Evidence-based medicine: What it is and what it is not
Evidence-based medicine: What it is and what it is not
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DOI：
10.1016/j.injury.2006.01.034
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发表时间：
2006-04-01
影响因子：
2.5
通讯作者：
Giannoudis, PV
中科院分区：
文献类型：
--
作者：
Bhandari, M;Giannoudis, PV
循证医学(EBM)的相关概念，如证据层次、荟萃分析、可信区间、研究设计等在当今是如此普遍，临床医生愿意使用当今的医学文献时别无选择，只能熟悉循证医学的原理和方法。尽管外科医生可能认为循证医学要求严格遵守随机试验，但它更准确地涉及到对所有类型证据的知情和有效的使用(从随机试验的荟萃分析到个别病例系列和病例报告)。随着可用信息量的不断增加，外科医生必须考虑从传统实践向包括问题表达、可用研究的有效性评估和研究证据的适当应用于个体患者的范式的转变。(C)2006爱思唯尔有限公司。保留所有权利。
The evidence-based medicine (EBM) related concepts of hierarchy of evidence, meta-analyses, confidence intervals, study design, etc. are nowadays so widespread, that clinicians willing to use today's medical literature with understanding have no choice but to become familiar with EBM principles and methodologies.Although surgeons may perceive that evidence-based medicine mandates a strict adherence to randomised trials, it more accurately involves informed and effective use of all types of evidence (from meta-analysis of randomised trials to individual case series and case reports. With the ever-increasing amount of available information, surgeons must consider a shift in paradigm from traditional practice to one that involves question formulation, validity assessment of available studies and appropriate application of research evidence to individual patients. (C) 2006 Elsevier Ltd. All rights reserved.