Users' guide to the surgical literature: how to use a systematic literature review and meta-analysis.

An evidence-based approach to surgery incorporates patients’ circumstances or predicaments, identifies knowledge gaps and frames questions to fill those gaps, conducts efficient literature searches, critically appraises the research evidence and applies that evidence to patient care. The practice of evidence-based medicine, therefore, is a process of lifelong self-directed learning in which caring for patients creates a need for clinically important information about diagnoses, prognoses, treatments and other health care issues. 1,2

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