Evaluating Evidence

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Evaluating Evidence

Fig. 2.1 The GRADE process for developing recommendations (Adapted from Guyatt et al. [2]) Once a literature review is complete, each individual study must be vetted for its relevance to…

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Clinical Complete Response after Neoadjuvant Chemoradiotherapy in Rectal Cancer: Operative or Non-Operative Management?

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Clinical Complete Response after Neoadjuvant Chemoradiotherapy in Rectal Cancer: Operative or Non-Operative Management?

Patient population Intervention Comparator Outcomes Patients with complete response after neoadjuvant treatment of rectal cancer Non-operative management Surgery (TME) Cancer recurrence, morbidity, disease-free survival, overall survival Introduction Surgical excision of…

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Management of T2 Rectal Cancer

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Management of T2 Rectal Cancer

Patient population Intervention Comparators Outcomes Patient with T2N0 rectal cancer Local excision with chemoradiation Radical resection Chemoradiation alone Oncologic outcomes Functional outcomes Search Strategy A literature search was conducted including…

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Follow-Up in Patient’s After Curative Resection for Colon Cancer Surveillance for Colon Cancer

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Follow-Up in Patient’s After Curative Resection for Colon Cancer Surveillance for Colon Cancer

Pt Population Intervention Comparators Outcomes studied Pts after curative resection of colorectal cancer Intensive follow up Clinical followup Early detection of recurrence, salvage rates, cost Introduction According to the American…

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IBD: Management of a Painful Anal Fissure and Skin Tags in Patients with Crohn’s Disease

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on IBD: Management of a Painful Anal Fissure and Skin Tags in Patients with Crohn’s Disease

Patient population Intervention Comparator Key outcomes Patients with Crohn’s disease and painful anal fissure Lateral internal sphincterotomy (LIS) Conservative medical management (including Botox injection in internal anal sphincter) Morbidity, pain…

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Management of Pouch-Vaginal Fistulas

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Management of Pouch-Vaginal Fistulas

P (patients) I (intervention) C (comparator) O (outcomes) Patients who underwent restorative proctocolectomy with ileal pouch anal anastomosis and developed pouch-vaginal fistula See Table 1 Not applicable Fistula healing Pouch…

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