Information Sources and Decision-Making in Neurosurgery: Results of a Survey of Members of the Brazilian Neurosurgery Society
Abstract Introduction In all surgical disciplines, including neurosurgery, there are questions about the level of evidence supporting surgical practices and the mechanisms and adequacy of knowledge translation. Objectives To assess the perception of Brazilian neurosurgeons...
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doaj-752515bfcd3e4c339bb172abaf38ea432021-04-02T12:08:43ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222018-05-01370208108710.1055/s-0038-1656716Information Sources and Decision-Making in Neurosurgery: Results of a Survey of Members of the Brazilian Neurosurgery SocietyRodrigo Gorayeb0Maria João Forjaz1Antônio Gonçalves-Ferreira2Joaquim Ferreira3Laboratory of Clinical Pharmacology, Faculty of Medicine, Universidade de Lisboa, Lisboa, PortugalNational School of Public Health, Institute of Health Carlos III and REDISSEC, Biscay, SpainClínica Universitária de Neurocirurgia e Instituto de Anatomia, Faculty of Medicine, Universidade de Lisboa, Lisbon, PortugalInstituto de Medicina Molecular, Lisbon, Portugal; Laboratory of Clinical Pharmacology and Therapeutics, Faculty of Medicine, Universidade of Lisboa, Lisbon, Portugal; Campus Neurológico Sénior, Torres Vedras, Lisbon, PortugalAbstract Introduction In all surgical disciplines, including neurosurgery, there are questions about the level of evidence supporting surgical practices and the mechanisms and adequacy of knowledge translation. Objectives To assess the perception of Brazilian neurosurgeons of information sources and decision-making mechanisms related to their medical practices. Methods An online questionnaire was sent to the 2,400 members of the Brazilian Neurosurgical Society. Results A total of 32% of the neurosurgeons completed the questionnaire, 53% had more than 10 years experience, 67% had worked in public hospitals, 34% had performed spine surgeries, and 30% had performed brain tumor surgeries. The therapeutic decisions were based mostly on internship learning (54%) and personal professional experience (52%). The most common information sources were scientific abstracts (53%) and the Internet (47%). A total of 89% believed that evidence-based medicine was relevant, 93% believed protocols or guidelines were necessary, and 74% subscribed to a medical journal. Nonetheless, only 43% had protocols implemented in their services, 93% highly valued a surgeon's personal experience, and 63% showed little familiarity with the interpretation of scientific concepts in the literature. Among the respondents, 83% were willing to try an innovative treatment alternative if it was shown to improve clinical outcomes and reduce severe complications. Conclusions The disparity in the responses highlights the need to implement recommendations that improve decision-making mechanisms.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1656716neurosurgeryevidence-based medicinesource of informationdecision-making |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rodrigo Gorayeb Maria João Forjaz Antônio Gonçalves-Ferreira Joaquim Ferreira |
spellingShingle |
Rodrigo Gorayeb Maria João Forjaz Antônio Gonçalves-Ferreira Joaquim Ferreira Information Sources and Decision-Making in Neurosurgery: Results of a Survey of Members of the Brazilian Neurosurgery Society Brazilian Neurosurgery neurosurgery evidence-based medicine source of information decision-making |
author_facet |
Rodrigo Gorayeb Maria João Forjaz Antônio Gonçalves-Ferreira Joaquim Ferreira |
author_sort |
Rodrigo Gorayeb |
title |
Information Sources and Decision-Making in Neurosurgery: Results of a Survey of Members of the Brazilian Neurosurgery Society |
title_short |
Information Sources and Decision-Making in Neurosurgery: Results of a Survey of Members of the Brazilian Neurosurgery Society |
title_full |
Information Sources and Decision-Making in Neurosurgery: Results of a Survey of Members of the Brazilian Neurosurgery Society |
title_fullStr |
Information Sources and Decision-Making in Neurosurgery: Results of a Survey of Members of the Brazilian Neurosurgery Society |
title_full_unstemmed |
Information Sources and Decision-Making in Neurosurgery: Results of a Survey of Members of the Brazilian Neurosurgery Society |
title_sort |
information sources and decision-making in neurosurgery: results of a survey of members of the brazilian neurosurgery society |
publisher |
Thieme Revinter Publicações Ltda. |
series |
Brazilian Neurosurgery |
issn |
0103-5355 2359-5922 |
publishDate |
2018-05-01 |
description |
Abstract
Introduction In all surgical disciplines, including neurosurgery, there are questions about the level of evidence supporting surgical practices and the mechanisms and adequacy of knowledge translation.
Objectives To assess the perception of Brazilian neurosurgeons of information sources and decision-making mechanisms related to their medical practices.
Methods An online questionnaire was sent to the 2,400 members of the Brazilian Neurosurgical Society.
Results A total of 32% of the neurosurgeons completed the questionnaire, 53% had more than 10 years experience, 67% had worked in public hospitals, 34% had performed spine surgeries, and 30% had performed brain tumor surgeries. The therapeutic decisions were based mostly on internship learning (54%) and personal professional experience (52%). The most common information sources were scientific abstracts (53%) and the Internet (47%). A total of 89% believed that evidence-based medicine was relevant, 93% believed protocols or guidelines were necessary, and 74% subscribed to a medical journal. Nonetheless, only 43% had protocols implemented in their services, 93% highly valued a surgeon's personal experience, and 63% showed little familiarity with the interpretation of scientific concepts in the literature. Among the respondents, 83% were willing to try an innovative treatment alternative if it was shown to improve clinical outcomes and reduce severe complications.
Conclusions The disparity in the responses highlights the need to implement recommendations that improve decision-making mechanisms. |
topic |
neurosurgery evidence-based medicine source of information decision-making |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1656716 |
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