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Flashcards in Evidence based veterinary medicine Deck (21):
1

What does Evidence Based Veterinary Medicine refer to?

Conscientious, explicit, and judicious use of the current best evidence in making decisions about the care of individual patients.
This integrates individual clinical expertise with the best available external clinical evidence from systematic research

2

What is the difficulties with EBVM?

- Finding, appraising and evaluating evidence
- Being capable of turning the scientific information into an answer to the clinical question

2

What is the difficulties with EBVM?

- Finding, appraising and evaluating evidence
- Being capable of turning the scientific information into an answer to the clinical question

3

How many levels of evidence is there?

5

3

How many levels of evidence is there?

5

4

What is level 1? (levels of evidence)

- Systematic reviews with homogeneity og randomized controlled trails (RCT)
- Individual RCT with narrow confidence intervals
- All or non case series

4

What is level 1? (levels of evidence)

- Systematic reviews with homogeneity og randomized controlled trails (RCT)
- Individual RCT with narrow confidence intervals
- All or non case series

5

What is RCT?

Randomized controlled trails
- Divide patients randomly into groups, each group followed in same way but treatment or procedure differs (blinded)
- Only prospective, not retrospective

5

What is RCT?

Randomized controlled trails
- Divide patients randomly into groups, each group followed in same way but treatment or procedure differs (blinded)
- Only prospective, not retrospective

6

What is level 2? (levels of evidence)

- Systematic reviews with homogenicity of cohort studies
- Individual cohort studies or outcome research

6

What is level 2? (levels of evidence)

- Systematic reviews with homogenicity of cohort studies
- Individual cohort studies or outcome research

7

What is a cohort study?

- Not randomly as RCT
- Compare 2 groups of patients: exposed individuals to non-exposed individuals
- Prospective or retrospective

7

What is a cohort study?

- Not randomly as RCT
- Compare 2 groups of patients: exposed individuals to non-exposed individuals
- Prospective or retrospective

8

What is level 3? (levels of evidence)

- Systematic reviews with homogenicity of case-control studies
- Individual case-control studies

8

What is level 3? (levels of evidence)

- Systematic reviews with homogenicity of case-control studies
- Individual case-control studies

9

What is a case-control study?

- Comparing cases with the outcome of interest to control horses without the same outcome..

9

What is a case-control study?

- Comparing cases with the outcome of interest to control horses without the same outcome..

10

What is level 4? (levels of evidence)

- Case series
- Poor–quality cohort and case control studies

10

What is level 4? (levels of evidence)

- Case series
- Poor–quality cohort and case control studies

11

What is level 4? (levels of evidence)

- Expert opinion
- Very common at conferences

11

What is level 4? (levels of evidence)

- Expert opinion
- Very common at conferences