evidence based medicine revisited
DESCRIPTION
The history of Evidence Based Medicine (EBM) in a few selected slidesTRANSCRIPT
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EVIDENCE BASED MEDICINE (EBM)
REVISITED
EVIDENCE BASED MEDICINE (EBM)
REVISITED
José Fco García GutiérrezEscuela Andaluza de Salud Pública
PAHO HSS/HRHNovember 2011
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The information paradoxBridging the gap between science and practice !
Scientific evidence
Patient
preferences
Clinical practice
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EBM
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Archie Archie CochraneCochraneArchie Archie CochraneCochrane
“It is surely a great criticism of our profession that we have not organised a critical summary, by specialty or sub-specialty, adapted periodically, of all relevant randomized controlled trials”
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Critical Appraisal of EvidenceEvaluación Crítica de la Evidencia
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G.K. Chesterton
“It has not been tried and found wanting; it has been found difficult and left untried”
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Which are the alternatives?
Eminence based medicine
Vehemence based medicine
Eloquence based medicine
Providence based medicine
Diffidence based medicine
Nervousness based medicine
Confidence based medicine
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THETOOLBOX
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Evidence Based Information
•CATs (Clinical Q&A)•Systematic Reviews (SR)•Clinical Practice Guidelines (CPG)
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www.qualitymeasures.ahrq.gov
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Evidence Levels(version for dummies)
A Meta-analisis or at least 1 RCT
B Other types of clinical and
epidemiological studies
C Experts opinion
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Evidence Pathway
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Evidence
MindlinesClinicalPractice
Patients
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All-in-one: TRIP Database
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Just remember two links ….
TRIP Database&
Medline Plus Plus
… and Google it!
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Knowing is not enough;
we must apply
Willing is not enough;
we must doGoethe
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THANKS
4YUR
ATTENTION