Science of Neurosurgical Practice-The Science of Practice

Video Transcription

Video Summary

In this video, the speaker discusses the need for an improved algorithm for evidence-based medicine in neurosurgery. They emphasize the importance of getting residents involved early on and getting people interested in evidence-based medicine, biostatistics, and trial design. The speaker presents the limitations of the current evidence-based medicine algorithm, including the lack of consensus in the field of neurosurgery and the inability to reach consensus on how to treat patients. They suggest that the present algorithm is inadequate and propose a "science of practice" algorithm that incorporates both frequentist and Bayesian analysis to improve the accuracy and precision of clinical trial data. The speaker argues for the use of patient care registries to collect data on patient characteristics, processes of care, and outcomes. They highlight the need for risk-adjusted and audited registries to ensure the accuracy and quality of the data. The speaker concludes by discussing the power of patient care registries and their potential to improve the quality of care and facilitate innovation in neurosurgery. Overall, the speaker calls for a combination of evidence-based medicine and the science of practice approach to improve evidence-based medicine in neurosurgery and reach consensus on treatment approaches.

Asset Subtitle

Presented by Robert E. Harbaugh, MD, FAANS

Keywords

evidence-based medicine

neurosurgery

improved algorithm

residents

biostatistics

trial design

consensus

clinical trial data

patient care registries

innovation in neurosurgery