Re: evidence - more than just
RCTs.
Areas of evidence in clinical practice are dominated by treatment
and the gold standard is the RCTs.
It is important for clinicians to understand that the Journal
literature relating to Evidence Based Practice is predominantly about
Evidence Based *Medicine* - treatments. There are other
important areas in EBM that PTs may wish to consider:
Prognosis
Diagnosis
Diagnostic Tests
1. Safety
2. Feasibility
3. Validity
4. Reliability
5. Sensitivity
6. Specificity
Positive Predictive Value
Negative predictive Value
Harm
Treatment
Sacketts et al
(1997) Evidence Based Medicine
Another issue is that for EBM "Are we asking the right
questions?" This highlights some important Questions in regard
to qualitative and the type of evidence research performed.
(Editorial Medical Journal of Australia.. I think).
Garry.
