Do we really apply evidence-based-recommendations to spine surgery? Results of an international survey

Neurosurgical Review, 2024 · DOI: https://doi.org/10.1007/s10143-024-02502-0 · Published: June 10, 2024

Surgery Education Research Methodology & Design

Simple Explanation

This international survey investigated the acceptance and application of Evidence-Based Medicine (EBM) among spine surgeons. It explored their understanding of EBM and how they apply it in practice through responses to clinical scenarios. The survey found that most respondents use EBM in their practice and believe training in research methodology is necessary. However, variations exist in how EBM is applied based on specific cases and factors like geographical region and training. The study highlights the need for further research into the appropriate application of EBM in clinical settings for spinal surgery to ensure consistent and effective patient care.

Study Duration

November 1, 2022, and March 1, 2023

Participants

Three hundred participants from Africa, Asia, Europe, North America, and Oceania

Evidence Level

Not specified

Key Findings

1
A significant majority (67.7%) of spine surgeons reported using EBM in their practice, indicating a general acceptance of evidence-based approaches.
2
Almost all respondents (97.3%) believed that training in research methodology and EBM is essential for spine surgery, underscoring the perceived importance of these skills.
3
Varied responses to clinical scenarios revealed inconsistencies in how EBM is applied, with differences observed based on geographical region, training, and practice settings.

Research Summary

This international survey assessed the use of Evidence-Based Medicine (EBM) among spine surgeons, revealing that most participants acknowledge and utilize EBM in their practice. Despite the widespread acceptance of EBM, the study found considerable variations in its application across different clinical scenarios and geographical regions. The study concludes that further research is needed to refine the application of EBM in spinal surgery, addressing the identified inconsistencies and ensuring optimal patient outcomes.

Practical Implications

Enhanced EBM Training

Develop targeted training programs focused on the consistent application of EBM principles in diverse clinical scenarios to reduce variability in practice.

Regional EBM Initiatives

Implement region-specific educational initiatives to address gaps in EBM knowledge and application, particularly in areas with lower adoption rates.

Standardized Clinical Protocols

Establish clear, evidence-based clinical protocols for common spinal pathologies to guide surgeons in making informed and consistent treatment decisions.

Study Limitations

1
Imbalance of participants from geographical regions
2
Low number of women participants
3
Need for insight into how the COVID pandemic has influenced the application of and learning of EBM in spinal surgery

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