for ENT surgery? A survey of UK medical school graduates
    Powell, J.
    Cooles, F. A. H.
    Carrie, S.
    Paleri, V.
    JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2011, 125 (09): : 896 - 905
  • [37] Nationwide survey on postoperative bleeding in pediatric ENT surgery: preliminary results of the ESPED trial
    Bidlingmaier, C.
    Stelter, K.
    Eberl, W.
    Von Kriess, R.
    Kurnik, K.
    HAEMOPHILIA, 2008, 14 : 97 - 97
  • [39] Anaesthesia for ENT surgery - Is there a change?
    Chhabra, Anjolie
    Chandralekha
    TRENDS IN ANAESTHESIA AND CRITICAL CARE, 2011, 1 (02) : 55 - 55
  • [40] ENT SURGERY ON ALLERGIC PATIENT
    MISSAL, SC
    ANNALS OF ALLERGY, 1971, 29 (04): : 229 - &