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HomeArticlesVol 34,2024 No.7Detail

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

Published on Jul. 30, 2024Total Views: 1483 timesTotal Downloads: 443 timesDownloadMobile

Author: WANG Yunyun 1 CHEN Zheng 2 ZHONG Quliang 3 HUANG Xing 4 XU Xiaofeng 5 LI Xiaodong 6, 7 ZI  Hao 1, 8 JIN Yinghui 1 LI Binghui 1 WENG Hong 1, 9, 10 DONG Zhilong 11, 12 ZENG Xiantao 1, 9, 10, 13

Affiliation: 1. Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China 2. Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, 510632, China 3. Department of Urology, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China 4. Department of Urology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China 5. Department of Urology, Xianyang Central Hospital, Xianyang 712099, Shaanxi Province, China 6. Department of Urology, The First Affiliated Hospital of Henan University, Kaifeng 475004, Henan Province, China 7. Institutes of Evidence-Based Medicine and Knowledge Translation, Henan University, Kaifeng 475001, Henan Province, China 8. Department of Evidence-Based Medicine, Xiangyang No.1 People’s Hospital Affiliated to Hubei University of Medicine, Xiangyang 441022, Hubei Province, China 9. Zhongnan Medical Journal Press, Zhongnan Hospital of Wuhan University, Wuhan 430071, China 10. Institute of Urology, Wuhan University, Wuhan 430071, China 11. Department of Urology, The Second Hospital of Lanzhou University, Lanzhou 730030, China 12. Gansu Provincial Clinical Research Center for Urological Diseases, Lanzhou 730030, China 13. Hubei Provincial Clinical Research Center for Endourology, Wuhan 430071, China

Keywords: Evidence-based medicine Evidence-based urology Definition Methodology Systematic review

DOI: 10.12173/j.issn.1004-5511.202402068

Reference: Wang YY, Chen Z, Zhong QL, HUANG X, XU XF, LI XD, ZI H, JIN YH, LI BH, WENG H, DONG ZL, ZENG XT. Definition and literature of evidence-based urology: a systematic review[J]. Yixue Xinzhi Zazhi, 2024, 34(7): 725-743. DOI: 10.12173/j.issn.1004-5511.202402068.[Article in Chinese]

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Abstract

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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