Usefulness of Cochrane Intervention Reviews for the Practicing Dermatologic Surgeon

Alam, Msci Murad

doi:10.1111/dsu.12231

Cited by 7 publications

(2 citation statements)

References 17 publications

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“…Study findings showing preference for one technique over another are of little value if both techniques have been superseded by better methods. Definitive Cochrane reviews, despite the enormous investment of time and effort these often require, are subject to these same forces [27].…”

Section: Rapidly Evolving Technologiesmentioning

confidence: 99%

Rationalizing Outcome Measures in Dermatologic Surgery

et al. 2015

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Dermatologic surgery, including cancer surgery, cosmetic surgery, and laser and energy device procedures, is a well-established branch of dermatology known for minimally invasive, effective, and safe solutions to patient problems. Over time, clinical research pertaining to dermatologic surgery has improved in terms of methodologic rigor, with dermatologic surgery accounting for a large proportion of the comparative effectiveness studies and randomized controlled trials in dermatology. Further improvements in the quality of studies examining dermatologic surgery therapies will require understanding and overcoming several remaining challenges.

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Section: Rapidly Evolving Technologiesmentioning

confidence: 99%

Rationalizing Outcome Measures in Dermatologic Surgery

et al. 2015

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“…Clinical equipoise may be harder to maintain in surgical research [19,20]. There is uncertainty about the translatability of descriptions of procedures from literature to practice [21], and the comparability of the same procedure performed by different surgeons is suspect [22]. Recognizing such contingencies is critical [5,23], but it is merely a first step.…”

Section: Introductionmentioning

confidence: 99%

Adaptation and innovation: a grounded theory study of procedural variation in the academic surgical workplace

Apramian

Watling

Lingard

et al. 2015

Evaluation Clinical Practice

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Rationale, aims and objectives-Surgical research struggles to describe the relationship between procedural variations in daily practice and traditional conceptualizations of evidence. The problem has resisted simple solutions, in part, because we lack a solid understanding of how surgeons conceptualize and interact around variation, adaptation, innovation, and evidence in daily practice. This grounded theory study aims to describe the social processes that influence how procedural variation is conceptualized in the surgical workplace.Method-Using the constructivist grounded theory methodology, semi-structured interviews with surgeons (n = 19) from four North American academic centres were collected and analysed. Purposive sampling targeted surgeons with experiential knowledge of the role of variations in the workplace. Theoretical sampling was conducted until a theoretical framework representing key processes was conceptually saturated.Results-Surgical procedural variation was influenced by three key processes. Seeking improvement was shaped by having unsolved procedural problems, adapting in the moment, and pursuing personal opportunities. Orienting self and others to variations consisted of sharing stories of variations with others, taking stock of how a variation promoted personal interests, and placing trust in peers. Acting under cultural and material conditions was characterized by being wary, positioning personal image, showing the logic of a variation, and making use of academic resources to do so. Our findings include social processes that influence how adaptations are incubated in surgical practice and mature into innovations. CIHR Author Manuscript CIHR Author Manuscript CIHR Author ManuscriptConclusions-This study offers a language for conceptualizing the sociocultural influences on procedural variations in surgery. Interventions to change how surgeons interact with variations on a day-to-day basis should consider these social processes in their design.

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Designing Randomized Clinical Trials in Dermatologic Surgery

Alam

2019

Evidence-Based Procedural Dermatology

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Usefulness of Cochrane Intervention Reviews for the Practicing Dermatologic Surgeon

Cited by 7 publications

References 17 publications

Rationalizing Outcome Measures in Dermatologic Surgery

Rationalizing Outcome Measures in Dermatologic Surgery

Adaptation and innovation: a grounded theory study of procedural variation in the academic surgical workplace

Designing Randomized Clinical Trials in Dermatologic Surgery

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