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Otolaryngol Clin North Am. 2012 Apr;45(2):333-51, viii. doi: 10.1016/j.otc.2012.01.001. Epub 2012 Feb 23.

The art of management decision making: from intuition to evidence-based medicine.

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1
Department of Neurosurgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

Abstract

This article summarizes available evidence on various management options for vestibular schwannoma as they relate to the decision-making strategies used in selection. After a brief consideration of individual options, the literature directly comparing two or more management options is examined, noting the level of evidence supporting their claims. A discussion of the strategies developed to guide decision making follows. The article closes with a summary of the evidence-based findings and suggestions for further research. The focus is on management of sporadic, unilateral vestibular schwannomas, because patients with neurofibromatosis type 2 pose different management problems best discussed separately.

PMID:
22483820
DOI:
10.1016/j.otc.2012.01.001
[Indexed for MEDLINE]
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