Evidence Based Medicine Flashcards
(14 cards)
What is EBM
The conscientious, explicit and judicious use of current buest evidence in making decisions about the care of individual patients
What are the 3 component of EBM
- Best research evidence
- Clinical expertise
- Patient values, circumstances, and preferences
What does best research evidence involve in EBM
Systematic research that includes basic and clinical research, focusing on studies that provide relevant information
What is the role of clinical research in diagnosis?
It distinguishes ppl with and who illness using
- clinical examinations
- lab-based tests
- imaging tests
- cytology
What factors influence prognosis in clinical research?
Patient factors: age, comorbidities
Disease related factors; type, severity
Lab/POC tests and prognostic scoring systems
What types of interventions are evaluated and chosen between in EBM
- medicines
- surgery
- physio
- advice
- vaccination
- combination of interventions
What does ‘patient values, circumstances and preferences’ mean in EBM?
Patients should receive all relevant info on treatments, including pros/cons to make informed personal decisions
Why is shared decision making important
- it ensures patients are supported in making choices right for them and helps avoid overestimating benefits or underestimating harms of treatment
What is the importance of EBM
Reduces the time lag between research findings and changes in clinical practice
What is real EBM
• Prioritizes ethical, patient-centered care
• Demands usable evidence
• Involves expert judgment
• Shares decisions with patients
• Focuses on the human side of care
• Applies EBM at a community/public health level
What are the advantages of EBM
- informed decision - making
- optimal resource use
- improved quality of care
What are the stages of EBM
Assess- identify patient problem
Ask - formulate the question
Acquire - gather the evidence
Appraise - critically evaluate evidence
Apply - use evidence in clinical setting
Evaluate - review performance
How do u form a good clinical question in EBM
Use PICOT/PECO
P - patient/population
I - intervention/exposure
C - comparison
O - outcome
T - time (optional)
What is the hierarchy of evidence
