Evidence Based Neurosurgery

Evidence-Based Neurosurgery: An Introduction will teach the practitioner to employ evidence-based approaches to common problems in neurosurgery. The book begins with a review of the concepts and techniques involved in the practice of evidence-based medicine, including the basics of critical analysis using methodologically rigorous evidence-synthesis techniques. The second part of the text provides useful examples of the use of this critical analysis for common clinical situations, such as stent placement, managing infection, metastases, craniocerebral trauma, cervical spine trauma, and more. This book covers all phases of clinical practice, from patient assessment, to diagnosis, to prognosis, and treatment, helping you address such questions as: How do you reliably determine the characteristics of the individual patient's condition? What is the likely course of the disease? How do you determine what interventions are likely to have a positive impact? Does the intervention work under certain specified circumstances? Evidence-Based Neurosurgery is an invitation to apply the rigorous methods of evidence-based medicine to improve your practice of neurosurgery.

A structured, evidence-based approach to neurosurgical decision-making for brain pathologies Evidence-based neurosurgery is one of the most important pillars upon which to build decision management pathways. Effective delivery of care involves understanding the natural history of the disease and the evidence behind available treatment options. Neurosurgical Diseases: An Evidence-Based Approach to Guide Practice by esteemed neurosurgeons Leon T. Lai, Cristian Gragnaniello, and expert contributors covers cranial pathologies neurosurgeons commonly encounter in everyday practice. The book combines a structured approach to evidence-based neurosurgery with expert opinions, analysis of up-to-date clinical data, understanding of patient preferences and values, and firsthand experiences to facilitate translation of evidence into clinical practice. Twenty-seven consistently formatted chapters are each dedicated to a different disease state, including brain tumors, cerebrovascular disease, Cushing's disease, traumatic brain injury, trigeminal neuralgia, and normal pressure hydrocephalus. All chapters include an introduction, current statistics and data, natural history of the pathology, selected papers for further reading, procedural options and outcomes, and recommended treatment protocols from the authors. Key Features Key content summarized in reader-friendly bullets, diagrams, tables, and illustrative figures enhances acquisition of knowledge Discussion of new developments including treatment recommendations for primary and metastatic brain tumors Statistical data on cerebral aneurysm treatment outcomes and recommendations for treatment New protocols for treating head trauma, closed head injuries, and spontaneous intracranial hemorrhage This essential resource will help neurosurgical residents and junior neurosurgeons make challenging surgical treatment decisions for complex conditions, clearly and concisely and based on the best evidence.

Evidence-based Clinical Practice (EBCP) is the conscientious, explicit, and judicious use of current best external evidence in making decisions about the care of individual patients. In neurology, practice has shifted from a rich, descriptive discipline to one of increasingly diagnostic and therapeutic interventions. Providing a comprehensive review of the current best evidence, Neurology: An Evidence-Based Approach presents this type of evidence in a concise, user-friendly and easily accessible manner. The three co-editors of this important volume are linked in their passion for evidence-based clinical practice in the clinical neurological sciences, connected to a common historical origin at the University of Western Ontario (UWO), London, Ontario Canada and influenced directly by Evidence-Based Medicine teachings of McMaster University, Hamilton, Ontario Cananda. The book is organized in three sections: Basics of Evidence-Based Clinical Practice, with an introduction to the topic, a chapter on the evolution of the hierarchy of evidence, and another chapter on guidelines for rating the quality of evidence and grading the strength of recommendation. The second section, Neurological Diseases, provides an illuminating overview of evidence-based care in ten of the most common areas in neurologic practice. The final, third section provides an outstanding roadmap for teaching evidence-based neurology with a chapter on the Evidence-Based Curriculum. A superb contribution to the literature, Neurology: An Evidence-Based Approach offers a well designed, well written, practical reference for all providers and researchers interested in the evidence-based practice of neurology.

This book covers spinal, cranial and peripheral nerve surgeries. Each chapter has a uniform format for ease of reading, including a description of the problem, a literature summary and analysis, and conclusions made using evidence-based medicine (including the GRADE method). The scientific evidence for a selection of neurosurgical procedures for well-known pathologic entities is thoroughly summarized and analysed in order to provide an overview of the efficacy and effectiveness of procedures in relation to the target patient population. Evidence for Neurosurgery: Effective Procedures & Treatment is aimed at a professional audience of junior and consultant neurosurgeons, researchers in the area, and policy makers.

'Guiding Neurosurgery' by Evidence provides it readers with a succinct review of comtemporary neurosugrical practice when evaluated by evidence-based medicine standards. It begins with an introduction of concept and principles of evidence-based medicine. The subsequent chapters address the topics of brain tumor epidemiology, benign adult brain tumore, pediatric neurosurgery, endovascular treatment of cerebrovascular disorders, lumbar spine surgery, minimally invasive spine surgery, sterotactic readiosurgery, trauma, and the treatment of chronic pain disorders by neurostimulation. Each chapter summarizes the available literature and grades it according to the quality of the evidence-based medicine in neurosurgical highlights not only the usefullness of evidence-based medicine in neurosurgical practice, but also its limitations with regard to neurosurgical disorders that are frequently rare and therefore impossible to evaluate in randomized clinical trials. Neurological surgeons and neurologists, both practicing physicians and residents in training, will find in this publication valuable information about the practice of the different neurosurgical subspecialties by evidence-based medicine standards.

The seventh edition of Dr. Greenbergs classic text covers the breadth of neurosurgery and its allied specialties and provides the latest information on anatomy and physiology, differential diagnosis, and currently accepted principles of clinical management

This textbook aims to examine some of the most controversial areas of neurological surgery by applying the current evidence to illuminate our understanding of the pathophysiology of each disease and the outcomes from surgical and non-surgical treatments. The Evidence for Neurosurgery is a textbook that will challenge current dogmas in many instances, provide an organized framework for understanding where current evidence can be applied clinically, and illustrate where gaps in the evidence exist and how these deficiencies may be filled in the future. In the first chapter, "Clinical Evidence", the reader will gain an understanding of the levels of clinical evidence and will learn what types of study designs are appropriate and in which situations. The textbook is then divided into six sections: Spine, Vascular, Tumor, Pediatrics, Functional, and Trauma.

This book covers spinal, cranial and peripheral nerve surgeries. Each chapter has a uniform format for ease of reading, including a description of the problem, a literature summary and analysis, and conclusions made using evidence-based medicine (including the GRADE method). The scientific evidence for a selection of neurosurgical procedures for well-known pathologic entities is thoroughly summarized and analysed in order to provide an overview of the efficacy and effectiveness of procedures in relation to the target patient population. Evidence for Neurosurgery: Effective Procedures & Treatment is aimed at a professional audience of junior and consultant neurosurgeons, researchers in the area, and policy makers.