Evidence-based medicine - a critical review

被引：3
|
作者：
Leuwer, R [1 ]
Maier, H [1 ]
Berger, J [1 ]
机构：
[1] Univ Hamburg, Hosp Eppendorf, HNO Klin, D-20246 Hamburg, Germany
来源：
LARYNGO-RHINO-OTOLOGIE | 1999年 / 78卷 / 07期
关键词：
evidence-based medicine; hierarchy of evidence; quality assurance; metaanalysis; Cochrane collaboration;
D O I：
10.1055/s-2007-996887
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background: Evidence-based medicine (EBM) is a strategy for the standardization of medical decision-making. The purpose of this review was to demonstrate the most important tools of EBM and to critically appraise them. Methods: The current literature concerning the subject is reviewed. A clinical example for the systematic use of EBM in diagnostic tests is explained in detail. Results: The risk of an increasing bureaucratic hindrance of medical procedures by EBM is weighed agains the advantages of a systematic strategy for the valid assessment of medical information. According to the clinical example EBM proves to be a valuable tool in the quantitative estimation of residual risk and reliability of diagnostic tests in everyday clinical practice. Conclusion: The critical use of the systematic tools of EBM for clinical decision-making is recommended.
引用
收藏
页码：359 / 364
页数：6
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