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Egli scrive infatti che “… Little high-level of evidence was available….The new procedure’s<br />
advantages revolve around early recovery from surgery and reduced pain.<br />
Così su 52 voci bibbliografiche evidenziate a tutto il 1999 con 2 strategie di ricerca da<br />
Madline,Current Contents, Embase, Cochrane Library, si evince un livello EBM 2 per 4 di<br />
queste, EBM3-2 per 11, EBM 3-3 in 4 ed infine un livello EBM 4 per 18 ulteriori voci<br />
bibliografiche.<br />
Ancora, del 2002 è uno studio randomizzato ( RCT ), pubblicato da Weeks et al. per The<br />
Clinical Outcomes of Surgical Therapy Study Group su Jama in cui la valutazione della QOL (<br />
Quality of life ) basata su uno score con punteggi predeterminati ( SDS = Symptoms distress<br />
scale e QLI= quality of life index ) riporta: “ compared with open colectomy, laparoscopic<br />
colectomy for <strong>colon</strong> cancer results in statistically significant but clinically modest decreases in<br />
the duration of post-operative hospital analgesia and lenght of stay (P
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