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Case Reports
. 2013 Mar;131(3):655-665.
doi: 10.1097/PRS.0b013e31827c6f90.

Evidence on prognosis

Affiliations
Case Reports

Evidence on prognosis

Shimpei Ono et al. Plast Reconstr Surg. 2013 Mar.

Abstract

In the clinical decision-making process, prognostic information gives physicians guidance regarding disease and treatment that can be passed along to patients. Using the clinical scenario of a type IIIB open tibial fracture as an example, this article focuses on how to search prognostic literature effectively and how to critically appraise prognostic studies. A well-built clinical question using the Patients, Intervention, Comparison, and Outcomes methodology helps plastic surgeons derive information from the vast resources in an effective and time-efficient manner. Subsequent critical appraisal of the collected studies is the essential step for identifying the most relevant high-quality evidence to provide the best prognostic information to guide patient decision-making.

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Figures

Figure 1
Figure 1
A 22-year-old man with type IIIB open tibial fracture (Lt) Standard anteroposterior radiograph of a tibial shaft fracture with intramedullary nail fixation (Rt) Clinical photograph depicting the status of the soft-tissue and associated muscle loss
Figure 1
Figure 1
A 22-year-old man with type IIIB open tibial fracture (Lt) Standard anteroposterior radiograph of a tibial shaft fracture with intramedullary nail fixation (Rt) Clinical photograph depicting the status of the soft-tissue and associated muscle loss
Figure 1
Figure 1
A 22-year-old man with type IIIB open tibial fracture (Lt) Standard anteroposterior radiograph of a tibial shaft fracture with intramedullary nail fixation (Rt) Clinical photograph depicting the status of the soft-tissue and associated muscle loss
Figure 2
Figure 2
Outcome and prognostic factors for open tibial fractures Prognostic studies examine prognostic factors to determine their relationship to possible outcomes following various therapeutic treatments.
Figure 3
Figure 3
An example of Kaplan–Meier curves for 2 conditions (limb salvage and amputation) associated with rates of patients who return to work

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References

    1. Merrill RM. Clinical Epidemiology. Introduction to Epidemiology. 5th ed. Jones & Bartlett Learning; Sudbury, Massachusetts: 2009. pp. 299–311.
    1. Parrett BM, Matros E, Pribaz JJ, Orgill DP. Lower extremity trauma: trends in the management of soft-tissue reconstruction of open tibia-fibula fractures. Plast Reconstr Surg. 2006 Apr;117(4):1315–1322. discussion 1323-1314. - PubMed
    1. Balc CM, Houhton AN, Peters LJ. Cutaneous melanoma. In: De Vita VT, Hellman S, Rosenberg SA, editors. Cancer: Principals and practice of oncology. 5th ed. Lippincott; Philadelphia: 1998. pp. 1612–1661.
    1. Retsas S, Henry K, Mohammed MQ, MacRae K. Prognostic factors of cutaneous melanoma and a new staging system proposed by the American Joint Committee on Cancer (AJCC): validation in a cohort of 1284 patients. Eur J Cancer. 2002 Mar;38(4):511–516. - PubMed
    1. Merza Z, Tesfaye S. The risk factors for diabetic foot ulceration. The Foot. 2003;13(3):125–129.

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