Your proposed definition omits the issues of patient values and personal circumstances.
Evidence-Based Medicine : How To Practice and Teach EBM 3rd ed 2005 Straus SE Richardson WS Glasziou P Haynes RB (Elsevier etc) suggests:
"(EBM) requires the integration of the best research evidence with our clinical expertise and our patient's unique values and circumstances."
Don't feel isolated in leaving out patient values - they are arguably the commonest and most convenient omission in this arena.
Phil. Hall
Maternal & Fetal Medicine
University of Manitoba @
St.Boniface General Hospital
Winnipeg, MB Canada
>>> Gareth Morgan <[log in to unmask]> 5/25/2005 2:53 AM >>>
Hi
I have been a member of this mailbase for quite a while and would like to
start a debate about definitions. I finally decided to look for a
definition of evidence based medicine and this is one I came up with.
* Evidence-based medicine is a medical movement based upon the
application of the scientific method to medical practice, including
long-established existing medical traditions not yet subjected to adequate
scientific scrutiny. According to the Centre for Evidence-Based Medicine,
"Evidence-based medicine is the conscientious, explicit and judicious use
of current best evidence in making decisions about the care of individual
patients."
*
<http://www.google.se//url?sa=X&start=0&oi=define&q=http://en.wikipedia.org/wiki/Evidence_based_medicine>en.wikipedia.org/wiki/Evidence_based_medicine
The definition is what I expected and seems to be quite obvious but the
problem I have is what is the alternative to EBM - myths and legends, old
wives tales? Surely all medicine/medical practice (in my limited
understanding) should be based on evidence and "conscientious, explicit and
judicious use of current best evidence in making decisions about the care
of individual patients." . Am I missing something here, being a heretic or
is this a case of "the kings new clothes"?
Most reports seem top take it for granted that there is an mass/group
understanding of what it is all about.
Grateful for responses
With best wishes,
Gareth
http://www.ki.se/biomedlab
e-mail [log in to unmask]
Tel +46 8 5858 1038
Fax +46 8 5858 7730
Gareth Morgan MPhil MSc FIBMS,
Department of Histo/cytopathology, Laboratory Medicine (Labmed),
Karolinska Institute,
Karolinska University Hospital at Huddinge, F46
SE 141 86 Stockholm
Sweden
OBS! Besöksadress: F-Huset, Forskningsgatan 2 F52, Rum 2.10. Laboratoriet
för klinisk patologi och cytologi.
NB! Visiting address: Building F, Research Corridor 2 F52, Room 2.10.
Clinical Histo- and Cytopathology Laboratory.
__________________________________________________
This email and/or any documents in this transmission is intended for the address(s) only and may contain legally privileged or confidential information. Any unauthorized use, disclosure, distribution, copying or dissemination is strictly prohibited. If you receive this transmission in error, please notify the sender immediately and return the original.
Ce courriel et tout document dans cette transmission est destiné à la personne ou aux personnes à qui il est adressé. Il peut contenir des informations privilégiées ou confidentielles. Toute utilisation, divulgation, distribution, copie, ou diffusion non autorisée est strictement défendue. Si vous n'êtes pas le destinataire de ce message, veuillez en informer l'expéditeur immédiatement et lui remettre l'original.
|