What is evidence-based medicine?
"The conscientious, explicit and judicious application of current best evidence to the care of individual patients." [Sackett DL, Rosenberg WMC, Gray MJA, et al. Evidence-based medicine: what it is and what it isn't. BMJ. 312:71-72 (1996)]
Evidence-based medicine is used to
- Solve clinical problems.
- Integrate evidence from published research into patient care.
- Develop focused clinical questions concerning the patient’s problem.
- Search secondary databases and the primary literature for relevant articles.
- Judge the relevance to the individual patient.
- Apply the results in clinical practice to each patient encountered.
- Process of life-long, problem-based learning.
The necessary skills for evidence-based practice
- Precisely define a patient problem.
- What information is required to resolve the problem?
- Conduct an efficient search of the literature.
- Select the best relevant studies.
- Apply rules of evidence to determine their validity.
- Extract the clinical message and apply to the patient problem.
- Understand the patient’s values and their affect on management options.
- Appropriately involve the patient in the decision making process.
Guyatt GH, et al. Users' Guides to the Medical Literature: XXV. Evidence-based medicine: principles for applying the Users' Guides to patient care. Evidence-Based Medicine Working Group. JAMA 284(10):1290-1296 (Sept 13, 2000)
Sources & Further Reading
Sackett DL, Rosenberg WMC, Gray MJA, et al. Evidence-based medicine: what it is and what it isn't.
BMJ. 312:71-72 (1996)
Introduction to Evidence-Based Medicine (Duke University Medical Center Library and UNC Health Sciences Library)
Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice 2nd ed. (JAMA Evidence)