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Panin S.I.

Volgograd State Medical University

Nechay T.V.

Pirogov Russian National Research Medical University

Sazhin A.V.

Pirogov Russian National Research Medical University

Puzikova A.V.

Volgograd State Medical University

Linchenko D.V.

Volgograd State Medical University

Chechin E.R.

Pirogov Russian National Research Medical University

Evidence-based medicine of gallstone disease regarding development of national clinical guidelines

Authors:

Panin S.I., Nechay T.V., Sazhin A.V., Puzikova A.V., Linchenko D.V., Chechin E.R.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(7): 85‑93

DOI: 10.17116/hirurgia202207185

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Table of contents

EVIDENCE-BASED MEDICINE OF GALLSTONE DISEASE REGARDING DEVELOPMENT OF NATIONAL CLINICAL GUIDELINES
EVIDENCE-BASED MEDICINE OF GALLSTONE DISEASE REGARDING DEVELOPMENT OF NATIONAL CLINICAL GUIDELINES

To cite this article:

Panin SI, Nechay TV, Sazhin AV, Puzikova AV, Linchenko DV, Chechin ER. Evidence-based medicine of gallstone disease regarding development of national clinical guidelines. Pirogov Russian Journal of Surgery. 2022;(7):85‑93. (In Russ.)
https://doi.org/10.17116/hirurgia202207185

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To study the Cochrane evidence base of systematic reviews and meta-analyses regarding development of national guidelines for surgical treatment of gallstone disease and its complications.

MATERIAL AND METHODS

We analyzed the original database involving 35 systematic reviews and meta-analyses of Cochrane Library devoted to gallstone disease and its complications. Methodology of electronic and manual searching of trials was used for identification and screening of information for the period until October 2021.

RESULTS

There were 430 randomized controlled trials from different countries estimated in 35 systematic reviews of Cochrane Library. At the same time, Russian-language researches are not included in the world’s evidence database of biliary tract surgery. Expert groups couldn’t perform meta-analysis and limited to systematic-review in 6 (17%) publications because of insufficient statistical power or primary researches. Need for further research of this issue was determined after assessment of 26 (74%) meta-analyses.

CONCLUSION

We have to convey foreign experience as subbase of national clinical guidelines taking into account deficiency of scientific trials with high level of evidence in our country. Need for further evidence trials, considering the peculiarities of surgical care in the Russian Federation, is determined by unsolved issues of treatment of gallstone disease and its complications.

Keywords:

gallstone disease
acute cholecystitis
evidence-based medicine

Authors:

Panin S.I.

Volgograd State Medical University

Nechay T.V.

Pirogov Russian National Research Medical University

Sazhin A.V.

Pirogov Russian National Research Medical University

Puzikova A.V.

Volgograd State Medical University

Linchenko D.V.

Volgograd State Medical University

Chechin E.R.

Pirogov Russian National Research Medical University

Received:

15.02.2022

Accepted:

10.03.2022

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