Burton Martin, Clarke Mike
Department of Otolaryngology-Head and Neck Surgery, University of Oxford, The Radcliffe Infirmary, Oxford OX2 6HE, England, UK.
Surg Clin North Am. 2006 Feb;86(1):101-14, ix. doi: 10.1016/j.suc.2005.10.005.
All physicians are familiar with the type of general review articles found in many medical journals. Systematic reviews are different. They apply a strict, scientific methodology to the reviewing process to produce a review that is comprehensive, reliable, and as free from bias as possible. As a result, systematic reviews occupy the highest position in the "levels of evidence" tables associated with the practice of evidence-based health care. Systematic reviews relevant to surgery are no less relevant than systematic reviews in other areas of health care. They should be a prerequisite of any new research, a key component in decision making, and an opportunity for all surgical practitioners to get involved in the conduct and interpretation of research.
所有医生都熟悉许多医学期刊中常见的一般性综述文章类型。系统评价则不同。它们在综述过程中应用严格的科学方法,以产生全面、可靠且尽可能无偏倚的综述。因此,系统评价在与循证医疗实践相关的“证据等级”表中占据最高位置。与外科手术相关的系统评价与其他医疗保健领域的系统评价同样重要。它们应该是任何新研究的先决条件,是决策的关键组成部分,也是所有外科从业者参与研究实施和解读的契机。