A couple of working definitions that I might suggest are:
Science-based medicine is medical practice based on logic traceable to an
accepted scientific belief (one or more publications in any source) of the
mechanism of action of the treatment and the pathophysiology of the
condition being treated. It applies to an individual clinician's decision on
the treatment of an individual patient,.
Evidence-based medicine is medical practice based on publications,
preferably in peer-reviewed publications, which, when combined in empirical
ways, can be interpreted as showing that the mean effect of a chosen
treatment is better (more cost-effective) than the mean effect of one or
more different treatments in more-or-less comparable groups of patients. The
evidence-based treatment should be used in all patients with the indication
for treatment.
Anyone with different concepts?
Dr John Barclay
----- Original Message -----
From: Olive Goddard <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, April 03, 2003 2:25 PM
Subject: Fwd: question about terminology
Hi,
Would someone like to answer this question.
Thanks,
Olive
Olive Goddard
Centre and Editorial Manager
Centre for Evidence-Based Medicine
Room 4
Oxford University Department of Psychiatry
Warneford Hospital, Headington
Oxford, OX3 7JX
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