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52건 · 최신순-
Perioperative Corticosteroids Reduce Short-Term Edema and Ecchymosis in Rhinoplasty: A Meta-Analysis.
[BACKGROUND] A number of randomized controlled trials (RCTs) have investigated the role of perioperative corticosteroids in rhinoplasty. Each of these trials however has an insufficient sample sizes to reach definitive conclusions and detec…
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Methodologic Quality of Systematic Reviews Published in the Plastic and Reconstructive Surgery Literature: A Systematic Review.
[BACKGROUND] Well-conducted systematic reviews have a critical role in informing evidence-based decision-making in plastic surgery. The authors' objective was to assess the methodologic quality of systematic reviews in the plastic surgery l…
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A Systematic Review of Surgical Randomized Controlled Trials: Part I. Risk of Bias and Outcomes: Common Pitfalls Plastic Surgeons Can Overcome.
[BACKGROUND] The authors investigated the methodological validity of plastic surgery randomized controlled trials that compared surgical interventions. [METHODS] An electronic search identified randomized controlled trials published betwee…
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A Systematic Review of Surgical Randomized Controlled Trials: Part 2. Funding Source, Conflict of Interest, and Sample Size in Plastic Surgery.
[BACKGROUND] The authors examined industry support, conflict of interest, and sample size in plastic surgery randomized controlled trials that compared surgical interventions. They hypothesized that industry-funded trials demonstrate statis…
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Randomized controlled trial comparing health-related quality of life in patients undergoing vertical scar versus inverted T-shaped reduction mammaplasty.
[BACKGROUND] There is controversy regarding the superiority of the vertical scar reduction technique versus the inverted T-shaped reduction technique for breast reduction surgery. [METHODS] Two hundred fifty-five patients were randomized t…
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The level of evidence presented at plastic surgery meetings: what do we have to learn?
[BACKGROUND] Internationally, plastic surgery societies have placed an increasing emphasis on the importance of evidence-based medicine. The authors aimed to categorize levels of evidence of podium presentations at three major North America…
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Systematic review of economic evaluations in plastic surgery.
[BACKGROUND] Economic evaluations are quantitative methods comparing alternative interventions using cost data and expected outcomes. They are used to recommend/dissuade adoption of new surgical interventions and compare different clinical …
- Level of evidence of plastic surgery clinical research in Saudi Arabia.
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Evidence in the aesthetic surgical literature over the past decade: how far have we come?
[BACKGROUND] Over the past decade, the concepts of evidence-based medicine have become commonplace in surgery. The authors aimed to categorize level of evidence in the aesthetic surgical literature over three intervals during a 10-year peri…
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A systematic review of power and sample size reporting in randomized controlled trials within plastic surgery.
[BACKGROUND] The randomized controlled trial is a reliable study design for assessing the effectiveness of a surgical intervention, provided it is adequately powered. This systematic review examines the appropriateness of reporting of power…
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Designing and reporting case series in plastic surgery.
The case series is the most prevalent type of clinical research in the plastic surgery literature. However, this is a lower level study design in the hierarchy of evidence. The case series is nevertheless a useful hypothesis generator for f…
- Quality-adjusted life-year as a surgical outcome measure: a primer for plastic surgeons.
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Study design and hierarchy of evidence for surgical decision making.
This article provides a historical overview of the hierarchy of evidence for surgical decision making and discusses key study designs in the hierarchy of evidence. This encompasses meta-analyses, randomized controlled trials, and observatio…
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Clinical research in aesthetic surgery.
Clinical research in aesthetic surgery cannot use traditional objective measures of surgical success. Present research designs and methods used in aesthetic surgery limit the ability to conduct meaningful clinical research. Outcomes researc…
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The role of the randomized controlled trial in plastic surgery.
This article discusses the role of the randomized controlled trial (RCT) in plastic surgery. There are unique challenges in the execution of an RCT in plastic surgery, including: (1) surgical equipoise, (2) the surgical learning curve, (3) …
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The use of cost-effectiveness analysis in plastic surgery clinical research.
The goal of this article is to introduce clinical investigators to the basic concepts of cost-effectiveness analysis. This line of research is not commonly pursued in clinical studies probably because of unfamiliarity of plastic surgeons wi…
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A prospective study of patients undergoing breast reduction surgery: health-related quality of life and clinical outcomes.
[BACKGROUND] This study assessed the health-related quality of life experienced by breast reduction patients using four reliable and validated health-related quality-of-life measures. [METHODS] Consecutive patients with breast hypertrophy …
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A comparison of complication rates in large and small inferior pedicle reduction mammaplasty.
The main objective of this retrospective study was to determine whether the rates of complications are higher in large reductions (> or =1000 g per breast) as compared with smaller reductions (< or =999 g per breast) using the inferior pedi…
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Methodology and measurement properties of health-related quality of life instruments: a prospective study of patients undergoing breast reduction surgery.
[BACKGROUND] Breast hypertrophy is associated with clinically important morbidity. A prospective study was conducted to assess the change in health-related quality of life (HRQL) following breast reduction mammoplasty. This paper describes …
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Measuring outcomes in aesthetic surgery: a comprehensive review of the literature.
Outcomes research examines the end results of medical interventions, taking into account patients' experiences, preferences, and values. The purpose of assessing outcomes is to provide evidence on which to base clinical decisions. The asses…
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Surgical patterns of venous drainage of the free forearm flap in head and neck reconstruction.
A retrospective review of 40 consecutive free forearm flaps used in head and neck reconstruction in our Head and Neck Service identified five different patterns of venous drainage. In type 1, the cephalic vein and two venae comitantes join …
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The free vascularized anterior rib graft.
The free vascularized anterior rib graft, one of the earliest free osseous transfers to the head and neck, has not gained widespread acceptance, perhaps due to early reservations concerning the adequacy of the periosteal circulation. The au…