What is the current state of evidence-based medicine in otolaryngology? This question inquires about the state of our literature, our attitudes and capabilities, and our patients’ desires. Thus, this installment of “Evidence-Based Medicine in Otolaryngology” focuses on these 3 topics. First, the authors consider the literature relative to benchmarks for study design. Second, the data regarding otolaryngologists’ and other surgical specialists’ attitudes and understanding of clinical data are discussed. Third, patient-based efforts to promote and participate in evidence-based practice are explored. In addition, a discussion of the relevant supportive efforts made by our professional organizations is included.
MarvelMKStaehlingSHendricksB. A taxonomy of clinical research methods: comparisons of family practice and general medical journals. Fam Med. 1991;23:202-207.
2.
WinnRJ. The NCCN guidelines development process and infrastructure. Oncology (Williston Park). 2000;14:26-30.
3.
FletcherRHFletcherSW. Clinical research in general medical journals: a 30-year perspective. N Engl J Med. 1979;301:180-183.
SacksHChalmersTCSmithHJr. Randomized versus historical controls for clinical trials. Am J Med. 1982;72:233-240.
6.
ChalmersTCCelanoPSacksHS. Bias in treatment assignment in controlled clinical trials. N Engl J Med. 1983;309:1358-1361.
7.
ReiderB. Putting our research into prospective. Am J Sports Med. 2005;33:491.
8.
SackettDLStrausSERichardsonWS. Evidence Based Medicine: How to Practice and Teach EBM. 2nd ed.Edinburgh, UK: Churchill Livingstone; 2000.
9.
NeelyJGMagitAERichJT. A practical guide to understanding systematic reviews and meta-analyses. Otolaryngol Head Neck Surg. 2010;142:6-14.
10.
Ah-SeeKWMolonyNCMaranAG. Trends in randomized controlled trials in ENT: a 30-year review. J Laryngol Otol. 1997;111:611-613.
11.
YaoFSingerMRosenfeldRM. Randomized controlled trials in otolaryngology journals. Otolaryngol Head Neck Surg. 2007;137:539-544.
12.
WassermanJMWynnRBashTS. Levels of evidence in otolaryngology journals. Otolaryngol Head Neck Surg. 2006;134:717-723.
13.
HellemsMAGurkaKKHaydenGF. A review of the Journal of Pediatrics: the first 75 years. J Pediatr. 2009;155:16-20, 20 e1.
14.
BhattacharyyaN. Peer review: studying the major otolaryngology journals. Laryngoscope. 1999;109:640-644.
15.
McDermottMMLefevreFFeinglassJ. Changes in study design, gender issues, and other characteristics of clinical research published in three major medical journals from 1971 to 1991. J Gen Intern Med. 1995;10:13-18.
16.
EiblingDE. Book review. Laryngoscope. 2009;119:1253-1255.
17.
BentJP. Evidence-based otolaryngology. Ann Otol Rhinol Laryngol. 2009;118:469.
18.
AminMSaundersJAFentonJE. Pilot study of the knowledge and attitude towards evidence based medicine of otolaryngology higher surgical trainees. Clin Otolaryngol. 2007;32:133-135.
19.
KnopsAMVermeulenHLegemateDA. Attitudes, awareness, and barriers regarding evidence-based surgery among surgeons and surgical nurses. World J Surg. 2009;33:1348-1355.
20.
PoolmanRWSiereveltINFarrokhyarF. Perceptions and competence in evidence-based medicine: are surgeons getting better? A questionnaire survey of members of the Dutch Orthopaedic Association. J Bone Joint Surg Am. 2007;89:206-215.
21.
DahmPPoolmanRWBhandariM. Perceptions and competence in evidence-based medicine: a survey of the American Urological Association Membership. J Urol. 2009;181:767-777.
22.
SenerthK. ENT today. ENT Today. 2008.
23.
American Academy of Otolaryngology. Education and research. The Bulletin. 2008.
24.
BurtonMJ. Evidence-based medicine and otolaryngology-HNS: passing fashion or permanent solution. Otolaryngol Head Neck Surg. 2007;137:S47-S51.
25.
RosenfeldR. Evidence, outcomes, and common sense. Otolaryngol Head Neck Surg. 2001;124:123-124.
26.
BurtonMJ. Neel distinguished research lecture. Paper presented at: AAO–HNSF Annual Meeting, San Diego, CA; October 5, 2009.
27.
JohnsonJ. Collecting evidence to show otolaryngology practice effectiveness. Presidential Address; Orlando, FL; 2003.
28.
ApelH. The WHO/UNICEF Conference on Primary Health Care, Alma-Ata, September 6-12, 1978. Z Gesamte Hyg. 1979;25:498-504.
29.
MuradMHMontoriVMGuyattGH. Incorporating patient preferences in evidence-based medicine. JAMA. 2008;300:2483.
30.
GuyattGHHaynesRBJaeschkeRZ. Users’ guides to the medical literature: XXV. Evidence-based medicine: principles for applying the users’ guides to patient care. Evidence-Based Medicine Working Group. JAMA. 2000;284:1290-1296.
31.
ElwynGEdwardsAWensingM. Shared decision making: developing the OPTION scale for measuring patient involvement. Qual Saf Health Care. 2003;12:93-99.
32.
WeinerSJ. From research evidence to context: the challenge of individualizing care. ACP J Club. 2004;141:A11-A12.
33.
ElwynGO’ConnorAMBennettC. Assessing the quality of decision support technologies using the International Patient Decision Aid Standards instrument (IPDASi). PLoS One. 2009;4:e4705.
34.
Ottawa Research Institute. Patient Decision Aids—Ottawa Hospital Research Institute. 1996-2009.
35.
O’ConnorA. Using patient decision aids to promote evidence-based decision making. ACP J Club. 2001;135:A11-A12.
36.
Ottowa Hospital Research Institute. Decision Aid Library Inventory. In: Patient Decision Aids. Ottowa: Ottowa Hospital Research Institute. 1996-2010.
37.
RosenfeldRM. Commentary: guidelines and otolaryngology. Otolaryngol Head Neck Surg. 2006;134:S1-S3.
38.
RosenfeldRMShiffmanRN. Clinical practice guidelines: a manual for developing evidence-based guidelines to facilitate performance measurement and quality improvement. Otolaryngol Head Neck Surg. 2006;135:S1-S28.
39.
RosenfeldRMShiffmanRN. Clinical practice guideline development manual: a quality-driven approach for translating evidence into action. Otolaryngol Head Neck Surg. 2009;140:S1-S43.
40.
Classifying recommendations for clinical practice guidelines. Pediatrics. 2004;114:874-877.
41.
BhattacharyyaNBaughRFOrvidasL. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 2008;139:S47-S81.
42.
RolandPSSmithTLSchwartzSR. Clinical practice guideline: cerumen impaction. Otolaryngol Head Neck Surg. 2008;139:S1-S21.
43.
RosenfeldRMAndesDBhattacharyyaN. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg. 2007;137:S1-S31.
44.
RosenfeldRMBrownLCannonCR. Clinical practice guideline: acute otitis externa. Otolaryngol Head Neck Surg. 2006;134:S4-S23.
45.
RosenfeldRMCulpepperLDoyleKJ. Clinical practice guideline: otitis media with effusion. Otolaryngol Head Neck Surg. 2004;130:S95-S118.
46.
MitkaM. New clinical guideline for hoarseness offers assessment and treatment advice. JAMA. 2009;302:1954-1956.
47.
CaplanRABarkerSJConnisRT. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2008;108:786-801.
