[논문]Applying 'Technology Assessment' and 'Evidence Based Medicine' Theory to Interventional RadiologyPart 1: Suggestions for the Phased Evaluation of New Procedures

doi:10.1053/crad.2000.0598

[해외논문] Applying 'Technology Assessment' and 'Evidence Based Medicine' Theory to Interventional RadiologyPart 1: Suggestions for the Phased Evaluation of New Procedures

Clinical radiology, v.55 no.12, 2000년, pp.929 - 937

MALONE, D.E. , MACENEANEY, P.M.

Abstract ▼ AI-Helper

AIM: To compare and contrast interventional radiology (IR) clinical and research practices with the technology assessment and evidence-based medicine (EBM) paradigms and make suggestions for the phased evaluation of new IR procedures. MATERIALS AND METHODS: Course literature of the Association of University Radiologists' 'Basic Technology Assessment for Radiologists' course and the McMaster University Health Information Research Unit's 'How to Teach Evidence-Based Medicine 1999' course were used to identify major publications in each discipline. A computer search was performed to seek other relevant literature. A model of traditional development of IR procedures was developed. Suggestions for the phased evaluation of IR procedures were derived. RESULTS: As in diagnostic radiology, several levels of progressively stronger IR study design can be described and related to EBM 'levels of evidence'. These range from case reports and case series through case-control and cohort studies to randomized controlled trials (RCTs). The major weakness in the existing IR literature is the predominance of small, uncontrolled, case series. Randomized controlled trials are likely to provide the best possible evidence of effectiveness. They are expensive and randomization is sometimes unethical or impractical. Case-control and cohort studies have been under-utilized. Evidence-based medicine indices of benefit and harm have not yet been applied in IR and may have clinical advantages over traditional statistical methods. A literature search (10 years) using MeSH terms 'radiology, interventional' and 'efficacy' yielded 30 papers. Combining 'radiology, interventional' and 'evidence-based medicine' yielded no papers. Comparative searches substituting the term 'diagnostic imaging' for 'radiology, interventional' yielded 4883 and 62 papers, respectively. CONCLUSION: Principles of technology assessment and EBM can be applied to the investigation of new IR procedures. A tool is needed to simplify the application of EBM analytic methods. Better education in research methods is needed to raise the levels of evidence provided by the bulk of IR research and allow new procedures to be introduced into practice appropriately.Malone, D. E. & MacEneaney, P. M. (2000). Clinical Radiology55, 929-937.

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참고문헌 (39)

Radiology Lammer 178 335 1991 10.1148/radiology.178.2.1987588 Laser angioplasty: results of a prospective, multicenter study at 3-year follow-up

상세보기
N Engl J Med Sackmann 318 393 1988 10.1056/NEJM198802183180701 Shock-wave lithotripsy of gallbladder stones. The first 175 patients

상세보기
Radiology Mori 184 735 1992 10.1148/radiology.184.3.1509058 Optimizing gallbladder stone lithotripsy: an international survey

상세보기
Radiology Burhenne 171 363 1989 10.1148/radiology.171.2.2649916 Biliary lithotripsy: early observations in 106 patients. Work in progress

상세보기
Radiology Miller 178 781 1991 10.1148/radiology.178.3.1994418 Percutaneous rotational contact biliary lithotripsy: initial clinical results with the Kensey-Nash lithotrite

상세보기
Radiology vanSonnenberg 169 505 1988 10.1148/radiology.169.2.3174999 Gallbladder and bile duct stones: percutaneous therapy with primary MTBE dissolution and mechanical methods

상세보기
N Engl J Med Thistle 320 633 1989 10.1056/NEJM198903093201004 Dissolution of cholesterol gallbladder stones by methyl tert-butyl ether administered by percutaneous transhepatic catheter

상세보기
Radiology Becker 171 235 1989 10.1148/radiology.171.1.2928530 Gallbladder ablation through radiologic intervention: an experimental alternative to cholecystectomy

상세보기
JAMA Grimes 269 3030 1993 10.1001/jama.1993.03500230112038 Technology follies. The uncritical acceptance of medical innovation

상세보기
JAMA Spodick 232 35 1975 10.1001/jama.1975.03250010017015 Numerators without denominators: there is no FDA for the surgeon

상세보기
Med Care Brook 23 710 1985 10.1097/00005650-198505000-00030 Efficiency, effectiveness variations and quality: boundary crossing research

상세보기
Med Decis Making Fryback 11 88 1991 10.1177/0272989X9101100203 The efficacy of diagnostic imaging

상세보기
Am J Roentgenol Hillman 162 503 1994 10.2214/ajr.162.3.8109484 New imaging technology and cost containment

상세보기
Acad Radiol Thornbury 6(Suppl 1) S58 1999 10.1016/S1076-6332(99)80088-9 Intermediate outcomes: diagnostic and therapeutic impact

상세보기
BMJ Knottnerus 315 1109 1997 10.1136/bmj.315.7116.1109 Medicine based evidence, a prerequisite for evidence based medicine [editorial]

상세보기
Ann Intern Med Levin 128 334 1998 10.7326/0003-4819-128-4-199802150-00057 Evidence-based medicine gaining supporters [news]

상세보기
10.1097/00002030-198800001-00020 Friedland, DJ, Friedland, DJ, Evidence Based Medicine, 1988, 2, 3

상세보기
JAMA Group 268 2420 1992 10.1001/jama.1992.03490170092032 Evidence based medicine: a new approach to teaching the practice of Medicine

상세보기
BMJ Sackett 312 71 1996 10.1136/bmj.312.7023.71 Evidence based medicine: what it is and what it isn't

상세보기
Radiology Wood 213 635 1999 10.1148/radiology.213.3.r99dc48635 What's the evidence?

상세보기
Sackett, DL, Richardson, WS, Rosenberg, W, Haynes, RB, Evidence Based Medicine, How to Practice and Teach EBM, 1998
AJR Am J Roentgenol Black 154 17 1990 10.2214/ajr.154.1.2104704 How to evaluate the radiology literature

상세보기
Anaesth Intensive Care Horan 25 679 1997 10.1177/0310057X9702500616 Evidence-based medicine and anaesthesia: uneasy bedfellows?

상세보기
JAMA Guyatt 270 2598 1993 10.1001/jama.1993.03510210084032 Users' guides to the medical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid? Evidence-Based Medicine Working Group

상세보기
Sackett, DL, Haynes, RB, Guyatt, GH, Tugwell, P, Sackett, DL, Haynes, RB, Guyatt, GH, Tugwell, P, Clinical Epidemiology, A Basic Science for Clinical Medicine, 1991, 286, 287
Sackett, DL, Haynes, RB, Guyatt, GH, Tugwell, P, Sackett, DL, Haynes, RB, Guyatt, GH, Tugwell, P, Clinical Epidemiology, A Basic Science for Clinical Medicine, 1991, 176
Lancet Dixon 350 509 1997 10.1016/S0140-6736(97)06100-X Evidence-based diagnostic radiology

상세보기
Radiology Hillman 193 307 1994 10.1148/radiology.193.2.7972731 Outcomes research and cost-effectiveness analysis for diagnostic imaging

상세보기
J R Soc Med Vandenbroucke 92 159 1999 10.1177/014107689909200401 Case reports in an evidence-based world [editorial]

상세보기
JAMA Levine 271 1615 1994 10.1001/jama.1994.03510440075037 Users' guides to the medical literature. IV. How to use an article about harm. Evidence-Based Medicine Working Group

상세보기
BMJ Kunz 317 1185 1998 10.1136/bmj.317.7167.1185 The unpredictability paradox: review of empirical comparisons of randomised and non-randomised clinical trials

상세보기
J Vasc Surg Zarins 29 292 1999 10.1016/S0741-5214(99)70382-4 AneuRx stent graft versus open surgical repair of abdominal aortic aneurysms: multicenter prospective clinical trial

상세보기
Hypertension Plouin 31 823 1998 10.1161/01.HYP.31.3.823 Blood pressure outcome of angioplasty in atherosclerotic renal artery stenosis: a randomized trial. Essai Multicentrique Medicaments vs Angioplastie (EMMA) Study Group

상세보기
Can Assoc Radiol J Stolberg 49 295 1998 A core curriculum in the evaluative sciences for diagnostic imaging

상세보기
BMJ Chalmers 305 786 1992 10.1136/bmj.305.6857.786 Getting to grips with Archie Cochrane's agenda [editorial]

상세보기
Am J Med Feinstein 103 529 1997 10.1016/S0002-9343(97)00244-1 Problems in the ‘evidence’ of ‘evidence-based medicine’

상세보기
Annals RSPSC Auclair 32 453 1999 A point of view: on the nature of evidence
Lancet Maynard 349 126 1997 10.1016/S0140-6736(96)05153-7 Evidence-based medicine: an incomplete method for informing treatment choices

상세보기
Clin Rad MacEneaney 55 227 2000 10.1053/crad.1999.0444 The meaning of diagnostic test results: a spreadsheet for swift data analysis

상세보기

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DOI : 10.1053/crad.2000.0598
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