Title:
Injudicious use of EBM: one step forward, two steps back
Authors:
J. A. de Ru , P. P. G. van Benthem and G. K. A. van Wermeskerken 3 1 2 3
Institutions:
Centraal Militair Hospitaal, Utrecht; Gelre Ziekenhuizen, Apeldoorn; Amphia Ziekenhuis Breda
Keywords:
Evidence-based medicine; treatment
Pages:
245 - 249
Abstract:
Injudicious use of EBM: one step forward, two steps back. Problem: The authors are concerned that an over- restrictive approach to evidence-based medicine could lead to the neglect of valuable treatment options. Methodology: We describe the need for a personalised approach to evidence-based medicine and support this with examples from ENT practice. Results: We concur with the point of view that evidence at all levels should be used in clinical decision-making and we suggest that fitness for purpose is more important than hierarchy of evidence. Conclusion: We conclude that the application of evidence-based medicine should involve trying to select the best therapy for individuals on the basis of the total spectrum of treatment options. Evidence and expertise should work synergistically.
Issue:
Vol. 10, 2014, 4th trimester


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Injudicious use of EBM: one step forward, two steps back