Abstract

Sackett et al. defined evidence-based medicine as “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.” [...]

Highlights

  • Sackett et al 1 defined evidence-based medicine as “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.” Prospective randomized clinical trials, through a double-blind process using treatment and control groups, are the optimal method for determining best evidence on interventions used to address a specific medical problem

  • 55% will undergo a prophylactic bilateral oophorectomy at the time of hysterectomy, fewer than 5% of the patients meet the high-risk criteria for developing ovarian or breast cancer for which the procedure is indicated

  • Three hundred thousand women without risk factors for developing ovarian or breast cancer undergo this surgical procedure each year, which raises the question of its medical necessity

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Summary

Introduction

55% will undergo a prophylactic bilateral oophorectomy at the time of hysterectomy, fewer than 5% of the patients meet the high-risk criteria for developing ovarian or breast cancer for which the procedure is indicated. Three hundred thousand women without risk factors for developing ovarian or breast cancer undergo this surgical procedure each year, which raises the question of its medical necessity.

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