Need of Generating Level 1 Evidence in the Therapy of Endocrine Glands

A. Srivastava
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Abstract

I just crossed my 65th birthday and retired from the All India Institute of Medical Sciences, New Delhi, India, serving as the Chairman of the Department of Surgical Disciplines. In this long surgical career, I had the good fortune to interact and work in close association with surgical practitioners of several disciplines, viz. general surgery, plastic surgery, cardiac surgery neurosurgery, orthopedic surgery, ocular surgery, and pediatric surgery, just to name a few. A unique observation was made in this long career that two breeds of surgeons hardly ever conduct randomized trials: the plastic surgeons and the endocrine surgeons. Randomized clinical trials are considered the gold standard for the practice of evidence-based medicine.
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内分泌腺治疗需要一级证据
我刚刚过完65岁生日,从印度新德里的全印度医学科学研究所退休,担任外科学科部门的主席。在这漫长的外科生涯中,我有幸与多个学科的外科医生进行了互动和密切的合作,如普外科、整形外科、心脏外科、神经外科、骨科、眼科、儿科外科等。在我漫长的职业生涯中,我发现有两种外科医生几乎从不进行随机试验:整形外科医生和内分泌外科医生。随机临床试验被认为是循证医学实践的黄金标准。
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