• Evidence based medicine provides independent, validated advice about treatment options, but does it take sufficient account of individual patients' values to provide them with an optimal health outcome? (bmj.com)
  • Because of the paucity of evidence of patients' views of patient values, my article is mainly based on "patient expertise. (bmj.com)
  • As well as the basic evidence about their illness, patients want information based on values that they can understand and relate to: "Personal experiences I found much more useful than just bland brochures. (bmj.com)
  • How important is evidence based information in patients' decision making? (bmj.com)
  • In the treatment of breast cancer, it is clear that evidence based medicine can reduce variation in clinical practice and inform patients, allowing them to make their own decisions about their treatment. (bmj.com)
  • 1 Tradition, anecdote, and theoretical reasoning from basic sciences would be replaced by evidence from high quality randomised controlled trials and observational studies, in combination with clinical expertise and the needs and wishes of patients. (bmj.com)
  • How will these latest evidence-based recommendations affect the care of your patients? (modernmedicine.com)
  • For tumors that overexpress HER 2, trastuzumab-based chemotherapy is now the standard of care and it has improved the rate of response, time to progression, and the overall survival in patients with metastatic breast cancer, as well as disease-free and overall survival in patients with localized invasive breast cancer. (scirp.org)
  • Evidence-based medicine (EBM) may be defined as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients" ( 1 ). (lww.com)
  • This is done by applying modern scientific and statistical methods, to help make rational decisions for individual patients, based on the available evidence and our existing body of knowledge. (rationalwiki.org)
  • The use of AUC will enable surgeons to treat patients in a more consistent manner based on expert clinical consensus and evidence-based medicine. (rti.org)
  • Evidence-based medicine (EBM) is the conscientious, explicit, and judicious use of current best evidence in making decisions about care for individual patients. (csih.org)
  • The practice of evidence-based medicine is a process of lifelong, self-directed, problem-based learning in which caring for one's own patients creates the need for clinically important information about diagnosis, prognosis, therapy and other clinical and health care issues. (fsu.edu)
  • Subsequently, as the EBM movement matured as a discipline, the early proponents and developers provided a more complete definition: "Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. (the-hospitalist.org)
  • Most patients use integrative therapy in conjunction with conventional chemotherapy and radiation regimens to alleviate symptoms, according to Lorenzo Cohen, PhD. "It's a very small percentage who are using these approaches alone as true alternative medicine seeking a cure. (healio.com)
  • While it may seem like a reasonable thing to do, we want to make sure patients have evidence-based information on these products. (healio.com)
  • Sixty percent of patients acknowledged they had insufficient knowledge about the safety of integrative medicine, and only 7% reported receiving any information about the safety of these approaches from oncologists. (healio.com)
  • EBM allows the integration of good quality published evidence with clinical expertise and the opinions and values of the patients and their families or carers. (bmj.com)
  • Deciding on how to treat patients should not be based solely on the available evidence. (bmj.com)
  • Figure 1 illustrates a typical flow chart of EBM, depicting how knowledge and experience may be integrated with patients' preferences and available evidence in the making of clinical decisions. (bmj.com)
  • There has been a huge shift in the way that people who work in medicine relate to patients. (badscience.net)
  • And by conforming care to standards based on good evidence, we should achieve better outcomes for patients. (theincidentaleconomist.com)
  • As a 4th year medical student, not far from the days when I will be making similar decisions for my patients, I applaud you for noting the absurdity of some of the things we do in medicine. (blogspot.com)
  • In my experience, doctors have always tried to manage patients based on the best available evidence. (bcmj.org)
  • The "father of medicine," Hippocrates of Cos, advocated for the scientific investigation of patients' ailments, breaking away from the previously held belief that a person who was sick had displeased the gods. (ama-assn.org)
  • some of his aphorisms have been borne out by modern medicine: "Pneumonia coming on pleurisy is bad" and "Patients who are naturally fat are apt to die earlier than those who are slender" . (ama-assn.org)
  • Furthermore, questions have arisen as to which lipid-lowering strategy is the most effective for each different subset of patients with dyslipidemia in light of the available clinical evidence. (jaoa.org)
  • Evidence-based medicine is a powerful tool to provide person-centered care to individuals with type 2 diabetes, as well as for patients with other diseases," said Dr. Anil Makam , Assistant Professor of Internal Medicine at UT Southwestern and lead author of the article. (healthcanal.com)
  • To gather systemic review data base, a bibliographic search usually is conducted in the PubMed and in Cochrane Central Register of Controlled Trials databases to address a common clinical challenge. (scirp.org)
  • March 2011−September 2013 MEDLINE search), classified articles, and linked recommendations to evidence. (neurology.org)
  • It looks like they've also done an evidence search. (coursera.org)
  • So looking here, where have they done the evidence search? (coursera.org)
  • From the time of Hippocrates forward, observation of the patient, the search for an imbalance of humors or other signs and symptoms, uncovered evidence of what the cause of the illness might be. (ama-assn.org)
  • The prevalence of integrative medicine approaches has transformed care in many specialties, perhaps none more so than oncology. (healio.com)
  • However, there has been little standardization for grading evidence ( 4 ) and recommendations for a single question often vary greatly depending on the methodology of the review. (lww.com)
  • Westby G. Fisher, MD, FACC is a board certified internist, cardiologist, and cardiac electrophysiologist (doctor specializing in heart rhythm disorders) practicing at NorthShore University HealthSystem in Evanston, IL, USA and is a Clinical Associate Professor of Medicine at University of Chicago's Pritzker School of Medicine . (blogspot.com)
  • books.google.com - Evidence Based Medicine provides a clear explanation of the central questions of EBM - how to ask answerable clinical questions, how to translate them into effective searches for the best evidence, how to critically appraise that evidence for its validity and importance, and how to integrate it with. (google.com)
  • Some, naively, believe that their self-generated consensus opinions represent evidence and most, if not all, have inherent biases. (bcmj.org)
  • Working closely with the International Pharmaceutical Coordination (IPC) group (WHO, UNICEF, UNAIDS, UNFPA and the World Bank), WHO established consensus on standards that products submitted by suppliers must attain for prequalification status, and on the need for a list of prequalified HIV/AIDS medicines and their suppliers. (who.int)
  • To examine the evidence suggesting that standardised rosehip powder may be a viable replacement or supplement for conventional therapies used in inflammatory diseases such as arthritis. (racgp.org.au)
  • Is the Subject Area "Veterinary medicine" applicable to this article? (plos.org)
  • A brief review of classification, mechanism of injury, aetiological factors, and the current trends in treatment is included before discussion of evidence based prevention of hamstring injuries. (bmj.com)
  • In CM we investigate the influence of different preferences on the final outcome based on comparable baseline risks of the treatment groups. (egms.de)
  • Though there may be some who believe that little treatment in internal medicine has a basis in sound evidence, others suggest otherwise. (bmj.com)
  • evidence-based use of prokinetic drugs for abomasal disorders in calves and cows, what is the best therapeutic option between intramammary and systemic antibiotic treatment and between intramammary antibiotics? (dymocks.com.au)
  • While the current standard of care for type 2 diabetes calls for strict control of blood sugars (defined as a hemoglobin A1c level of less than 7 percent), evidence shows that this strategy offers only a modest potential benefit - and it can decrease quality of life due to the burden of treatment itself and possible harm from therapy. (healthcanal.com)