Knowledge, attitudes and practices regarding evidence-based medicine and outcome assessment: a survey of British Columbia cataract surgeons

Mildon, Drew; Courtright, Paul; Rollins, David F.; Blicker, Jeffrey; Law, Francis

doi:10.1016/s0008-4182(01)80119-8

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…This finding is similar to one previous report 42 , and emphasizes the importance of specifically asking patients about their driving needs and ability, which are poorly correlated with visual acuity alone 43 . Few doctors formally assess visual function in everyday clinical practice 8,44 , and doctors’ clinical impression of patient needs and abilities may often be incorrect 45−47 .…”

Section: Discussionsupporting

confidence: 82%

Cataract surgery in Australia: a profile of patient‐centred outcomes

Pager

McCluskey

Retsas

2004

Clinical Exper Ophthalmology

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The findings from this study indicate that cataract surgery outcomes in Australia compare well with international standards, and emphasize the inadequacy of visual acuity to measure relevant surgical outcomes. Increased preoperative counselling may be required in those groups less likely to attain high levels of satisfaction. Finally, the role of cataract surgery to improve quality of life must be investigated further, as this is the ultimate goal of the procedure.

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Section: Discussionsupporting

confidence: 82%

Cataract surgery in Australia: a profile of patient‐centred outcomes

Pager

McCluskey

Retsas

2004

Clinical Exper Ophthalmology

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“…21 Although reporting of visual function in the literature has increased significantly over the past 10 years, formal measurement is still rare in clinical practice. 4,[22][23][24][25] In a 1998 survey of ophthalmologists at a conference in the United Kingdom, 23 only 2 in 36 could name a generic or vision-specific quality-of-life scale.…”

mentioning

confidence: 99%

Assessment of visual satisfaction and function after cataract surgery

Pager

2004

Journal of Cataract and Refractive Surgery

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“…Mildon et al found a similar situation among cataract surgeons in British Columbia. 27 Hardin et al 28 and Moss et al 29 carried out literature searches for evidence based practice in paediatric surgery. They both concluded that clinical trials were used infrequently but the former reported an increase in prospective case controlled studies and RCTs in the 1990s.…”

Section: The Quality Of Evidence and Surgerymentioning

confidence: 99%

Ethics and evidence based surgery

Stirrat

2004

J Med Ethics

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Traditionally, surgical practice has been experiential and based on the contemporary understanding of basic mechanisms of disease. It was both a science and an art and depended to far too great an extent on the individualism and self belief of its main exponents. “Evidence based medicine” (EBM) emerged in the 1980s and a new gospel of “Rules of Evidence” was introduced. There is no doubt that the net effect of EBM has been beneficial, but over reliance on randomised controlled trials and the lack of generalisability of scientific evidence to individual patients has perhaps led to less enthusiasm for its tenets among surgeons. There are valid and spurious reasons for this that are discussed. The situation is improving but inevitable tensions remain between the surgeon committed to the individual patient here and now, and the clinical researcher whose focus is the benefit of future patients in the larger community.

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Knowledge, attitudes and practices regarding evidence-based medicine and outcome assessment: a survey of British Columbia cataract surgeons

Cited by 4 publications

References 10 publications

Cataract surgery in Australia: a profile of patient‐centred outcomes

Cataract surgery in Australia: a profile of patient‐centred outcomes

Assessment of visual satisfaction and function after cataract surgery

Ethics and evidence based surgery

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