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Evidence-based medicine: the science of considering evidences on decisions




Evidence-based medicine (EBM) is a philosophy that emphasizes the integration of clinical expertise and the best external evidence in decision making for patient care. It involves the conscientious, explicit, and judicious use of current best evidence in clinical practice. The practice and teaching of EBM have gained attention and popularity in recent years, with workshops and training programs being established. However, there has been some criticism of EBM, with concerns about its impact on clinical freedom and cost-cutting. Nevertheless, EBM continues to evolve and adapt, with a focus on refining the understanding of what it entails and what it does not. Several authors have contributed to the discourse on EBM, including Sackett, Rosenberg, Gray, Haynes, Satya-Murti, Jureidini, and McHenry.


References

1. Sackett, D., Rosenberg, W., Gray, J., Haynes, R., & Richardson, W. (1996). Evidence based medicine: what it is and what it isn't. BMJ, 312(7023), 71-72. 2. Satya-Murti, S. (2002). Evidence-based Medicine: How to Practice and Teach EBM. Chest, 122(6), 2304. 3. Jureidini, J., & McHenry, L. (2006). The illusion of evidence based medicine. BMJ, 332(7546), 94-96. 4. Guyatt, G., Cairns, J., Churchill, D., Cook, D., Haynes, B., Hirsh, J., ... & Tugwell, P. (1992). Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA, 268(17), 2420-2425. 5. Whirl-Carrillo, M., Huddart, R., Gong, L., Sangkuhl, K., Thorn, C., & Klein, T. (2012). An Evidence-Based Framework for Evaluating Pharmacogenomics Knowledge for Personalized Medicine. Clinical Pharmacology & Therapeutics, 92(5), 497-500. 6. Greenhalgh, T., Howick, J., & Maskrey, N. (2014). Evidence based medicine: a movement in crisis?. BMJ, 348, g3725. 7. Seppi, K., Ray Chaudhuri, K., Coelho, M., Fox, S., Katzenschlager, R., Perez Lloret, S., ... & Djamshidian-Tehrani, A. (2019). Update on treatments for nonmotor symptoms of Parkinson's disease—an evidence-based medicine review. Movement Disorders, 34(2), 180-198. 8. Oxford Centre for Evidence-based Medicine Levels of Evidence. (2001). Available at https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence. 9. Fox, S., Katzenschlager, R., Lim, H., Barton, B., de Bie, R., Seppi, K., Coelho, M., & Sampaio, C. (2018). International Parkinson and movement disorder society evidence-based medicine review: Update on treatments for the motor symptoms of Parkinson's disease. Movement Disorders, 33(8), 1248-1266.


 

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