From the Dallas Plastic Surgery Institute; Baylor College of Medicine; Hansjorg Wyss Department of Plastic Surgery, New York University Langone Health; and Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School.
Plast Reconstr Surg. 2021 Oct 1;148(4):645e-649e. doi: 10.1097/PRS.0000000000008368.
Evidence-based medicine, as described by Dr. Sackett, is defined as the "conscientious, explicit, and judicious use of current best evidence, combined with individual clinical expertise and patient preferences and values, in making decisions about the care of individual patients." In the late 2000s, seminal articles in Clinics in Plastic Surgery and Plastic and Reconstructive Surgery introduced evidence-based medicine's role in plastic surgery and redefined varying levels of evidence. The American Society of Plastic Surgeons sponsored the Colorado Springs Evidence-Based Medicine Summit that set forth a consensus statement and action plan regarding the increased incorporation of evidence-based medicine into the field; this key meeting ushered a new era among plastic surgeons worldwide. Over the past decade, Plastic and Reconstructive Surgery has incorporated evidence-based medicine into the Journal through an increase in articles with level I and II evidence, new sections of the Journal, and the introduction of validated tools to help authors perform prospective and randomized studies that ultimately led to best practices used today. Plastic surgery is a specialty built on problem-solving and innovation, values starkly in-line with evidence-based medicine. Evidence-based medicine is becoming more ingrained in our everyday practice and plastic surgery culture; however, we must work actively to ensure that we continue this trend. In the next decade, we will possibly see that level I and II evidence articles start to inhabit many of our journal issues.
循证医学由 Sackett 博士定义为“将当前最佳证据与个体临床专业知识、患者偏好和价值观相结合，以对个体患者的护理做出明智决策的过程。” 21 世纪 10 年代，《整形外科学临床》和《整形与重建外科学》中的开创性文章介绍了循证医学在整形外科学中的作用，并重新定义了不同级别的证据。美国整形外科学会（ASPS）主办了科罗拉多斯普林斯循证医学峰会，该峰会提出了一项关于将循证医学更多地纳入该领域的共识声明和行动计划；这次重要会议在全球范围内为整形医生开启了一个新时代。在过去的十年中，《整形与重建外科学》通过增加具有一级和二级证据的文章、新增杂志版块以及引入经过验证的工具来帮助作者进行前瞻性和随机性研究，将循证医学纳入期刊，最终促成了当今最佳实践的应用。整形外科学是一个以解决问题和创新为基础的专业，其价值观与循证医学完全一致。循证医学在我们的日常实践和整形外科学文化中越来越根深蒂固；然而，我们必须积极努力，以确保我们继续保持这一趋势。在未来十年，我们可能会看到一级和二级证据文章开始占据我们许多杂志的主要版面。
