Challenging the We-Know-Best Approach

Evidence-based practice: challenging what we think we know.

I see women with breast cancer every week. I try to keep up on the breast cancer literature to stay informed and revise my practice accordingly. I am lucky enough to have a health sciences librarian conduct a monthly search and send links to articles on breast cancer, but about 500 articles are published each month! So, she includes only those most relevant to my area of interest—survivorship c...

What Do We Know, How Do We Know It, and How Can We Best Apply It?

Adequate Nutrition May get You Home: Effect of Caloric/Protein Deficits on the Discharge Destination of Critically Ill Surgical Patients 37 D. Dante Yeh, MD; Eva Fuentes, MD; Sadeq A. Quraishi, MD, MHA, MMScH; Catrina Cropano, MSc; Haytham Kaafarani, MD, MPH; Jarone Lee, MD, MPH; David R. King, MD; Marc DeMoya, MD; Peter Fagenholz, MD; Kathryn Butler, MD; Yuchiao Chang, PhD; and George Velmahos...

Superior Capsule Reconstruction: What Do We Know?

The management of irreparable rotator cuff tears remains challenging. Since its introduction by Mihata in 2012, superiorcapsule reconstruction (SCR) has grown in popularity at an astonishingly rapid rate. The aim of this article is to providea comprehensive review of the available literature, in order to highlight what has so far been published on SCR,covering all aspects including biomechanica...

Do We Know What We Do not Know? A Response to Celine Bonnet

Neurostimulation for epilepsy: do we know the best stimulation parameters?

Commentary Under ideal circumstances, basic science research precedes clinical adoption of a technology. The reverse path has tended to prevail with deep brain stimulation (DBS) for epilepsy. After pioneering work in use of DBS for psychiatric conditions by Heath and Delgado, the New York neurosurgeon Irving Cooper was the first to use the technology to treat clinical epilepsy (1). Two recent m...