evidence-based medicine

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evidence-based medicine

process and use of relevant information from peer-reviewed clinical and epidemiologic research to address a specific clinical issue, and thereby weighing the attendant risks and benefits of diagnostic tests and therapeutic measures; literature to address a specific clinical problem; the application of simple rules of science and common sense to determine the validity of the information; and the application of the information to the clinical problem.
See also: Cochrane collaboration, clinical practice guidelines.

evidence-based medicine

the practice of medicine in which the physician finds, assesses, and implements methods of diagnosis and treatment on the basis of the best available current research, the physician's clinical expertise, and the needs and preferences of the patient.

evidence-based medicine

(1) The application of the best-available (i.e., most reliable) evidence gained from the scientific method to guide clinical decision-making. The most rigourous evidence comes from meta-analysis of multiple double-blinded, placebo-controlled clinical trials.

(2) The use of scientific data to confirm that proposed diagnostic or therapeutic procedures are appropriate in light of their high probability of producing the best and most favourable outcome.
 
The European Society of Cardiology uses a 3-level scale for rating the level of evidence available for a given treatment.

European Society of Cardiology Levels of Evidence of clinical trials
(A) Data derived from multiple randomised clinical trials or meta-analyses.
(B) Data derived from a single randomised clinical trial or large non-randomised studies.
(C) Consensus of opinion of the experts and/or small studies, retrospective studies, registries.

evidence-based medicine

Decision-making 'The use of scientific data to confirm that proposed diagnostic or therapeutic procedures are appropriate in light of their high probability of producing the best and most favorable outcome'. See Meta-analysis.

ev·i·dence-based med·i·cine

(ev'i-dĕns-bāst med'i-sin)
The process of applying relevant information derived from peer-reviewed medical literature to address a specific clinical problem; the application of simple rules of science and common sense to determine the validity of the information; and the application of the information to the clinical problem.
See also: Cochrane collaboration, clinical practice guidelines

evidence-based medicine

The use of methods of medical treatment and clinical decision-making which have been rigorously tested by properly controlled research. The latter must also be exposed to peer review, publication in respected journals and free criticism before its conclusions can be adopted as a basis for practice. A journal called Evidence-Based Medicine is published jointly by the British Medical Association and the American College of Physicians.

ev·i·dence-based med·i·cine

(ev'i-dĕns-bāst med'i-sin)
Process and use of relevant information from peer-reviewed clinical and epidemiologic research to address a specific clinical issue, and thereby weighing the attendant risks and benefits of diagnostic tests and therapeutic measures; literature to address a specific clinical problem; application of simple rules of science and common sense to determine validity of information.
References in periodicals archive ?
As noted, the purpose of this commentary is not to challenge the legitimacy or utility of evidence-based practice but to highlight some of the potential concerns with the approach.
Some of the variability may be attributed to differing, but related, conceptualizations of what constitutes an evidence-based practice across disciplines.
So this is how evidence-based medicine (EBM) is introduced.
Evidence-based rehabilitation; a guide to practice, 2d ed.
A new Web page is available to assist in identifying evidence-based programs and practices that can prevent and/or treat mental and substance use disorders.
The National Center for the Study of Adult Learning and Literacy (NCSALL) and the National Adult Education Professional Development Consortium (NAEPDC), with funding from the National Institute for Literacy, created a one-day workshop to assist practitioners and administrators in adult basic education, TANF (Transitional Assistance for Needy Families) and One-Stop programs to understand evidence-based practice and develop strategies for continuously accessing, understanding, judging and using research.
Evidence-based practice is increasingly advocated to promote best practices in healthcare as well as to improve patients' outcomes.
In health care today there is a major emphasis on the consistent application of evidence-based elements of care.
It sponsors the activities of the National Panel for School Counseling Evidence-Based Practice, conducts major outcome research studies, develops and disseminates outcome measures, reviews the research literature, and conducts yearly leadership academies about issues in evidence-based practice.
The What Works Clearinghouse, established by the Department's Institute of Education Sciences, recently launched an Evidence-Based Education Help Desk (http://whatworkshelpdesk.
This comprehensive textbook is an essential primer for all practitioners and students who are grappling with the new age of evidence-based practice.

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