Rotter N
Laryngorhinootologie. 2016 Apr;95 Suppl 1:S116-35. doi: 10.1055/s-0041-109059. Epub 2016 Apr 29.
Therapeutic decisions in otorhinolaryngology are based on clinical experience, surgical skills and scientific evidence. Lately, evidence-based therapies have gained increased attention and importance due to their potential to improve individual patients treatments and their potential to at the same time reduce treatment costs. In clinical practice it is almost impossible to stay ahead of the increasing masses of literature and on the other hand to critically assess the presented data. A solid scientific and statistical knowledge as well as a significant amount of spare time are required to detect systematic bias and other errors in study designs, also with respect to assessing whether a study should be part of an individual therapeutic decision or not. Meta-analyses, reviews and clinical guidelines are therefore of increasing importance for evidence-based therapy in clinical practice.This review is an update of the availability of external evidence for the treatment of nasal obstruction and rhinosinusitis. It becomes evident that both groups of diseases differ significantly in the availability of external evidence. Furthermore, it becomes obvious that surgical treatment options are usually based on evidence of significantly lower quality than medical treatment options.
耳鼻咽喉科的治疗决策基于临床经验、手术技巧和科学证据。近来，循证疗法因其有改善个体患者治疗效果的潜力，同时又有降低治疗成本的潜力，而受到越来越多的关注并变得愈发重要。在临床实践中，几乎不可能跟上不断增加的文献数量，另一方面也难以批判性地评估所呈现的数据。要发现研究设计中的系统偏差和其他错误，包括评估一项研究是否应成为个体治疗决策的一部分，需要扎实的科学和统计学知识以及大量的业余时间。因此，荟萃分析、综述和临床指南对于临床实践中的循证治疗越来越重要。本综述是关于治疗鼻阻塞和鼻窦炎外部证据可得性的最新情况。显而易见，这两组疾病在外部证据的可得性方面有显著差异。此外，很明显手术治疗方案所依据的证据质量通常明显低于药物治疗方案。
