The pros and cons of evidence-based medicine.

نویسندگان

  • Peter Croft
  • Antti Malmivaara
  • Maurits van Tulder
چکیده

Evidence-based medicine has evolved with at least three distinct components: the core evidence, the systematic methods of reviewing and synthesising the evidence, and the use and application of the evidence in practice. This paper considers the tensions that exist because of different perceptions about the value, quality and interpretation of clinical and research evidence. The current challenges lie in developing better means of integrating different types of evidence from a range of sources to improve decisions about individual patients, and embedding guidelines in personal and stimulating clinical practice. Introduction In a debate “Evidence Based Medicine: Saviour or Pariah” at the 9 International Forum on Low Back Pain Research in Primary Care, evidence based medicine (EBM) made it as saviour but it was close. Championed by Sackett in the 1990’s (1), EBM has received both support and criticism from researchers, clinicians and policy makers. In this paper, we consider some common arguments for and against EBM. What exactly is EBM? ”Evidence based medicine” conveys the idea that up-to-date evidence can be used and applied consistently in clinical practice, in combination with the clinician’s individual expertise and the patient’s own preferences and expectations, to achieve the best possible outcomes. Evidence is provided by original research and by systematic reviews that find, select, judge, and integrate the evidence on any topic. This provides the basis for treatment guidelines, which incorporate expert interpretation of available evidence whilst taking additional arguments into account, such as treatment availability, costs and ethical aspects. Hence, we move from evidence to practice. Debate Experienceor evidence-based medicine?

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عنوان ژورنال:
  • Spine

دوره 36 17  شماره 

صفحات  -

تاریخ انتشار 2011