{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T20:12:33Z","timestamp":1772827953440,"version":"3.50.1"},"reference-count":64,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Knowledge translation approaches for augmenting the use of evidence in medical practice require identifying potential barriers to implementation. Important but poorly understood determinants of the uptake of knowledge translation tools are the intrinsic characteristics of health professionals themselves. In this study, the authors explored how surgeons\u2019 perceptions of evidence-based medicine (EBM) and their behavior in response to new evidence affect their awareness and use of evidence-based summaries designed for application at the point of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Faculty surgeons in two North American pediatric Hydrocephalus Clinical Research Networks, who had shunt infection prevention protocol compliance data for more than 10 shunt procedures in their respective clinical registries during the study period (September 2021\u2013March 2023), participated in a cross-sectional survey regarding their attitudes, knowledge, and behaviors related to EBM and evidence-based practice. Univariable associations between these surgeon characteristics and two dependent variables were sought: 1) compliance with the steps of a perioperative protocol designed to minimize the incidence of shunt infection and 2) knowledge of evidence-based guidelines and recommendations relevant to the care of children with hydrocephalus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Ninety-two of 212 eligible surgeons responded to the survey. Most were inclined to implement new evidence in surgical practice. Compliance with the shunt infection prevention protocol was higher for those whose responses about their behavior in response to new information on the effectiveness of clinical strategies suggested that they value evidence over experience (i.e., those who actively seek or are receptive to new evidence) compared to those whose practice is driven by practical and pragmatic considerations (OR 5.27, 95% CI 1.08\u201325.74 for seekers and OR 4.32, 95% CI 1.48\u201312.58 for receptives vs pragmatists, p = 0.01).<\/jats:p>\n                    <jats:p>Overall knowledge of pediatric hydrocephalus-related guidelines was modest. Surgeons with a more favorable attitude toward the construct of EBM tended to correctly identify most of the published guideline statements presented to them (OR 1.07, 95% CI 1.00\u20131.16 for every 10-point increment on a 100-point visual analog scale, p = 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The authors demonstrate that surgeons have variable knowledge of, and behave differently to, evidence that should influence care. Measurable surgeon characteristics are associated with the application of evidence in surgical practice. Thus, to improve the use of evidence-based summaries at the point of care, surgeon attitudes and behaviors should be assessed when designing knowledge translation interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.3.peds2514","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T22:49:50Z","timestamp":1749250190000},"page":"271-277","source":"Crossref","is-referenced-by-count":0,"title":["Surgeon perceptions and utilization of evidence-based medicine"],"prefix":"10.3171","volume":"36","author":[{"given":"Mandeep S.","family":"Tamber","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery, University of British Columbia, Vancouver, British Columbia, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hailey","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ron","family":"Reeder","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Clawson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nichol","family":"Nunn","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John R. W.","family":"Kestle","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"16","key":"b1","series-title":"JAMA","first-page":"1333","article-title":"It takes an average of 17 years for evidence to change practice\u2014the burgeoning field of implementation science seeks to speed things up","volume":"329","author":"Rubin R","year":"2023","unstructured":"Rubin R. It takes an average of 17 years for evidence to change practice\u2014the burgeoning field of implementation science seeks to speed things up. JAMA. 2023;329(16):1333\u20131336."},{"issue":"12","key":"b2","series-title":"J R Soc Med","first-page":"510","article-title":"The answer is 17 years, what is the question: understanding time lags in translational research","volume":"104","author":"Morris ZS","year":"2011","unstructured":"Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med. 2011;104(12):510\u2013520."},{"issue":"2)(suppl 2","key":"b3","series-title":"J Gen Intern Med","first-page":"783","article-title":"What can implementation science do for you? Key success stories from the field","volume":"35","author":"Kilbourne AM","year":"2020","unstructured":"Kilbourne AM, Glasgow RE, Chambers DA. What can implementation science do for you? Key success stories from the field. J Gen Intern Med. 2020;35(2)(suppl 2):783\u2013787."},{"issue":"1","key":"b4","series-title":"BMC Psychol","first-page":"32","article-title":"An introduction to implementation science for the non-specialist","volume":"3","author":"Bauer MS","year":"2015","unstructured":"Bauer MS, Damschroder L, Hagedorn H, Smith J, Kilbourne AM. An introduction to implementation science for the non-specialist. BMC Psychol. 2015;3(1):32."},{"issue":"5","key":"b5","series-title":"JRSM Short Rep","first-page":"40","article-title":"The World Health Organization\u2019s \u2018Surgical Safety Checklist\u2019: should evidence-based initiatives be enforced in hospital policy?","volume":"1","author":"Sivathasan N","year":"2010","unstructured":"Sivathasan N, Rakowski KR, Robertson BF, Vijayarajan L. The World Health Organization\u2019s \u2018Surgical Safety Checklist\u2019: should evidence-based initiatives be enforced in hospital policy?. JRSM Short Rep. 2010;1(5):40."},{"issue":"4","key":"b6","series-title":"BMJ Qual Saf","first-page":"299","article-title":"Surgical checklists: a systematic review of impacts and implementation","volume":"23","author":"Treadwell JR","year":"2014","unstructured":"Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299\u2013318."},{"issue":"1","key":"b7","series-title":"J Neurosurg Pediatr","first-page":"22","article-title":"A standardized protocol to reduce cerebrospinal fluid shunt infection: the Hydrocephalus Clinical Research Network Quality Improvement Initiative","volume":"8","author":"Kestle JR","year":"2011","unstructured":"Kestle JR, Riva-Cambrin J, Wellons JC III,  A standardized protocol to reduce cerebrospinal fluid shunt infection: the Hydrocephalus Clinical Research Network Quality Improvement Initiative. J Neurosurg Pediatr. 2011;8(1):22\u201329."},{"issue":"4","key":"b8","series-title":"J Neurosurg Pediatr","first-page":"391","article-title":"A new Hydrocephalus Clinical Research Network protocol to reduce cerebrospinal fluid shunt infection","volume":"17","author":"Kestle JR","year":"2016","unstructured":"Kestle JR, Holubkov R, Douglas Cochrane D,  A new Hydrocephalus Clinical Research Network protocol to reduce cerebrospinal fluid shunt infection. J Neurosurg Pediatr. 2016;17(4):391\u2013396."},{"issue":"6","key":"b9","series-title":"J Neurosurg Pediatr","first-page":"711","article-title":"The Hydrocephalus Clinical Research Network quality improvement initiative: the role of antibiotic-impregnated catheters and vancomycin wound irrigation","volume":"29","author":"Chu J","year":"2022","unstructured":"Chu J, Jensen H, Holubkov R,  The Hydrocephalus Clinical Research Network quality improvement initiative: the role of antibiotic-impregnated catheters and vancomycin wound irrigation. J Neurosurg Pediatr. 2022;29(6):711\u2013718."},{"issue":"2","key":"b10","series-title":"J Neurosurg Pediatr","first-page":"157","article-title":"Shunt infection prevention practices in Hydrocephalus Clinical Research Network-Quality: a new quality improvement network for hydrocephalus management","volume":"33","author":"Tamber MS","year":"2023","unstructured":"Tamber MS, Jensen H, Clawson J,  Shunt infection prevention practices in Hydrocephalus Clinical Research Network-Quality: a new quality improvement network for hydrocephalus management. J Neurosurg Pediatr. 2023;33(2):157\u2013164."},{"issue":"1","key":"b11","series-title":"J Bone Joint Surg Am","first-page":"206","article-title":"Perceptions and competence in evidence-based medicine: Are surgeons getting better? A questionnaire survey of members of the Dutch Orthopaedic Association","volume":"89","author":"Poolman RW","year":"2007","unstructured":"Poolman RW, Sierevelt IN, Farrokhyar F, Mazel JA, Blankevoort L, Bhandari M. Perceptions and competence in evidence-based medicine: Are surgeons getting better? A questionnaire survey of members of the Dutch Orthopaedic Association. J Bone Joint Surg Am. 2007;89(1):206\u2013215."},{"issue":"2","key":"b12","series-title":"J Urol","first-page":"767","article-title":"Perceptions and competence in evidence-based medicine: a survey of the American Urological Association Membership","volume":"181","author":"Dahm P","year":"2009","unstructured":"Dahm P, Poolman RW, Bhandari M,  Perceptions and competence in evidence-based medicine: a survey of the American Urological Association Membership. J Urol. 2009;181(2):767\u2013777."},{"issue":"7128","key":"b13","series-title":"BMJ","first-page":"361","article-title":"General practitioner\u2019s perceptions of the route to evidence based medicine: a questionnaire survey","volume":"316","author":"McColl A","year":"1998","unstructured":"McColl A, Smith H, White P, Field J. 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