JAMA Surgery ( IF 15.7 ) Pub Date : 2020-04-01 , DOI: 10.1001/jamasurg.2019.4395 Ryan P Merkow 1 , Todd A Schwartz 2 , Avery B Nathens 3
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Evidence-based medicine in surgery is essential to the delivery of high-quality care. Comparative effectiveness research (CER) using observational study designs refers to the wide scope of research that allows for the generation of evidence to support one care strategy over another. Comparative effectiveness research is defined by the Institute of Medicine as the “generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care.”1 The purpose of CER is to provide actionable evidence to consumers, clinicians, purchasers, and policy makers to make informed decisions.1
中文翻译：
使用观测数据进行比较有效性研究的实用指南。
手术中的循证医学对于提供高质量护理至关重要。使用观察性研究设计的比较有效性研究（CER）指的是广泛的研究范围，它允许生成证据以支持一种护理策略优于另一种护理策略。医学研究所将比较有效性研究定义为“证据的生成和综合，该证据比较了预防，诊断，治疗和监测临床状况或改善护理质量的替代方法的利弊”。1 CER的目的是为消费者，临床医生，购买者和决策者提供可行的证据，以使其做出明智的决定。1个
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