Article type
Year
Abstract
Background: variations in medical practice have been studied since the late 1960s, and are known to introduce inequity, injustice and waste of resources in healthcare systems. Evidence-based medicine was one of the proposals for a solution to diminish variations in medical practice caused by the physician, as a result of ignorance, leaving the problem of how to handle uncertainty. Critical reading and clinical guidelines are tools to help introduce scientific evidence into practice. In many low- to medium-income countries in the Latin-America region, the skills for critical reading have not yet been introduced into university curricula for healthcare professionals, surgeons included. Besides, surgery has had a history of publishing research with high risk of bias, mostly case series, for specific surgical procedures. But for preoperative and postoperative care we can find now, papers with high levels of evidence.
Objectives: to measure the frequency of implementation of a high level of scientific evidence knowledge in perioperative care by Salvadoran surgeons.
Methods: we will use a cross-sectional study based on survey, using the digital platform of Survey Monkey®, sending invitations to those identified surgeons from different sources: members of the Salvadoran Surgical Association, university hospital professors and non-academic practicing surgeons from public and private sectors. As there is no database containing the number and names of all Salvadoran surgeons, we have estimated a sample size of 384 surgeons and a non-probabilistic sampling method of consecutive cases.
The survey consists of six demographic questions, and 10 questions related to perioperative care: preoperative shaving; antiseptic solution used in clean contaminated wounds; length of fasting before surgery; assessment of risk for deep vein thrombosis (DVT); use of mechanical prophylaxis for DVT; antibiotic prophylaxis in colorectal surgery; use of prophylactic nasogastric tube in gastrointestinal surgery; use of nasogastric tube with suction for acute pancreatitis; management of the stump in appendectomy; and time for diet initiation after gastrointestinal surgery.
Results: still in process. Will be finished by end of July 2019
Conclusions: still in process
Patient or healthcare consumer involvement: none at the moment
Objectives: to measure the frequency of implementation of a high level of scientific evidence knowledge in perioperative care by Salvadoran surgeons.
Methods: we will use a cross-sectional study based on survey, using the digital platform of Survey Monkey®, sending invitations to those identified surgeons from different sources: members of the Salvadoran Surgical Association, university hospital professors and non-academic practicing surgeons from public and private sectors. As there is no database containing the number and names of all Salvadoran surgeons, we have estimated a sample size of 384 surgeons and a non-probabilistic sampling method of consecutive cases.
The survey consists of six demographic questions, and 10 questions related to perioperative care: preoperative shaving; antiseptic solution used in clean contaminated wounds; length of fasting before surgery; assessment of risk for deep vein thrombosis (DVT); use of mechanical prophylaxis for DVT; antibiotic prophylaxis in colorectal surgery; use of prophylactic nasogastric tube in gastrointestinal surgery; use of nasogastric tube with suction for acute pancreatitis; management of the stump in appendectomy; and time for diet initiation after gastrointestinal surgery.
Results: still in process. Will be finished by end of July 2019
Conclusions: still in process
Patient or healthcare consumer involvement: none at the moment
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