Value of Prophylactic Drainage in GI Surgery

Overview
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Featured Article

Petrowsky H, Demartines N, Rolusson V, Clavien PA; Evidence-based Value of Prophylactic Drainage in Gastrointestinal Surgery. A Systematic Review and Meta-analysis. Ann Surg 2004; 240(6): 1074-85

Expert Reviews:

Methodological Reviewer
Mark Taylor MD, FACS, Department of Surgery, University of Winnipeg

Clinical Reviewer
Bill Fitzgerald MD, CM, FRCSC , Department of Surgery, Charles S. Curtis Memorial Hospital

Clinical Reviewer
Michael Sarr, MD,FACS, Department of Surgery, Mayo Clinic

Supplementary Article

Bhandari M, Devereaux PJ, Montore V, et al; for the Evidence Based Surgery Working Group. Users’ Guide to Surgical Literature: How to Use a Systematic Review and Meta-analysis. Can J Surg 2004; 47(1): 60-67

Questions

Please read the provided articles and be prepared to discuss the following:

  1. What is the clinical question being addressed?
  2. Did the review explicitly address a sensible clinical question?
  3. Was the search for relevant studies detailed and exhaustive?
  4. Were the primary studies of high methodologic quality?
  5. Were assessments of studies reproducible?
  6. Were the results similar from study to study?
  7. What are the overall results of the review?
  8. How precise were the results?
  9. Were the clinically important outcomes considered?
  10. Are the benefits worth the costs and potential risks?
  11. State the conclusion. Have the authors addressed the question?
  12. Does the evidence support the conclusion?
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