Evidence-based medicine in obstetrics: can levels B and C recommendations be elevated to level A recommendations?
Publication/Presentation Date
6-1-2009
Abstract
In this study, 65% (132/195) of level B/C obstetric recommendations are amenable to randomized clinical trials (RCTs) and seven were identified as most needed. The purpose of the survey was to evaluate levels B and C recommendations in obstetric practice bulletins (PBs) regarding the feasibility of performing RCT to elevate each subject to level A evidence. Eleven geographically dispersed physicians with experience in research reviewed levels B and C recommendations for the ethical and logistical feasibility of performing an RCT. In the 35 obstetric PBs, 195 level B/C recommendations were reviewed. The majority considered 47 (24%) topics unethical for an RCT and thought 16 (11%) did not need an RCT, thus leaving 132 (67%) levels B and C recommendations available for an RCT. Two-thirds of levels B and C recommendations in obstetric PB are amenable to RCTs and potentially becoming level A evidence.
Volume
2
Issue
2
First Page
63
Last Page
66
ISSN
1753-495X
Published In/Presented At
Evidenced-Based Medicine Obstetric Group:, Chauhan, S. P., Chang, E., Brost, B., Assel, B., Baxter, J., Smith, J. A., Jr, Grobman, R., Berghella, V., Scardo, J. A., Magann, E. F., & Morrison, J. C. (2009). Evidence-based medicine in obstetrics: can levels B and C recommendations be elevated to level A recommendations?. Obstetric medicine, 2(2), 63–66. https://doi.org/10.1258/om.2009.080031
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
27582813
Department(s)
Administration and Leadership
Document Type
Article