Difficult decisions in thoracic surgery : an evidence-based approach /: an evidence-based approach. (2020)

• Record Type: Book
• Further Information: Note: Mark K. Ferguson, editor.
• Other Names: Ferguson, Mark K
• Contents: Intro -- Preface to the First Edition -- Preface to the Fourth Edition -- Contents -- 1: Introduction -- Introduction -- Early Surgical Decision Making -- Evidence-Based Surgical Decisions -- The Age of Information -- The Age of Data -- What Lies in the Future? -- Conclusion -- References -- 2: Evidence Based Medicine: Quality of Evidence and Evaluation Systems -- Introduction -- The GRADE Approach -- Defining the Clinical Question -- What Outcomes Should We Consider for Clinical Decision Making? -- Grading the Quality of Evidence Rating the Quality of Evidence from Randomized Controlled Trials -- Limitations in Study Design -- Inconsistency of Study Results -- Indirectness of Evidence -- Imprecision -- Publication Bias -- Rating Up the Quality of Evidence from Observational Studies -- Moving from Quality of Evidence to Formulating Recommendations -- Resource Use -- Presenting Summary of Findings -- How Should Clinical Guidance Be Worded? -- Applying GRADE -- Conclusion -- References -- 3: Decision Analytic Techniques and Other Decision Processes -- Introduction -- Application of Decision Analytic Techniques Action Versus Inaction -- Choice Among Various Actions That Seem Plausible -- Optimizing Timing or Interval of Action -- Technical Aspects -- P: Problem(s)-Define Problem Explicitly -- R: Reframe -- O: Objective-Focus on the Objective(s) -- A: Alternatives -- C: Consequences/Chances -- T: Trade-Offs -- I: Integrate -- V: Value -- E: Explore/Evaluate -- Creating a Decision Tree -- Special Situations -- Cost-Effectiveness Analysis (CEA) -- Markov Modeling -- Other Clinical Applications of Decision Analysis -- Healthcare Policy -- Clinical Protocols -- Patient Decision Aids Benefits of Decision Analysis -- Drawbacks and Limitations of Decision Analysis -- Conclusion -- References -- 4: Decision Making: The Surgeon's Perspective -- Introduction -- Models of the Surgeon-Patient Relationship -- Methodology for Evaluating Decision-Making Factors -- Surgeon Factors Related to Clinical Decision-Making -- Impact of Risk-Taking Attitude on Clinical Decision-Making -- Impact of Surgeon Age -- Impact of Surgeon Gender -- Impact of Specialty Training -- Healthcare System Factors Related to Clinical Decision Making -- Impact of Practice Environment Impact of Political Environment -- Impact of the Medico-Legal Environment -- Summary -- References -- 5: Involving Patients in Difficult Decisions About Having Surgery -- Introduction -- What Is Shared Decision Making? -- Call for Shared Decision Making -- Meeting the Requirement of Informed Patients in SDM -- Impact of SDM on Clinical Outcomes -- The Need for SDM in Surgical Care -- Problems with SDM and Surgery -- Patient Clinical Complexity -- Difficulties in Patient Comprehension -- Surgical Practice -- The Way Forward -- Summary -- References -- Part I: Lung
• Edition: 4th edition
• Publisher Details: Cham : Springer
• Publication Date: 2020
• Extent: 1 online resource
• Subjects: 617.5/4; Chest -- Surgery; Evidence-based medicine; Electronic books; Electronic books
• Languages: English
• ISBNs: 9783030474041; 3030474046
• Related ISBNs: 3030474038; 9783030474034
• Access Rights: Legal Deposit; Only available on premises controlled by the deposit library and to one user at any one time; The Legal Deposit Libraries (Non-Print Works) Regulations (UK).
• Access Usage: Restricted: Printing from this resource is governed by The Legal Deposit Libraries (Non-Print Works) Regulations (UK) and UK copyright law currently in force.