Evidence-based medicine - Wikipedia, the free encyclopedia

August 29, 2013 – 01:54
Bio Medical Research Centre London - Building | e

From Wikipedia, the free encyclopedia.

The evidence-based medicine (EBM) - called evidence-based medicine in Portugal - is a movement doctor that is based on application of the scientific method to any medical practice, especially those traditionally established that have not been subjected to systematic scientific scrutiny. Evidence mean, here, scientific evidence.

One of the creators of this movement was Professor Archie Cochrane , a British researcher author of Effectiveness and Efficiency: Random Reflections on Health Services ( 1972 ). Their struggle has led to growing popular acceptance of the concept of evidence-based medicine. His work has been recognized and honored with the creation of research centers of evidence-based medicine - the Cochrane Centres - and an international organization called the Cochrane Collaboration .

The Evidence-Based Medicine adopts techniques arising from science , engineering and statistics such as: meta-reviews of literature (also known as meta-analysis ), risk-benefit analysis , randomized, controlled clinical experiments , Naturalistic studies population, among other .

The evidence-based medicine to fight that all doctors to use "conscientious, explicit and judicious use of current best evidence" when making decisions in their work care of individual patients.

The practice of EBM involves not only knowledge and clinical experience, but also "expertise" to seek, to find, interpret and apply the results of scientific studies to epidemiological problems of individual patients. Also involves knowing how to calculate and communicate the risks and benefits of different courses of action for their patients.

Critics of EBM say many doctors already do this in his medical practice. Also say that scientific evidence is often deficient in many areas of medical knowledge. They say the lack of evidence of benefit and lack of benefits are not the same thing and that the more data is gathered and aggregated, it becomes more difficult to compare the results of a specific survey with those of the patient being treated.

Despite all these problems, the MBE has been increasingly successful in making the statement ex cathedra the specialist physician at least valid form of evidence. Now, all medical experts should, where possible, seek to base their statements on relevant literature references. Thus, the Evidence-Based Medicine opposes the call based Medicine Authority.

For example, if an ophthalmologist says there is no need to perform the sterilization of a device that comes in contact with the cornea of ​​his patient before using it on another patient, he must provide evidence - scientific evidence - that statement.

It should therefore seek an epidemiological study that was accompanied a sufficient number of patients who had taken place after sterilization of the device, compared to a similar number of other patients who had no such test performed aseptically by an appropriate period of time .

Without such a study does not exist, you have to mount such a study. After the follow-up period (years to decades) should be analyzed the history of all patients about any health changes.

According to evidence-based medicine, it is only after the application of an appropriate statistical method to the results of incidence of diseases (ocular and non-ocular) in both groups, which can lead to the conclusion that the asepsis of the device is required or not. Any professional - whether medical or not - realize that any statement about the health of a person without it underlies scientific studies are making authority based medicine and not medicine based on scientific evidence.

Source: pt.wikipedia.org

The BMA Addresses Britain's Rationing Problem at Last.(British Medical Association addressing health care rationing): An article from: The Hastings Center Report
Book (Hastings Center)

World's most respected medical journal; Lancet

2005-03-21 13:40:17 by puro


"January 27, 2005
WHY U.S. MEDIA DISMISSED THE LANCET STUDY OF 100,000 IRAQI CIVILIAN DEAD
The Chronicle of Higher Education today has a top-drawer article about the researchers from Johns Hopkins and Columbia Universities who published the study in the British medical journal The Lancet suggesting there were 100,000 Iraqi civilian dead from the war and the occupation. Lila Guterman, the article's author, notes that, "On the eve of a contentious presidential election -- fought in part over U.S. policy on Iraq -- many American newspapers and television news programs ignored the study or buried reports about it far from the top headlines

6 Medical Myths Debunked For Christmas

2008-12-19 06:54:05 by cheaande


In a study published in the Christmas 2008 issue of the British Medical Journal (and not one of their prank articles), Aaron Carroll, M.D., M.S., and Rachel Vreeman, M.D., M.S., of the Indiana University School of Medicine, explore the science behind six myths commonly associated with the holidays yet relevant year-round.
Sugar makes kids hyperactive.
Suicides increase over the holidays.
Poinsettias are toxic.
You lose most of your body heat through your head.
Eating at night makes you fat

They didn't pay for these studies

2004-03-07 11:13:10 by ButUStillWearARespirator

Lots of research on the topic:
Treasure, T., D. Waller, et al. (2004). "Radical Surgery for Mesothelioma: The epidemic is still to peak and we need more research to manage it." British Medical Journal 328: 237-8.
Leigh, J. and T. Driscoll (2003). "Malignant mesothelioma in Australia, 1945-2002." Int J Occup Environ Health 9(3): 206-17.
Lilienfeld, D. E., J. S. Mandel, et al. (1988). "Projection of asbestos related diseases in the United States, 1985-2009. I. Cancer." Br J Ind Med 45(5): 283-91.
Lilienfeld, D. E. (1991). "Asbestos-associated pleural mesothelioma in school teachers: a discussion of four cases

New laws banning abortion after 20 weeks are

2013-08-07 16:10:31 by GodAlmighty

Based on pseudoscience
- and real research proves it conclusively. The fetus at 20 weeks can’t actually feel anything at all. Which is to say, the fundamental justification for these laws is a really big, really popular lie...
Probably because there really isn’t any. The limited research used to support such claims has been refuted as pseudoscience by both the Journal of the American Medical Association and the British Royal College of Obstetricians and Gynecologists. (Not to mention smaller studies from researchers at Harvard University, University College London and elsewhere

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$25m to move medical school  — The Canberra Times
Plans are being drafted to refurbish the old heritage-listed John Curtin school of medical research, which was vacated in 2011, and to build a new $144 million state-of-the-art custom-built research centre next door.

Big Ten schools make strides in medical, agricultural research  — Daily Nebraskan
Up north, the University of Minnesota-Twin Cities recently opened its new simulation center for the School of Nursing and the University of Wisconsin-Madison began a five-year research project on the dairy process.

Commercially-Available Drug to be Tested in Severe Form of Autism  — Newswise
Newswise — Scientists at the Seaver Autism Center at the Icahn School of Medicine at Mount Sinai have received a grant from the National Institutes of Health (NIH) to study Insulin-Like Growth Factor-1 (IGF-1), a promising treatment for a subtype of ..

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