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

(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 ?
Evidence-based principles in pathology: existing problem areas and the development of "quality" practice patterns.
AbstractObjective: To assess the level of understanding related to the significance of evidence-based medicine among physicians.Methods: The cross-sectional study was conducted between March and October 2012 using an online questionnaire that was sent out to physicians and academics working as faculty at training hospitals across Turkey.
We have all heard the term "evidence-based practice" (EBP), but some practitioners still question what all the fuss is about.
The authors state, "It is the premise of this book that by having an awareness and appreciation of the forces that affect our clients and our work, we can be more effective professionals." Section 1 presents the conceptual framework of macro practice, including the evolution of macro practice, theoretical underpinnings, models of practice, and an overview of evidence-based macro practice.
The American Dental Association had also defined evidence-based dentistry as An approach to oral health care that requires the judicious integration of systematic assessments of clinically relevant scientific evidence relating to the patient's oral and medical condition and history together with the dentist's clinical expertise and the patient's treatment needs and preferences5" (fig-1).
In developing the standards, Council for Exceptional Children (CEC)'s Evidence-Based Practice Workgroup also drew from a number of other sources for categorizing the evidence base of practices (e.g., What Works Clearinghouse) and incorporated the feedback of 23 anonymous special education researchers who kindly participated in a Delphi study.
Physical Therapy Management of Patients with Spinal Pain: An Evidence-Based Approach (online access included)
Since the shift towards evidence-based practice (EBP) in the 1990s (1), there has been continuing debate on the relevance of findings from research studies, most often based on group data, in the management of an individual patient.
I believe professionalism is the behavior culture that must be present in order for the Magnet model component to be fully enculturated and evidence-based leadership practices and processes are the foundation for that behavior culture.
Therefore, it was my responsibility as a young professional to gain the knowledge and understanding of evidence-based practice.
The use of evidence-based and research-based programs has been a part of juvenile justice in the state of Washington for more than a decade.
Evidence-Based Teaching in Nursing: A Foundation for Educators

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