2009
DOI: 10.1111/j.1464-410x.2009.08529.x
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Civiale, stones and statistics: the dawn of evidence‐based medicine

Abstract: The statistical research on bladder stones conducted by Paris urologist Jean Civiale in the early 19th century provided historical roots for evidence-based medicine. Translations of original documents by Civiale describing his work on treating bladder stones, and the discussion by members of the Paris Academy of Sciences that commented on his results in 1835, were reviewed. By collecting statistical data on a wide scale throughout Europe, Civiale argued that his new transurethral procedure, called lithotripsy,… Show more

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Cited by 7 publications
(4 citation statements)
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“…But a recent paper in Kidney International projected using computer models that a 10 % rise in the prevalence rate might be expected in the next half century with a corresponding 25 % cost in health-care expenditure [ 97 ]. It is appropriate to conclude this chapter with a quote from another history paper notably on Civiale [ 99 ].…”
Section: Discussionmentioning
confidence: 99%
“…But a recent paper in Kidney International projected using computer models that a 10 % rise in the prevalence rate might be expected in the next half century with a corresponding 25 % cost in health-care expenditure [ 97 ]. It is appropriate to conclude this chapter with a quote from another history paper notably on Civiale [ 99 ].…”
Section: Discussionmentioning
confidence: 99%
“…But by the time his book was printed, the glorious era of perineal lithotomy had ended. The famous Jean Civiale (1792-1867) had introduced the new technique of lithotripsy in Paris 5 years earlier [98][99][100][101][102][103], initiating the first minimally invasive procedure to conquer the world. This led to the well-known dispute between Kern and Civale throughout the literature [104].…”
Section: Lithotomy and Lithotripsy In Vienna About 1850: The State Ofmentioning
confidence: 99%
“…Lithotrity involved ''bruising,'' ''crushing,'' or otherwise fragmenting a bladder stone for removal through the urethra without cutting through the bladder wall. The uniqueness of the lithotrity procedure was its less invasive nature in removing stones from the bladder compared with lithotomy (cutting through the bladder wall) (Herr, 2009;Kiefer, 1968). …”
Section: Introductionmentioning
confidence: 99%