Center for Biomedical Research, University of Cartagena, Cartagena, Colombia.
Department of General Surgery, Carlos Roberto Huembes Hospital, National Autonomous University of Nicaragua, Managua, Nicaragua.
J Neurosurg Sci. 2022 Feb;66(1):49-53. doi: 10.23736/S0390-5616.21.05331-5. Epub 2021 Aug 3.
Since its inception, medical training and practice are based primarily on the clinical experience provided by the mentors of each of the medical schools. In the 1990s, the first steps were taken for the construction of what we now know as evidence-based medicine. Evidence-based medicine is the set of studies, methods, and principles for the prevention of medical diseases, management guidelines, and algorithms used in sources of evidence. Neurosurgery based on evidence has emerged thanks to advances in neuroscience and information technology that allows the globalization of current scientific information. The results of important reviews on the levels of evidence in neurosurgery are low in percentages of high-quality evidence in this field of medicine. Based on the above, the aim of this manuscript was to describe the application of evidence in neurosurgery, the current state of the art in evidence-based medicine, and the steps needed to create evidence of the best quality in neurosurgery.
自成立以来，医学培训和实践主要基于各医学院导师提供的临床经验。20 世纪 90 年代，为构建我们现在所知的循证医学迈出了第一步。循证医学是一套用于预防医学疾病、管理指南和算法的研究、方法和原则，这些都来自于证据来源。基于神经科学和信息技术的发展，神经外科学也应运而生，这使得当前科学信息实现了全球化。神经外科学中关于证据水平的重要综述结果显示，该医学领域的高质量证据百分比较低。基于上述情况，本文旨在描述证据在神经外科学中的应用、循证医学的现状，以及在神经外科学中创建最佳质量证据所需的步骤。
