Yixue xinzhi zazhi (Jul 2024)

Definition and literature of evidence-based urology: a systematic review

  • WANG Yunyun,
  • CHEN Zheng,
  • ZHONG Quliang,
  • HUANG Xing,
  • XU Xiaofeng,
  • LI Xiaodong,
  • ZI  Hao,
  • JIN Yinghui,
  • LI Binghui,
  • WENG Hong,
  • DONG Zhilong,
  • ZENG Xiantao

DOI
https://doi.org/10.12173/j.issn.1004-5511.202402068
Journal volume & issue
Vol. 34, no. 7
pp. 725 – 743

Abstract

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Objective To systematically analyze relevant literature on evidence-based urology (EBU) in China and abroad, and to understand their definitions and methodological research status. Methods The PubMed, Web of Science, CNKI, Wanfang, VIP Database for Chinese Technical Periodicals, and SinoMed were searched, JD.com and Dangdang.com engines are used to assist retrieval. The search was conducted as of August 9, 2023. The connotation and methodological research characteristics of EBU were extracted, and then used content analysis to integrate the extracted information. Results A total of 37 literature were included. There was no literature on the definition of EBU yet, and the research topics involved randomized controlled trials, systematic review, guidelines, evidence grading, Cochrane Library and PubMed database literature retrieval, evidence-based clinical decision-making, etc. 12 articles focused on 11 topics of randomized controlled trials or clinical trials such as subgroup analysis, relative and absolute effects, alternative endpoints; 5 articles introduced 4 themes of systematic review including heterogeneity, publication bias, P-value and confidence interval, and likelihood ratio; 9 literature systematically outlined the key methods of evidence-based medicine and provide evidence support for clinical questions related to the urinary system diseases. In terms of writing format, cases of urinary system diseases were used for explanation. Conclusion The definition of EBU has not yet been clarified, but it has a good foundation of development and constructionn, and the theoretical system EBU needs to be further improved. For example, starting with the complexity of the problems emerging in urology, actively proposing new ways of solving them, enriching research evidence types, innovating grading standards, expanding the clinical decision-making methods of EBU, and accelerating the optimization of subject curriculum system and talent cultivation.

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