Ah but at least in paeds you don't get someone saying 'Well if we
weren't going on holidays next week we could afford the surgery but as
it is I think it would be kinder...'
Re the lack of RCTs and SRs in vet medicine. Sally - although they're
considered lower levels of evidence in human medicine, have you found
evidence/data from animal research is applicable to domestic/companion
animal medicine?
Cheers
Alex
Alex Petrie
Librarian; Royal Perth Hospital; GPO Box X2213; PERTH. WESTERN
AUSTRALIA 6847.
http://www.rph.health.wa.gov.au/library
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-----Original Message-----
From: Evidence based health (EBH)
[mailto:[log in to unmask]] On Behalf Of Dr Bob
Phillips
Sent: Wednesday, 14 January 2009 19:02
To: [log in to unmask]
Subject: Re: Epistemology and evidence based veterinary medicine
Do you know, it's not too different in neonatal paediatrics ...
Cheers
Bob
--
Dr Bob Phillips
Locum Consultant in Paediatric Oncology, Leeds Teaching Hospital Trust
MRC Research Fellow, Centre for Reviews and Dissemination, University of
York
Section Editor, Archimedes, Archives of Diseases in Childhood Honorary
Research Fellow, Centre for Evidence-based Child Health, London
Associate Fellow, Centre for Evidence-based Medicine, Oxford
mobile: 07968 727424
[log in to unmask]
Sally Everitt wrote:
> Nice idea, but it is usually a matter of client preferences and
> values, although there may be times when we are acting as advocate for
the animal.
> So there may be a balancing act between our own preferences and
> values, those of the client and our perceived view of what is in the
> animals best interests.
>
> Sally
>
> -----Original Message-----
> From: Evidence based health (EBH)
> [mailto:[log in to unmask]] On Behalf Of Michael
> Traynor
> Sent: 14 January 2009 09:19
> To: [log in to unmask]
> Subject: Re: Epistemology and evidence based veterinary medicine
>
> Still on the question of epistemology, in the EBM veterinary world how
> do you incorporate patient preferences and values? I have a mental
> image of a horse sitting cross legged in your consulting rooms saying,
> 'I'd love to have the surgery but frankly its a matter of getting the
> time off work'...
>
> Michael
>
> -----Original Message-----
> From: Evidence based health (EBH)
> [mailto:[log in to unmask]] On Behalf Of Sally
> Everitt
> Sent: 14 January 2009 07:06
> To: [log in to unmask]
> Subject: Epistemology and evidence based veterinary medicine
>
> I have also been following the discussion on epistemology with great
> interest.
>
> As a veterinary surgeon who is currently undertaking a PhD looking at
> how veterinary surgeons use evidence to support their clinical
> decision making I have found this discussion both facinating and very
> relevant.
>
> In the veterinary field we need to take a very broad view of evidence
> as we have few published randomised controlled trials and even fewer
> systeamtic reviews, and the way that our research is funded means
> that the situation is unlikely to change significantly in the
> forseeable future. Therefore the use of the term "evidence" in its
> broadest sense of grounds for believe - is exactly what we are talking
> about.
>
> Sally Everitt
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