The randomized controlled trial (RCT) is considered the gold standard for evaluating healthcare interventions. This design presents a challenge for certain treatment modalities, such as surgical interventions, due to the inherent learning curve that some participating surgeons may not be able to overcome. The expertise-based RCT has responded to this challenge by assigning surgeons with objectively determined expertise to that treatment arm exclusively. This chapter will provide a comprehensive approach to interpreting and critically appraising expertise-based RCTs in surgery.

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Expertise-Based Randomized Controlled Trials

  • Tyler McKechnie,
  • Daniel Waltho,
  • Kristen Davidge,
  • Cagla Eskicioglu

摘要

The randomized controlled trial (RCT) is considered the gold standard for evaluating healthcare interventions. This design presents a challenge for certain treatment modalities, such as surgical interventions, due to the inherent learning curve that some participating surgeons may not be able to overcome. The expertise-based RCT has responded to this challenge by assigning surgeons with objectively determined expertise to that treatment arm exclusively. This chapter will provide a comprehensive approach to interpreting and critically appraising expertise-based RCTs in surgery.