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Published in: Diseases of the Colon & Rectum 12/2004

01-12-2004 | Practice Parameters

Practice Parameters for the Management of Anal Fissures (Revised)

Authors: Charles Orsay, M.D., Jan Rakinic, M.D., W. Brian Perry, M.D., Neil Hyman, M.D., Donald Buie, M.D., Peter Cataldo, M.D., Graham Newstead, M.D., Gary Dunn, M.D., Janice Rafferty, M.D., C. Neal Ellis, M.D., Paul Shellito, M.D., Sharon Gregorcyk, M.D., Charles Ternent, M.D., John Kilkenny III, M.D., Joe Tjandra, M.D., Clifford Ko, M.D., Mark Whiteford, M.D., Richard Nelson, M.D.

Published in: Diseases of the Colon & Rectum | Issue 12/2004

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Levels of Evidence and Grades of Recommendation a
Level
Source of Evidence
I
Meta-analysis of multiple well-designed, controlled studies; randomized trials with low false-positive and low false-negative errors (high power)
II
At least one well-designed experimental study; randomized trials with high false-positive or high false-negative errors or both (low power)
III
Well-designed, quasi-experimental studies, such as nonrandomized, controlled, single-group, preoperative-postoperative comparison, cohort, time, or matched case-control series
IV
Well-designed, nonexperimental studies, such as comparative and correlational descriptive and case studies
V
Case reports and clinical examples
Grade
Grade of recommendation
A
Evidence of Type I or consistent findings from multiple studies of Type II, III, or IV
B
Evidence of Type II, III, or IV and generally consistent findings
C
Evidence of Type II, III, or IV but inconsistent findings
D
Little or no systematic empirical evidence
a Adapted from: Cook DJ, Guyatt GH, Laupacis A, Sackett DL. Rules of evidence and clinical recommendations on the use of antithrombotic agents. Chest 1992;102(4 Suppl):305S–11S. Sacker DL, Rules of evidence and clinical recommendations on the use of antithrombotic agents. Chest 1989;92(2 Suppl):2S–4S.
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Metadata
Title
Practice Parameters for the Management of Anal Fissures (Revised)
Authors
Charles Orsay, M.D.
Jan Rakinic, M.D.
W. Brian Perry, M.D.
Neil Hyman, M.D.
Donald Buie, M.D.
Peter Cataldo, M.D.
Graham Newstead, M.D.
Gary Dunn, M.D.
Janice Rafferty, M.D.
C. Neal Ellis, M.D.
Paul Shellito, M.D.
Sharon Gregorcyk, M.D.
Charles Ternent, M.D.
John Kilkenny III, M.D.
Joe Tjandra, M.D.
Clifford Ko, M.D.
Mark Whiteford, M.D.
Richard Nelson, M.D.
Publication date
01-12-2004
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 12/2004
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-004-0785-7

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