EBS presentation 1 Surgical occlusion of the Galenic system: is it safe? Macquarie Neurosurgery Evidence Based Surgery presentation May 17 th 2012 D. Bervini
EBS presentation 1
Surgical occlusion of the Galenic system: is it safe?
Macquarie Neurosurgery
Evidence Based Surgery presentation
May 17th 2012
D. Bervini
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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
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Searchable question (PICO format)• Population: surgical patients
• Intervention: galenic system surgical occlusion
• Compared: -
• Outcome: morbidity/mortality
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Search strategy
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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)
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Summary of paper
• National Health and Medical Research Council (NHMRC) Evidence Hierarchy
– All articles are case series
Level IV
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Conclusion
• No sound evidence regarding safety of galenic system surgical occlusion/resection
• Difficult to predict morbidity/mortality of galenic system occlusion/resection