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

页码：359 / 364

页数：6

共 50 条

[41] Evidence-based medicine and medicine-based evidence
Barbui, C
[J]. NEUROLOGICAL SCIENCES, 2005, 26 (03) : 145 - 146
[42] Graduate medical education training in clinical epidemiology, critical appraisal, and evidence-based medicine: A critical review of curricula
Green, ML
[J]. ACADEMIC MEDICINE, 1999, 74 (06) : 686 - 694
[43] Less is more in critical care is supported by evidence-based medicine
Catherine L. Auriemma
Greet Van den Berghe
Scott D. Halpern
[J]. Intensive Care Medicine, 2019, 45 : 1806 - 1809
[44] The Impossible Clinic. A critical sociology of Evidence-Based Medicine
Jones, Lorelei
[J]. SOCIOLOGY OF HEALTH & ILLNESS, 2021, 43 (04) : 1073 - 1074
[45] Evidence-based medicine - A tool for enhancing critical care practice
Cook, DJ
Levy, MM
[J]. CRITICAL CARE CLINICS, 1998, 14 (03) : 353 - +
[46] Less is more in critical care is supported by evidence-based medicine
Auriemma, Catherine L.
Van den Berghe, Greet
Halpern, Scott D.
[J]. INTENSIVE CARE MEDICINE, 2019, 45 (12) : 1806 - 1809
[47] Evidence-based medicine
De la Fuente, JR
[J]. ARCHIVES OF MEDICAL RESEARCH, 1999, 30 (05): : 411 - 411
[48] Evidence-based medicine
Heary, Robert F.
Arnold, Paul M.
[J]. NEUROSURGICAL FOCUS, 2014, 37 (01)
[49] Evidence-based medicine
Smallwood, RA
[J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1998, 68 (01): : 1 - 2
[50] EVIDENCE-BASED MEDICINE
Phillips, Shannon Connor
Stucky, Erin R.
[J]. JOURNAL OF HOSPITAL MEDICINE, 2010, 5 : 98 - 99

← 1 2 3 4 5 →