Evidence Based Medicine
Facts are stubborn things and whatever may be our wishes, our inclinations, or the dictates of our passions, they cannot alter the state of facts and evidence – John Quincy Adams
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What We Mean When We Say Evidence-Based Medicine
In medicine, the term “evidence-based” causes more arguments than you might expect.
And that’s quite apart from the recent political controversy over why certain words were avoided in Centers for Disease Control and Prevention budget documents.
The arguments don’t divide along predictable partisan lines, either.
The mission of “evidence-based medicine” is surprisingly recent. Before its arrival, much of medicine was based on clinical experience. Doctors tried to figure out what worked by trial and error, and they passed their knowledge along to those who trained under them.
Many were first introduced to evidence-based medicine through David Sackett’s handbook,…
Resources
The NNT
We are a group of physicians that have developed a framework and rating system to evaluate therapies based on their patient-important benefits and harms as well as a system to evaluate diagnostics by patient sign, symptom, lab test or study. We only use the highest quality, evidence-based studies (frequently, but not always Cochrane Reviews), and we accept no outside funding or advertisements.
When Evidence Says No, but Doctors Say Yes
Long after research contradicts common medical practices, patients continue to demand them and physicians continue to deliver. The result is an epidemic of unnecessary and unhelpful treatments.
Artificial Intelligence In Healthcare: Separating Reality From Hype
Over time, patients will be able to use a variety of AI tools to care for themselves, just as they manage so many other aspects of their lives today. It may not happen soon. After all, efforts to produce self-driving vehicles date back to the 1950s. But sometime in the future – more years than entrepreneurs would like and fewer years than most doctors hope – AI will disrupt healthcare as we know it. Of that we can be sure.
Health Care Myth Busters: Is There a High Degree of Scientific Certainty in Modern Medicine?
Two doctors take on the health care system in a new book that aims to arm people with information.
Smartphones Open a New World for Medical Researchers
Doctors say abundant health data gathered by phones produces better, more timely studies
The Next Revolution in Healthcare
This is the future of healthcare: big data, robust tools and clear processes for intervention. It represents an opportunity for innovators and those that care about healthcare. It represents the potential for better outcomes and lower mortality rates for patients. Brace for a revolution in healthcare where we all have the opportunity to help and everyone has a stake.
The one chart you need to understand any health study
Even with the best available evidence from around the world at our disposal, we have to analyze it and apply it to our particular circumstances. A personal experience with the success or failure of a drug, like an allergic reaction, is more informative for you than the most rigorous study on the drug ever could be.
Thousands of heart patients get stents that may do more harm than good
Stents are commonly used for stable chest pain — but the devices may not be helping.
We aren’t having an evidence-based debate about guns
Guns kill 35,000 Americans a year. They’re a threat to public health. Let’s act like it.
Why American doctors keep doing expensive procedures that don’t work
The proportion of medical procedures unsupported by evidence may be nearly half.
What We Mean When We Say Evidence-Based Medicine
People understand different things by this term, and the arguments don’t divide along predictable partisan lines, either.
Bandolier
Bandolier is a website about the use of evidence in health, healthcare, and medicine.
BestBETs
BETs were developed in the Emergency Department of Manchester Royal Infirmary, UK, to provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature.
BMJ Best Practice
Ranked one of the best clinical decision support tools for health professionals worldwide. BMJ Best Practice takes you quickly and accurately to the latest evidence based information, whenever and wherever you need it.
Bookshelf
HSTATis a free, Web-based resource of full-text documents that provide health information and support health care decision making.
Cochrane Library
The Cochrane Library (ISSN 1465-1858) is a collection of six databases that contain different types of high-quality, independent evidence to inform healthcare decision-making, and a seventh database that provides information about Cochrane groups.
EB Medicine
At EB Medicine, we prides ourselves on our unparalleled quality and convenience. EB Medicine covers medicine the way you actually practice it -- real patients, real challenges, and real solutions.
Essential Evidence Plus
Essential Evidence Plus features must-have content, tools, calculators, and daily email alerts for clinicians who deliver first-contact care.
Evidence Based Emergency Medicine
The EBEM working group is a group of largely academic Emergency Physicians who are committed to developing resources for and teaching of Evidence Based Medicine within our specialty. We maintain a collaborative listserv for those interested in project development within this area.
Evidence Based Health Care
The Web Page contains references, bibliographies, tutorials, glossaries, and on-line databases to guide those embarking on teaching and practicing evidence-based medicine.
Health Systems Evidence
The world's most comprehensive, free access point for evidence to support policy makers, stakeholders and researchers interested in how to strengthen or reform health systems or in how to get cost-effective programs, services and drugs to those who need them.
Physiotherapy Evidence Database
Developed to give rapid access to bibliographic details and abstracts of randomised controlled trials, systematic reviews and evidence-based clinical practice guidelines in physiotherapy.
PubMed Central
PubMed Central® (PMC) is a free full-text archive of biomedical and life sciences journal literature at the U.S. National Institutes of Health's National Library of Medicine (NIH/NLM).
Therapeutics Education Collaboration
The main goal of the Therapeutics Education Collaboration (TEC) is to provide physicians, pharmacists, nurses, nurse practitioners, physician assistants, naturopathic physicians, other health professionals, and the public with current, evidence-based, practical and relevant information on rational drug therapy. The overall philosophy of the TEC is to encourage clinicians to engage in shared informed decision-making, critical thinking, and exercise some degree of healthy skepticism when it comes to the use of new and old medications.
Centre for Reviews and Dissemination
CRD undertakes systematic reviews evaluating the research evidence on health and public health questions of national and international importance.
Evidence-Based Pracice for Public Health
This website provides free online access to evidence-based public health resources, knowledge domains of public health, and public health journals and databases.
JAMAevidence
Fundamental tools for understanding and applying the medical literature and making clinical diagnoses.
PedsCCM: The Pediatric Critical Care Website
There is a growing movement in health care, broadly known as evidence-based medicine, that simply suggests we use the best evidence available in our medical decision making.
Agency for Healthcare Research & Quality
Under the Evidence-based Practice Centers (EPC) Program of the Agency for Healthcare Research and Quality (formerly the Agency for Health Care Policy and Research–AHCPR), 5-year contracts are awarded to institutions in the United States and Canada to serve as EPCs. The EPCs review all relevant scientific literature on clinical, behavioral, and organization and financing topics to produce evidence reports, technical reviews (covering nonclinical methodological topics), and technology assessments.
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