Ebs galenic surgery may_2012

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  • 1. Surgical occlusion of the Galenic system: is it safe? Macquarie Neurosurgery Evidence Based Surgery presentation May 17th 2012 D. Bervini EBS presentation 1
  • 2. Searchable question• “Does the surgical occlusion of a patent Galenic system increase the morbidity/mortality of the surgical procedure?”• Databases • Ovid Medline, usingMeSH • Scopus using key articles and tracking citations EBS presentation 2
  • 3. Searchable question (PICO format)• Population: surgical patients• Intervention: galenic system surgical occlusion• Compared: -• Outcome: morbidity/mortality EBS presentation 3
  • 4. Search strategy EBS presentation 4
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  • 18. Summary of papers• Review all selected papers in Endnote, retrieve complete text (.pdf)• Export Endnote selected papers in a Endonote Group• Elaborate a chart in a Endnote Group and export it to Excel (see separate tutorial) EBS presentation 18
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  • 20. Summary of paper• National Health and Medical Research Council (NHMRC) Evidence Hierarchy – All articles are case series  Level IV EBS presentation 20
  • 21. Conclusion• No sound evidence regarding safety of galenic system surgical occlusion/resection• Difficult to predict morbidity/mortality of galenic system occlusion/resection EBS presentation 21