Inappropriate use of randomised trials to evaluate complex phenomena: case study of vaginal breech delivery

被引：114
作者：
Kotaska, AR [1 ]
机构：
[1] Univ British Columbia, BC Womens Hosp, Dept Obstet & Gynaecol, Vancouver, BC V6H 3V5, Canada
来源：
BRITISH MEDICAL JOURNAL | 2004年 / 329卷 / 7473期
关键词：
D O I：
10.1136/bmj.329.7473.1039
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
As randomised trials continue to ascend in the evolution of evidence based medicine, we must recognise and respect their limitations when examining complex phenomena in heterogeneous populations.
引用
收藏
页码：1039 / 1042
页数：4
相关论文
共 27 条
[1]   Singleton vaginal breech delivery at term: Still a safe option [J].
Alarab, M ;
Regan, C ;
O'Connell, MP ;
Keane, DP ;
O'Herlihy, C ;
Foley, ME .
OBSTETRICS AND GYNECOLOGY, 2004, 103 (03) :407-412
[2]   Evaluation of a protocol for selecting fetuses in breech presentation for vaginal delivery or cesarean section [J].
Albrechtsen, S ;
Rasmussen, S ;
Reigstad, H ;
Markestad, T ;
Irgens, LM ;
Dalaker, K .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 177 (03) :586-592
[3]   Secular trends in peri- and neonatal mortality in breech presentation; Norway 1967-1994 [J].
Albrechtsen, S ;
Rasmussen, S ;
Irgens, LM .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2000, 79 (06) :508-512
[4]   Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis [J].
Barnett, HJM ;
Taylor, W ;
Eliasziw, M ;
Fox, AJ ;
Ferguson, GG ;
Haynes, RB ;
Rankin, RN ;
Clagett, GP ;
Hachinski, VC ;
Sackett, DL ;
Thorpe, KE ;
Meldrum, HE ;
Spence, JD .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (20) :1415-1425
[5]  
BRACHT E, 1938, ZENTRALBLATT GYNAECO, V31, P1735
[6]   Long term outcome by method of delivery of fetuses in breech presentation at term: Population based follow up [J].
Danielian, PJ ;
Wang, J ;
Hall, MH .
BRITISH MEDICAL JOURNAL, 1996, 312 (7044) :1451-1453
[7]   Mode of delivery and outcome of 699 term singleton breech deliveries at a single center [J].
Giuliani, A ;
Schöll, WMJ ;
Basver, A ;
Tamussino, KR .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 187 (06) :1694-1698
[8]   Vaginal term breech delivery -: a time for reappraisal? [J].
Halmesmäki, E .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2001, 80 (03) :187-190
[9]   Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial [J].
Hannah, ME ;
Hannah, WJ ;
Hewson, SA ;
Hodnett, ED ;
Saigal, S ;
Willan, AR .
LANCET, 2000, 356 (9239) :1375-1383
[10]   Vaginal breech delivery is still justified [J].
Hauth, JC ;
Cunningham, FG .
OBSTETRICS AND GYNECOLOGY, 2002, 99 (06) :1115-1116
123