Difficult decisions in thoracic surgery : an evidence-based approach

Difficult decisions in thoracic surgery : an evidence-based approach / Mark K. Ferguson, editor.

This updated volume provides a practical guide to decision making within thoracic surgery. Focussed chapters contain pithy analyses and recommendations that allow useful information to be identified at a glance. All new chapters bring insight into the challenges faced operating on the lung, esophagu...

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Bibliographic Details
Other Authors: Ferguson, Mark K.
Format: eBook
Language:English
Published: Cham : Springer, 2020.
Edition:4th edition.
Series:Difficult decisions in surgery.
Subjects:
Chest > Surgery.
Evidence-based medicine.
Decision making.
decision making.
Chest > Surgery
Surgery
Electronic books.
Online Access:Click for online access
Table of 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

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