8/9/2019 EBM Vina Uli
2/3
FAKULTAS KEDOKTERAN UNIVERSITAS YARSI
APRIL 2013
EBM
)ama ( *li+a )ur Aini
"inna ,a+rihardani Adlis
)IM ( --$#$-$#./
--$#$-$#.0
T*4AS E"I'E)CE BASE' ME'ICI)E
S5enario
Wanita berusia ! ta"un #atin$ #en$an %e&u"an 'erut %e(bun$)
n*eri 'a#a 'an$$u&)
$an$$uan ber%e(i" #an berta(ba"n*a u%uran 'erut+ Se&ain itu
'asien ,u$a (en$e&u"%an rasa
sa%it saat (e&a%u%an "ubun$an se- #en$an sua(in*a+ Ri.a*at
'en*a%it #a"u&u 'asien 'erna"ter%ena %an%er /ariu( #an su#a"
#i&a%u%an 'en$an$%atan se,a% ! ta"un *an$ &a&u+
Pasien
tersebut bertan*a a'a%a" %e&u"an *an$ #ia&a(in*a
(eru'a%an $e,a&a %e(ba&in*a %an%er
*an$ #u&u 'erna" #ia&a(in*a+ Ke(u#ian #/%ter (e(beri%an
'en,e&asan (en$enai 'r/$n/sis
#ari %e&u"an *an$ #ia&a(i 'asien tersebut+
Pertan6aan 7foreground 8uestion9
a$ai(ana%a" 'r/$n/sis #a'at #i're#i%si #en$an (e&i"at
%e&u"an%e&u"an *an$ #ia&a(i
'asien sete&a" #i&a%u%an 'en$an$%atan tu(/r
PIC
• P/'u&ati/n 4 Wanita #e.asa #en$an %e&u"an n*eri 'a#a
'an$$u&
• Interenti/n 4 5eni&ai 'eruba"an seta&a" #i&a%u%an
'en$an$%atan tu(/r
• 6/('aris/n 4 5eni&ai 'eruba"an sebe&u( #i&a%u%an
'en$an$%atan tu(/r
• Out7/(es 4 5e('re#i%si 'r/$n/sis #en$an (e&i"at sta#iu(
tu(/r #an sete&a"
#i&a%u%an 'en$an$%atan tu(/r
Pencarian1u5ti ilmiah
A&a(at .ebsite 4 ...+.eb+ebs7/"/st+7/(Kata %un7i 4 7ar7in/(a
/arian AND ne/'&as( AND 'r/$n/sis
Li(itasi 4 A'ri& 2012 8 A'ri& 2013
9asi&Pen7arian 4 21
'ipilih arti5el 1er:udul (
Pr/$n/sti7 Si$ni:i7an7e /: Resi#ua& Tu(/r In Patients Wit"
E'it"e&ia& Oarian 6ar7in/(a
Sta$e IV In A 20 Year Pers'e7tie
REVIEW JURNAL
1
http://www.web.ebscohost.com/http://www.web.ebscohost.com/
8/9/2019 EBM Vina Uli
3/3
Objective :We ai(e# t/ ea&uate 'r/$n/sti7 :a7t/rs i('a7tin$
/n/era&& suria& #urin$ a 20
*ear 'eri/# .it" substantia& 7"an$es in sur$i7a&
a''r/a7" an# 7"e(/t"era'* (ana$e(ent /:
'atients .it" e'it"e&ia& /arian 7ar7in/(a sta$e
IV+ Design.A retr/s'e7tie '/'u&ati/nbase#
stu#*+Setting.T"e N/r.e$ian Ra#iu( 9/s'ita& #urin$ 1;
an# ninet*:/ur 'atients .it" e'it"e&ia& /arian 7ar7in/(a
sta$e IV treate# at t"e N/r.e$ianRa#iu( 9/s'ita&+
Methods :"e 7/"/rt .as #ii#e# int/ t./ $r/u's =1;8200!?
an# 7&ini7a&
an# 'at"/&/$i7a& 7"ara7teristi7s .ere 7/('are#+
Uniariate an# (u&tiariate ana&*ses .ere
'er:/r(e# t/ i#enti:* 'r/$n/sti7 :a7t/rs #urin$ 1;8200!
an# 1;
Main outcome measures.Pr/$n/sti7 :a7t/rs an#
/era&& suria& in t"e t"ree 'eri/#s+
Results :5e#ian /era&& suria& i('r/e# :r/(
1;8200! =:r/( 1+3 t/ 2+1
*ears?+ 5/re 'atients "a# (a7r/s7/'i7 ra#i7a& sur$er* =2<
s+ 11@?) re7eie# ne/a#,uant
7"e(/t"era'* an# .ere treate# .it" '&atinu(8ta-ane
7/(binati/n t"era'* :r/( 1;;>8200!
7/('are# t/ 1;
