How to appraise the effectiveness of treatment
Introduction: Advances in treatment and disease prevention occur frequently in urology. Urologists must identify a framework within which to evaluate these therapeutic innovations. Materials and Methods: The evidence-based approach to critical appraisal is described using an example from the urolog...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2011;volume=27;issue=4;spage=525;epage=531;aulast=Stewart |
| _version_ | 1811192344122228736 |
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| author | Suzanne B Stewart Phillip Dahm Charles D Scales |
| author_facet | Suzanne B Stewart Phillip Dahm Charles D Scales |
| author_sort | Suzanne B Stewart |
| collection | DOAJ |
| description | Introduction: Advances in treatment and disease prevention occur frequently in urology. Urologists must identify a framework within which to evaluate these therapeutic innovations.
Materials and Methods: The evidence-based approach to critical appraisal is described using an example from the urological literature. A three-part assessment of the trial validity, treatment effect, and applicability of results will permit the urologist to critically incorporate medical and surgical advances into practice.
Results: Validity of clinical trials hinges upon balancing patient prognosis at the initiation, execution, and conclusion of the trial. Readers should be aware of not only the magnitude of the estimated treatment effect, but also its precision. Finally, urologists should consider all patient-important outcomes as well as the balance of potential benefits, harms, and costs, and patient values and preferences when making treatment decisions.
Conclusion: Use of this framework for critical appraisal will lead to a more evidence-based application of new therapies for patients. Incorporation of a more evidence-based practice within urology will lead to an increase in the quality of patient care. |
| first_indexed | 2024-04-11T23:49:49Z |
| format | Article |
| id | doaj.art-77f1c1f2d0a4496f922ffe208c539898 |
| institution | Directory Open Access Journal |
| issn | 0970-1591 1998-3824 |
| language | English |
| last_indexed | 2024-04-11T23:49:49Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Urology |
| spelling | doaj.art-77f1c1f2d0a4496f922ffe208c5398982022-12-22T03:56:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242011-01-0127452553110.4103/0970-1591.91446How to appraise the effectiveness of treatmentSuzanne B StewartPhillip DahmCharles D ScalesIntroduction: Advances in treatment and disease prevention occur frequently in urology. Urologists must identify a framework within which to evaluate these therapeutic innovations. Materials and Methods: The evidence-based approach to critical appraisal is described using an example from the urological literature. A three-part assessment of the trial validity, treatment effect, and applicability of results will permit the urologist to critically incorporate medical and surgical advances into practice. Results: Validity of clinical trials hinges upon balancing patient prognosis at the initiation, execution, and conclusion of the trial. Readers should be aware of not only the magnitude of the estimated treatment effect, but also its precision. Finally, urologists should consider all patient-important outcomes as well as the balance of potential benefits, harms, and costs, and patient values and preferences when making treatment decisions. Conclusion: Use of this framework for critical appraisal will lead to a more evidence-based application of new therapies for patients. Incorporation of a more evidence-based practice within urology will lead to an increase in the quality of patient care.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2011;volume=27;issue=4;spage=525;epage=531;aulast=StewartDutasterideevidence-based medicinerandomized controlled trial |
| spellingShingle | Suzanne B Stewart Phillip Dahm Charles D Scales How to appraise the effectiveness of treatment Indian Journal of Urology Dutasteride evidence-based medicine randomized controlled trial |
| title | How to appraise the effectiveness of treatment |
| title_full | How to appraise the effectiveness of treatment |
| title_fullStr | How to appraise the effectiveness of treatment |
| title_full_unstemmed | How to appraise the effectiveness of treatment |
| title_short | How to appraise the effectiveness of treatment |
| title_sort | how to appraise the effectiveness of treatment |
| topic | Dutasteride evidence-based medicine randomized controlled trial |
| url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2011;volume=27;issue=4;spage=525;epage=531;aulast=Stewart |
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