Thoma Achilleas, Sprague Sheila
Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Clin Plast Surg. 2005 Jul;32(3):347-59, vi. doi: 10.1016/j.cps.2005.02.004.
This article informs head and neck microsurgeons, investigators, and readers of the head and neck microsurgical literature about key methodologic issues when comparing techniques/flaps in head and neck reconstruction. The following is discussed: (1) the principles of evidence-based microsurgery, (2) the hierarchy of the strength of evidence for treatment decisions in microsurgery, (3) types of questions asked (background and foreground questions) to identify the best available evidence, (4) strategies for searching the head and neck microsurgical literature, (5) issues regarding study outcomes (types, perspective, and time horizon) in microsurgery, (6) the relevance of incorporating economic analyses into head and neck microsurgical trials, and (7) the interpretation and applicability of published study results to an individual microsurgeon's clinical practice.
本文向头颈显微外科医生、研究人员以及头颈显微外科文献的读者介绍在比较头颈重建技术/皮瓣时的关键方法学问题。讨论内容如下：（1）循证显微外科原则；（2）显微外科治疗决策证据强度的层次；（3）为识别最佳现有证据而提出的问题类型（背景问题和前景问题）；（4）检索头颈显微外科文献的策略；（5）显微外科研究结果的相关问题（类型、视角和时间范围）；（6）将经济分析纳入头颈显微外科试验的相关性；（7）已发表研究结果对个体显微外科医生临床实践的解释及适用性。
