Methodological overview of systematic reviews to establish the evidence base for emergency general surgery. BJS 2017; 104: 513-524.
Published: 14th March 2017
Authors: J. Savović, N. Blencowe, J. Blazeby, Sean Strong, Noah Howes, K. Chalmers et al.
The evidence for treatment decision‐making in emergency general surgery has not been summarized previously. The aim of this overview was to review the quantity and quality of systematic review evidence for the most common emergency surgical conditions.
Systematic reviews of the most common conditions requiring unplanned admission and treatment managed by general surgeons were eligible for inclusion. The Centre for Reviews and Dissemination databases were searched to April 2014. The number and type (randomized or non‐randomized) of included studies and patients were extracted and summarized. The total number of unique studies was recorded for each condition. The nature of the interventions (surgical, non‐surgical invasive or non‐invasive) was documented. The quality of reviews was assessed using the
The 106 included reviews focused mainly on bowel conditions (42), appendicitis (40) and gallstone disease (17). Fifty‐one (48·1 per cent) included
This overview of reviews highlights the need for more and better research in this field.Full text
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