Evidence-Based Medicine: History, Review, Criticisms, and Pitfalls

Ratnani, Iqbal; Fatima, Sahar; Abid, Muhammad Mohsin; Surani, Zehra; Surani, Salim

doi:10.7759/cureus.35266

Cited by 6 publications

(7 citation statements)

References 27 publications

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“…It has evolved from early studies on the basic and theoretical concepts of drama therapy to studies on therapeutic interventions for different patient groups and systematic reviews. Systematic reviews, as a type of research with a high level of evidence, represent a mature stage in this field of research ( Ratnani et al, 2023 ). Observational studies show that researchers most often refer to systematic reviews, which confirms that these studies significantly facilitate understanding and orientation in the field of drama therapy.…”

Section: Discussionmentioning

confidence: 99%

Research trends in drama therapy: a bibliometric analysis based on Scopus

Korde,

Šuriņa,

Mārtinsone

2023

Front. Psychol.

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AimAs drama therapy has become increasingly important in healthcare, the number of scientific publications has increased, complicating the orientation in the research field. Therefore, the aim of this study is to provide a comprehensive overview of research trends in drama therapy, assessing the impact factors of publications and analyzing the research structure.MethodsThree hundred and ninety-five scientific articles indexed in Scopus were analyzed without time, geographic and language restrictions using bibliometric analysis methods - performance analysis, citation analysis, and science mapping. Data processing was performed using MS Excel, VOSviewer and Biblioshiny software.ResultsThe work of the pioneers of drama therapy continues to be actively cited, influencing the development of drama therapy. Today’s leading researchers are increasingly engaging in collaborative research, working across disciplines and contributing to scientific progress. The hot topic of research is older adults and mental health. The diversity of terminology and the large volume of unpublished research point to the need for consolidation. Altmetric analysis would optimize the use of scientific information, promoting innovative research.ConclusionThis is the first study using the Scopus database to perform an extensive bibliometric analysis of research articles on drama therapy applying Biblioshiny and VOSviewer software. The results of the analysis reflect the evolution of the field from its historical roots to academic maturity, highlighting its current dynamic growth and the trend of drama therapy to establish itself as an interdisciplinary field in the healthcare system. This work serves as a valuable resource for the scientific community, professionals, students, and librarians in the field, helping to optimize the use of scientific resources in drama therapy and contributing to its future development.

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Section: Discussionmentioning

confidence: 99%

Research trends in drama therapy: a bibliometric analysis based on Scopus

Korde,

Šuriņa,

Mārtinsone

2023

Front. Psychol.

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“…Quality of studies were graded based on Oxford Centre for Evidence-Based Medicine (OCEBM) levels of evidence 12 , 13 . Two reviewers independently proceeded the assessment, and inconsistence was resolved by discussion and consensus.…”

Section: Methodsmentioning

confidence: 99%

Surgical procedures for the treatment of fungal periprosthetic infection following hip arthroplasty: a systematic scoping review

Guan,

Zheng,

Zeng

et al. 2024

Annals of Medicine &Amp; Surgery

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Background: There has been limited literature synthesizing the therapeutic effects of surgical procedures for fungal periprosthetic joint infection (PJI) following hip arthroplasty. Our current study aims to comprehensively review and analyze those relevant literature, and carefully make recommendations for future clinical practices. Methods: Our current study was carried out in accordance with the PRISMA 2020 statement. Studies regarding the surgical management of fungal PJI following hip arthroplasty were collected via a thorough search of PubMed, Embase and Google scholar databases. The search was lastly performed in March 2023. Non-English language, reviews, articles with duplicated data, and articles without clear information about the type of fungal pathogens and treatment options were excluded. We evaluated our systematic review compliance by using AMSTAR 2 criteria and fell in moderate quality. Clinical outcomes of different surgical procedures were evaluated, and a binary logistic regression model was used to identify the risks associated with treatment failure. Data analyses were performed using the SPSS version 19.0. Results: A total of 33 articles encompassing 80 patients with fungal PJI following hip arthroplasty were identified. Candida albicans was the most frequently isolated fungus (56.3%, 45/80). The overall treatment success was achieved in 71.1% (54/76) of the reported cases. Univariate analysis showed that the differences of success rate were not significant between publication periods, genders, ages, specimen collection methods, and fungal pathogens. Treatment success rate was 47.4% (9/19) in fungal PJI cases with bacterial co-infection, significantly lower than those without (vs. 79.0% (45/57), P=0.017). The pooled success rate for surgical debridement, spacer implantation, resection arthroplasty, one-stage revision, and two-stage revision was 50.0% (4/8), 42.9% (3/7), 55.0% (11/20), 86.7% (13/15), and 88.5% (23/26), respectively, with significant differences between them (P=0.009). A binary logistic regression model showed that bacterial co-infection and surgical option were the two significant risk factors associated with treatment failure for fungal PJI following hip arthroplasty. Discussion: Regarding the surgical treatment of fungal PJI following hip arthroplasty, patients with bacterial co-infection, and those treated with surgical procedures such as debridement, spacer implantation, and resection arthroplasty should be aware of the higher risks of failure. Nonetheless, future multiple-center cohort studies are required to establish the optimal treatment.

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“…Под рандомизацией понимают метод случайного распределения больных в группы изучаемого и контрольного метода лечения. По мнению большинства специалистов в области доказательной медицины, из всех компонентов РКИ именно рандомизация обеспечивает этому виду исследований наиболее высокую степень объективности и научной достоверности [26].…”

Section: дизайн исследованияunclassified

“…Однако не всегда удается правильно предсказать ожидаемый эффект вмешательства (как в основной, так и в контрольной группе), из-за этого многие РКИ обладают недостаточной "мощностью" для выявления эффекта. В таких случаях единственным вариантом установления истинной эффективности вмешательства является проведение нового РКИ [26].…”

Section: методы ослепленияunclassified