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Langenbeck's Archives of Surgery
Published in: Langenbeck's Archives of Surgery 4/2006

01-08-2006 | Editorial

Randomized controlled clinical trials—support but not substitute of decision-making in surgery

Authors: H. G. Beger, B. M. Rau

Published in: Langenbeck's Archives of Surgery | Issue 4/2006

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Excerpt

In the 21st century, the health care system is unquestionably in disarray worldwide. Each voter in state elections decides his position on the primacy of the health of his population. In the year 300 b.c., the Greek anatomist and surgeon Herophilus stated: “To lose once health renders science zero, art inglorious, strength unavailing, more wealth useless and eloquence powerless” [1]. …
Literature
1.
2.
3.
Le Lorier (1997) Discrepancies between meta-analysis and subsequent large randomized, controlled trials. N Engl J Med 337:536–542CrossRef
4.
5.
Beger HG, Arbogast R (2006) The art of surgery in the 21st century: based on natural sciences and new ethical dimensions. Langenbecks Arch Surg 391:143–148PubMedCrossRef
6.
Satava RM, Gallagher AG, Pellegrini CA (2003) Surgical competence and surgical profiency: definitions, taxonomy, and metrics. J Am Coll Surg 196:933–937PubMedCrossRef
7.
Dumville JC, Watson J, Raynar P, Torgerson DJ (2004) Research governance: a barrier to ethical research. Q J Med 97:113–114
8.
Salomon MJ (1995) Should we be performing more randomized controlled clinical trials evaluating surgical operations? Surgery 118:459–467CrossRef
9.
Patiño JF (1999) Chaos theory, uncertainty and surgery. Lecture American College of Surgeons, 89th Congress
10.
Evidence based surgery. Editorial. J Am Coll Surg (2003) 196:49
11.
Strauss SE, Richardson WS, Glaszion P, Haines RB (2005) Evidence-based medicine: how to practice and teach EBM, 3rd edn. Elsevier/Churchill Livingstone, Edinburgh
Metadata
Title
Randomized controlled clinical trials—support but not substitute of decision-making in surgery
Authors
H. G. Beger
B. M. Rau
Publication date
01-08-2006
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 4/2006
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-006-0062-4

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