Informing Clinical Practice in Nephrology (Record no. 13871)

MARC details
000 -LEADER
fixed length control field 03213nam a22001937a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210521b |||||||| |||| 00| 0 eng d
020 ## - INTERNATIONAL STANDARD BOOK NUMBER
International Standard Book Number 9783319102917
International Standard Book Number 9783319102924
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Mohsen El Kossi
9 (RLIN) 10811
245 ## - TITLE STATEMENT
Title Informing Clinical Practice in Nephrology
Remainder of title The Role of RCTs
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. London. New York
Name of publisher, distributor, etc. Springer International Publishing Switzerland
Date of publication, distribution, etc. 2015
300 ## - PHYSICAL DESCRIPTION
Extent 246 Pages
500 ## - GENERAL NOTE
General note Includes References
520 ## - SUMMARY, ETC.
Summary, etc. Nephrology practice has been informed over the last quarter of a century by a large number of<br/>clinical trials that translated animal experimentation findings into the bedside. These clinical<br/>trials have also informed and shaped the Nephrology Practice Guidelines worldwide.<br/>However, a closer look at many of these clinical trials finds them wanting and reveals major<br/>flaws that make their conclusions challengeable and their subsequent impact of practice misguided. Consequently, our practice and guidelines have been shaped in some instances by<br/>clinical trials that are inconclusive at best and misleading in their conclusions and recommendations at worst.<br/>This has prompted the editors of this monograph along with its publisher to call upon<br/>experts in the various fields of nephrology to undertake a thorough and critical appraisal and<br/>evaluation of the published clinical trials that have shaped our practice in recent times in general nephrology, dialysis, and transplantation. We have also included a critical appraisal template based on standard guidelines including the CONSORT statement to allow for a<br/>comparative evaluation of clinical trials within one area of nephrology and also across its different fields: General Nephrology, Dialysis, and Transplantation. Of note, the implementation<br/>of the Critical Appraisal template was left entirely to individual authors’ evaluations.<br/>Parameters Yes No Comment<br/>Validity<br/>Is the Randomization Procedure well described? +1 −1<br/>Double blinded? +2 −2<br/>Is the sample size calculation described/adequate? +3 −3<br/>Does it have a hard primary endpoint? +1 −1<br/>Is the endpoint surrogate? −2 0<br/>Is the follow-up appropriate? +1 −1<br/>Was there a Bias? −2 +2<br/>Is the drop out >25 %? −1 +1<br/>Is the analysis ITT? +3 −3<br/>Utility/Usefulness<br/>Can the findings be generalized? +1 −1<br/>Was the NNT <100? +1 −1<br/>Score …<br/>The critical appraisals of mostly randomized clinical trials (RCT) have revealed the strength<br/>but also the weakness of the published literature upon which we base our current practice.<br/>We hope that the monograph will alert nephrologists worldwide to the value of published<br/>RCT and provide them with a most valuable reference that assists them in their understanding<br/>and evaluation of key publications in nephrology. This in turn should allow them to better<br/>judge the literature upon which they base their daily clinical practice and avoid misplaced and<br/>unfounded assumptions.<br/>The quality of the clinical practice and health care we deliver as nephrologists depend to a<br/>large extent on the quality of the RCT and publications we base our knowledge and guidelines<br/>upon.
654 ## - SUBJECT ADDED ENTRY--FACETED TOPICAL TERMS
General subdivision Nephrology
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 10812
9 (RLIN) 10813
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type BOOKS
Holdings
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