Percutaneous Cholecystostomy: Evidence-Based Current Clinical Practice

Current Status of Percutaneous Cholecystostomy for the Management of Cholecystitis

Acute cholecystitis can arise in two distinct patient populations: (1) the relatively healthy ambulatory patient who develops acute inflammation of the gallbladder as a result of gallstones and (2) the critically ill, hospitalized patient who may or may not have gallstones. For most patients with acute calculous cholecystitis, surgical removal of the gallbladder is the preferred treatment optio...

Evidence-Based Clinical Practice

Evidence-based medicine has created a paradigm shift in medicine, away from authoritybased decision making and toward decision making that is informed by research and considers patient values and preferences. Evidence-based clinical practice requires accessing and evaluating the highest-quality information that is relevant to the patient problem at hand. In light of the best evidence, clinician...

Proton therapy in clinical practice: current clinical evidence.

Radiation therapy (RT), as primarily a localized form of treatment, strives for improved local tumor control and cure with few adverse effects. The physical characteristics of protons offer the theoretical benefit of more localized delivery of RT than can be achieved with photons produced by a linear accelerator. The improved dose distribution can potentially be exploited either by allowing hig...

Clinical guidelines: Evidence-Based Practice Current Resources for Evidence-Based Practice Carol Sakala, PhD, MSPH, July/August 2005

re clinical guidelines valid tools for evidence-based pracice? The quality of guidelines varies widely, and they hould be assessed on a case-by-case basis. This commenary points to some leading initiatives and resources for xcellence in and access to guidelines. Major assessments of guidelines respectively published n peer-reviewed journals and issued by specialty societies aised serious concer...

excellence in clinical practice through the evidence-based medicine