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Evidence for effective surgical delivery

Posted by mikejclarke on 27 Apr 2011 at 21:53 GMT

I welcome this call for greater coordination of surgical delivery in humanitarian disasters and suggest that part of this coordination should include the explicit use of evidence on the effects of the procedures, in order to identify those that are likely to be most effective in the setting. Ideally, this should come through systematic reviews. Efforts are underway to improve access to these reviews (www.EvidenceAid.org). I also look forward to an increased recognition of the role of randomised trials as a means to resolve the uncertainties encountered by decision makers who have to make choices between surgical interventions in natural disasters and other humanitarian crises.

Competing interests declared: I am one of the founders of Evidence Aid.