Anastomosis or Hartmann’s Procedure for Perforated Diverticulitis

Overview
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Featured Article

Oberkoffer CE, Rickenbackher A, Raptis DA, et al. Multicenter randomized clinical trial of primary anastomosis or Hartmann’s procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis. Ann Surg 2012;256(6):819-827

Expert Reviews:

Methodological Reviewer
Elijah Dixon MD BSc MSc(Epi) FRCSC FACS, Department of Surgery, University of Calgary

Clinical Reviewer
Don Buie MD, FACS, Department of Surgery, University of Calgary

Clinical Reviewer
Charles Heise MD, FACS, Department of Surgery, University of Wisconsin

Supplementary Article

Urschel JD, Goldsmith CH, Tandan VR, Miller JD; for the Evidence-Based Surgery Working Group. Users’ Guide to Evidence-Based Surgery: How to Use an Article Evaluating Surgical Interventions. CJS 2001; 44(2): 95-100

Questions

  1. What is the clinical question being addressed?
  2. Was the assignment of patients to treatment randomized and concealed?
  3. Were all patients who entered the trial properly accounted for and attributed for at its conclusion?
  4. Were patients, their clinicians and study personnel “blind” to treatment?
  5. Were the groups similar at the start of the trial?
  6. Aside from the experimental intervention, were the groups treated equally?
  7. How large and precise was the treatment effect?
  8. Were the study patients similar to my patients?
  9. Were the measured outcomes clinically relevant?
  10. Were all clinically important outcomes considered?
  11. Are my surgical skills similar to those of the study surgeons?
  12. State the conclusion. Have the authors addressed the clinical question posed?
  13. Does the evidence support the conclusion?
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