부산대학교 도서관

Background: Categorising research by level of evidence (LOE) is an important evidence-based medicine initiative. Our objective was to assess the change in LOEs in plastic surgery from 2003 to 2013 and compared this with five other surgical specialties. Methods: A search for all research articles published in the top three general plastic surgery journals (ranked by impact factor) was conducted for 2003 and 2013. Articles were then labelled as LOE 1-5 and compared to other specialties. Results: Mean LOE for plastic surgery improved by 4.1 % from 3.86 (95 % confidence interval 3.81-3.91) to 3.70 (95 % confidence interval 3.64-3.74) from 2003 to 2013 respectively. All six surgical specialties improved their mean LOE (range 3.7 to 10.9 %). By mean LOE, plastic surgery continues to rank five out of six. Conclusions: Plastic surgery is tending towards higher levels of evidence at a slow pace. The specialty must continue to drive towards higher levels of evidence. Level of Evidence: Not ratable. [ABSTRACT FROM AUTHOR]