Evidence Based Medicine Revisited
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Transcript of Evidence Based Medicine Revisited
EVIDENCE BASED MEDICINE (EBM)
REVISITED
EVIDENCE BASED MEDICINE (EBM)
REVISITED
José Fco García GutiérrezEscuela Andaluza de Salud Pública
PAHO HSS/HRHNovember 2011
The information paradoxBridging the gap between science and practice !
Scientific evidence
Patient
preferences
Clinical practice
EBM
Archie Archie CochraneCochraneArchie Archie CochraneCochrane
“It is surely a great criticism of our profession that we have not organised a critical summary, by specialty or sub-specialty, adapted periodically, of all relevant randomized controlled trials”
Critical Appraisal of EvidenceEvaluación Crítica de la Evidencia
G.K. Chesterton
“It has not been tried and found wanting; it has been found difficult and left untried”
Which are the alternatives?
Eminence based medicine
Vehemence based medicine
Eloquence based medicine
Providence based medicine
Diffidence based medicine
Nervousness based medicine
Confidence based medicine
THETOOLBOX
Evidence Based Information
•CATs (Clinical Q&A)•Systematic Reviews (SR)•Clinical Practice Guidelines (CPG)
www.qualitymeasures.ahrq.gov
Evidence Levels(version for dummies)
A Meta-analisis or at least 1 RCT
B Other types of clinical and
epidemiological studies
C Experts opinion
Evidence Pathway
Evidence
MindlinesClinicalPractice
Patients
All-in-one: TRIP Database
Just remember two links ….
TRIP Database&
Medline Plus Plus
… and Google it!
Knowing is not enough;
we must apply
Willing is not enough;
we must doGoethe
THANKS
4YUR
ATTENTION