Evidence-based medicine: What has happened in the past 50 years?

2014 ◽  
Vol 51 (1) ◽  
pp. 65-68 ◽  
Author(s):  
Craig Mellis
Keyword(s):  
Evidence Based Medicine ◽  
Evidence Based ◽  
The Past ◽  
Based Medicine

Using Science-Based Guidelines to Shape Public Health Law

2003 ◽  
Vol 31 (S4) ◽  
pp. 65-67 ◽  
Author(s):  
Stephanie Zaza ◽  
John Clymer ◽  
Linda Upmeyer ◽  
Stephen B. Thacker
Keyword(s):  
Public Health ◽  
Evidence Based Medicine ◽  
Scientific Literature ◽  
Scientific Information ◽  
Scientific Article ◽  
Evidence Based ◽  
Health Law ◽  
The Past ◽  
Different Types ◽  
Based Medicine

Compared to evidence-based public health, evidence-based medicine is a more familiar phrase. Evidence-based medicine has become increasingly popular in the past decade, due in large part to the emergence of computerized database search technology and advanced statistical tools which allow researchers to quickly identify and summarize vast amounts of scientific information.Today, the concept of evidence-based public health is gaining momentum and has grown in popularity. However, the term “evidence-based” lacks clarification and is subject to a variety of interpretations. The evidence that supports evidence-based medicine or public health may include individual experience, anecdotal information, the content of a single scientific article, or the results of a sophisticated systematic review of scientific literature. The imprecise language used to describe evidence leads to confusion over what types of evidence are most appropriate in answering different types of questions.

scholarly journals COVID-19: The Impact on Cardiovascular System

Biomedicines ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1691
Author(s):  
Jozica Šikić ◽  
Zrinka Planinić ◽  
Vid Matišić ◽  
Tea Friščić ◽  
Vilim Molnar ◽  
...  
Keyword(s):  
Cardiovascular System ◽  
Evidence Based Medicine ◽  
Patient Monitoring ◽  
Scientific Literature ◽  
Careful Consideration ◽  
Evidence Based ◽  
The Past ◽  
Multidisciplinary Nature ◽  
Based Medicine ◽  
The Impact

SARS-CoV-2 has been circulating in population worldwide for the past year and a half, and thus a vast amount of scientific literature has been produced in order to study the biology of the virus and the pathophysiology of COVID-19, as well as to determine the best way to prevent infection, treat the patients and eliminate the virus. SARS-CoV-2 binding to the ACE2 receptor is the key initiator of COVID-19. The ability of SARS-CoV-2 to infect various types of cells requires special attention to be given to the cardiovascular system, as it is commonly affected. Thorough diagnostics and patient monitoring are beneficial in reducing the risk of cardiovascular morbidity and to ensure the most favorable outcomes for the infected patients, even after they are cured of the acute disease. The multidisciplinary nature of the fight against the COVID-19 pandemic requires careful consideration from the attending clinicians, in order to provide fast and reliable treatment to their patients in accordance with evidence-based medicine principles. In this narrative review, we reviewed the available literature on cardiovascular implications of COVID-19; both the acute and the chronic.

Adoption of Evidence-Based Medicine in Clinical Laboratory Science: A Survey of the Prevalence of Systematic and Narrative Reviews

2018 ◽  
Vol 50 (3) ◽  
pp. 223-228
Author(s):  
Lauren N Pearson ◽  
Robert L Schmidt
Keyword(s):  
Evidence Based Medicine ◽  
Clinical Laboratory ◽  
Meta Analysis ◽  
Critical Role ◽  
Publication Rate ◽  
Evidence Based ◽  
Clinical Laboratory Science ◽  
Laboratory Science ◽  
The Past ◽  
Based Medicine

Abstract Background Systematic reviews (SRs) play a critical role in evidence-based medicine. Objective To determine the publication trends of SRs in clinical laboratory science (CLS). Methods We searched Scopus to identify all reviews published in the top 20 CLS journals during the past 10 years (2008–2017). We determined year of publication, review type (systematic vs narrative), citations, and whether the review was accompanied by a meta-analysis (MA). Results We identified 2934 reviews. Of these, 2833 (96.6%) were narrative reviews, and 98 (3.3%) were SRs. A total of 67 (66.3%) of the SRs were accompanied by a MA. Three journals accounted for 68 of 98 (69.4%) SRs. The percentage of SRs (relative to all reviews) has increased during the past decade (P = .01). SRs were more frequently published in high-impact journals (P <.001). Conclusion The publication rate of SRs in CLS journals has increased during the past decade.

Using the Evidence Based Medicine Framework to Support Music Therapy Posts in Healthcare Settings

2002 ◽  
Vol 16 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Jane Edwards
Keyword(s):  
Music Therapy ◽  
Evidence Based Medicine ◽  
Clinical Effectiveness ◽  
Evidence Based ◽  
Music Therapists ◽  
Medical Settings ◽  
The Past ◽  
Healthcare Settings ◽  
Research Findings ◽  
Based Medicine

The Evidence Based Medicine (EBM)1 framework has been incorporated into the field of healthcare practice over the past decade. Whatever our stance as to its benefits and disadvantages, more and more music therapists in health departments and related clinical posts will be asked to account for their work using this approach to the documentation of clinical effectiveness. It is important that music therapists working within clinical service guidelines understand the framework of EBM and are aware of ways in which they can include its precepts in their justifications for practice and posts. The levels of evidence in an EBM approach are presented and discussed and the issues particular to the application of music therapy research findings are explored. Given the author's experience in paediatric medical settings, some of the examples in this paper will refer to the children's hospital context in particular.

scholarly journals Response to Miles and Mezzich

2014 ◽  
Vol 2 (1) ◽  
pp. 83
Author(s):  
Andrew Turner ◽  
John Blakey ◽  
Roger Kerry
Keyword(s):  
Evidence Based Medicine ◽  
Evidence Based ◽  
Patient Centred Care ◽  
The Past ◽  
Comprehensive Account ◽  
Practice Models ◽  
Recent Developments ◽  
Based Medicine

Miles and Mezzich offer a welcome and comprehensive account of historical recent developments in healthcare and the role of its practice models. They identify a ‘crisis’ in medicine, which seems to have occurred in part because the science of medicine has been over-emphasised and the importance of compassion and care de-emphasised.  As they point out, this crisis has been perceived to have evolved over the past one hundred years. Evidence Based Medicine (EBM) is suggested to be inadequate to solve the crisis and it may be the case that EBM, in fact, has precipitated it because it ignores patients qua persons. It is also suggested that Patient Centred Care (PCC) seeks to address the imbalance, but that this is inadequate, too. Between these existing views it is claimed that Person Centred Medicine (PCM) solves the crisis by giving persons and evidence their proper roles and relative importances

scholarly journals Continuing metamorphosis of evidence-based medicine; the past, present and the future

2020 ◽  
Vol 25 (4) ◽  
pp. 117
Author(s):  
Asoka Gunaratne ◽  
Umesh Jayarajah ◽  
Anuruddha M. Abeygunasekera
Keyword(s):  
Evidence Based Medicine ◽  
Evidence Based ◽  
The Past ◽  
The Future ◽  
Based Medicine

Achieving Evidence-Based Practices in Colorectal Surgery

2014 ◽  
Author(s):  
Imran Hassan
Keyword(s):  
Colorectal Surgery ◽  
Evidence Based Medicine ◽  
Scientific Evidence ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
The Past ◽  
Hierarchy Of Evidence ◽  
Evidence Based Surgery ◽  
Key Resources ◽  
Based Medicine

The concept of evidence-based medicine (EBM) and evidence-based surgery (EBS) involves combining the best scientific evidence available with the clinician’s judgment while also considering the patient’s needs and preferences. In the past, the practice of colorectal surgery was based on tradition and anecdotal experience from experts rather than scientific rationale. However, the rise of EBM has led to changes in how colorectal surgery is performed. This review discusses the hierarchy of evidence, fundamental principles of EBS, and practicing evidence-based colorectal surgery. Tables review the Oxford Centre for Evidence-Based Medicine revised levels of evidence, four steps of evidence-based surgery, key resources for evidence-based surgery, the “PICO” technique, and the Dindo-Clavien classification system. This review contains 5 tables and 69 references.

Reflecting on Evidence Based Medicine, Person Centered Medicine and Small Area Variations: how contemporary frameworks for medicine address (or not) the needs of the individual patient

2018 ◽  
Vol 6 (3) ◽  
pp. 454 ◽  
Author(s):  
Mathew Mercuri ◽  
Amiram Gafni
Keyword(s):  
Evidence Based Medicine ◽  
Small Area ◽  
Population Level ◽  
Evidence Based ◽  
Patient Needs ◽  
Correct Treatment ◽  
The Past ◽  
Unwarranted Variation ◽  
The Individual ◽  
Based Medicine

Over the past few decades the medical literature has given much attention to three movements: Evidence Based Medicine (EBM), Person Centered Medicine (PCM) and Small Area Variations (SAV).  Each claims to provide a framework for improving the care of individual patients. This paper examines why attention to the individual patient is important in the provision and delivery of healthcare and how each of these movements seek to address individual patient needs. We suggest that EBM, PCM and SAV all suffer from a number of issues that render their use as a framework to address individual patient needs inadequate. In the case of EBM, it is a reliance on (at best) population level study (e.g., clinical trials) that do not necessarily translate to individual patients. PCM appears to recognize the information requirements to care for individual patients, but is unclear on how that information can be obtained. Likewise, SAV is limited in that its methods do not discriminate between warranted and unwarranted variation and its reliance on the EBM approach in assessing what is the correct treatment for patients. This paper concludes that EBM, PCM and SAV are not solving the problem of how to provide care for individual patients. While we do not offer a solution here, it is only when we admit we do not have the answers to this problem that we can begin to look for a solution.

scholarly journals Demystifying the Medical Literature

2016 ◽  
Vol 6 (4) ◽  
pp. 556-567
Author(s):  
Christopher Greeley
Keyword(s):  
Scientific Knowledge ◽  
Evidence Based Medicine ◽  
Diagnostic Tests ◽  
Medical Literature ◽  
Current Medical ◽  
Evidence Based ◽  
The Past ◽  
Based Medicine ◽  
Critical Literature ◽  
Historic Background

The published literature is not just the ongoing record of current medical and scientific knowledge; it is a record of the past and can give an eye toward future knowledge. Reading the published literature can give a view of the evolution of knowledge on a particular question, the growth of a discipline, the identification of new diseases, and the refinement of diagnostic tests. The reality is that most busy physicians read only the abstract of an article. The purpose of this article is to place published medical literature into a context and to provide some considerations for critically evaluating articles. This paper will provide historic background of evidence-based medicine and medical publications. Specific strategies for critical literature appraisal are highlights and pitfalls to avoid are outlined.

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