Global healthcare in the 21st century is characterized by evidence-based medicine (EBM), patient-centered care, and cost effectiveness. EBM involves clinical decisions being made by integrating patient preference with medical treatment evidence and physician experiences. The Center for Value-Based Medicine suggested value-based medicine (VBM) as the practice of medicine based upon the patient-p...

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2018. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2018 . Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901 .

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2018. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2018 . Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901 .

L ast year, Archives of Disease in Childhood introduced a new section entitled " Archimedes ". Its purpose is " to assist practising clinicians by providing 'evidence based' answers to common questions which are not at the forefront of research but are at the core of practice ". 1 Archimedes is actively looking for paediatricians to submit their efforts at finding answers to these questions. In...

OBJECTIVES Evidence based medicine (EBM) has transformed the way healthcare is delivered all over the world. It combines individual clinical expertise with best available research evidence so that the patients get a high standard of care. The growth of information technology has provided us with tools which enable us to scrutinise vast amounts of data within a very short amount of time. EBM is ...

The context of general practice makes the translation of evidence into clinical practice difficult. General practitioners interested in implementing evidence met at The Royal Australian College of General Practitioners' 2006 Annual Scientific Convention. We discussed evidence based medicine (EBM) journal club as a solution to this problem, including keys to success and barriers to overcome. The...

Modern medicine increasingly requires the clinician, including urologists, to apply evidence based medicine in their daily practice. What clinicians thought were true are being constantly changed through evidence search and evidence merging to derive on a new clinical message. Addition of new evidence then goes on to regularly challenge these clinical messages. This book is divided into two par...

In public health and chronic disease prevention there is increasing priority for effective use of evidence in practice. In Ontario, Canada, despite various models being advanced, public health practitioners are seeking ways to identify and apply evidence in their work in practical and meaningful ways. In a companion article, "Strengthening Chronic Disease Prevention Programming: The Toward Evid...

This article examines the implicit promises of fairness in evidence based medicine (EBM), namely to avoid discrimination through objective processes, and to distribute effective treatments fairly. The relationship between EBM and vulnerable groups (such as those disadvantaged by virtue of poverty, ethnicity, age, gender, mental health problems or similar) is examined. Several aspects of EBM are...

The scope and purpose of this work is 2-fold: to synthesize the available evidence and to translate it into recommendations. This document provides recommendations only when there is evidence to support them. As such, they do not constitute a complete protocol for clinical use. Our intention is that these recommendations be used by others to develop treatment protocols, which necessarily need t...