Evidence-based medicine guidelines in obstetrics/gynecology and trauma surgery.
Publication/Presentation Date
9-1-2009
Abstract
The purpose of this study was to compare the use of evidence based medicine in the guidelines published by the American College of Obstetrician and Gynecologists (ACOG) and Trauma Surgery (Eastern Association for Trauma Surgery [East]). We compared the references and the types of recommendations in ACOG and EAST guidelines. Odds ratio (OR), along with 95% confidence intervals (CI) were calculated and 95% CI not crossing the integer 1 were considered significant. Over eight years (1998-2005), ACOG published 58 guidelines and EAST, 23. Among the references cited, randomized clinical trials (RCT) were noted in 17% (714/4225) for ACOG versus 9% (165/1850) among trauma surgery guidelines (OR 2.07; 95% 1.74, 2.48). ACOG guidelines were also significantly more likely to have recommendations based on RCT (29%; 135/464) than EAST (10%, 24/242; OR 3.73, 95% CI 2.34, 5.94). East and ACOG guidelines have significantly fewer RCT and recommendations based on them than previously thought.
Volume
50
Issue
9
First Page
302
Last Page
305
ISSN
0026-6396
Published In/Presented At
Morrison, J. C., Magann, E. F., Paulson, K. A., Chauhan, S. P., Berghella, V., & Siddiqui, D. (2009). Evidence-based medicine guidelines in obstetrics/gynecology and trauma surgery. Journal of the Mississippi State Medical Association, 50(9), 302–305.
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
20812442
Department(s)
Administration and Leadership
Document Type
Article