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Socioeconomics
Review
Evidence-based clinical practice for the neurointerventionalist
  1. Joshua A Hirsch1,
  2. Aquilla S Turk2,
  3. J Mocco3,
  4. David J Fiorella4,
  5. Mahesh V Jayaraman5,
  6. Phillip M Meyers6,
  7. Albert J Yoo7,
  8. Laxmaiah Manchikanti8,9
  1. 1Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
  2. 2Departments of Neurosurgery and Radiology, Medical University of South Carolina, Charleston, South Carolina, USA
  3. 3Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
  4. 4Department of Neurosurgery, State University of New York-Stonybrook, Stonybrook, New York, USA
  5. 5Warren Alpert School of Medical at Brown University, Providence, Rhode Island, USA
  6. 6Departments of Radiology and Neurological Surgery, Columbia University, New York, New York, USA
  7. 7Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
  8. 8Pain Management Center of Paducah, Paducah, Kentucky, USA
  9. 9Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, Kentucky, USA
  1. Correspondence to Dr Joshua A Hirsch, Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA; Hirsch{at}snisonline.org

Abstract

The field of neurointerventional (NI) surgery has developed in the context of technologic innovation. Many treatments readily provided in 2014 would have been hard to imagine as recently as 10 years ago. The reality of present day NI care is that, while providers, payors, policy makers and patients rely on evidence to guide NI decision-making, the available data are often less robust than participants might desire. In this paper we will explore the fundamentals of evidence-based clinical practice.

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https://doi.org/10.1136/neurintsurg-2014-011155

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