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Related Experiment Videos

Authoritative knowledge, evidence-based medicine, and behavioral pediatrics.

J H Kennell1

  • 1Case Western Reserve University, Department of Pediatrics, Rainbow Babies and Childrens Hospital, Cleveland, Ohio 44106, USA.

Journal of Developmental and Behavioral Pediatrics : JDBP
|December 23, 1999
PubMed
Summary

Evidence-based medicine uses current research for patient care decisions. Developmental-behavioral pediatrics should adopt this approach, utilizing systematic reviews for effective treatments.

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Area of Science:

  • Evidence-based medicine (EBM)
  • Developmental-behavioral pediatrics

Background:

  • Traditional authoritative medicine lacks comprehensive scientific knowledge.
  • Archie Cochrane advocated for systematic reviews of randomized controlled trials (RCTs) in all medical specialties.
  • The Cochrane Database of Systematic Reviews now provides accessible evidence for numerous fields.

Discussion:

  • EBM emphasizes using the best current knowledge for individual patient care.
  • Authoritative medicine, while traditional, is limited by the scope of any single expert.
  • Systematic reviews critically analyze RCTs to determine effective medical procedures.

Key Insights:

  • Obstetrics pioneered EBM by compiling and analyzing RCTs for maternal care.
  • Systematic review groups are now active across most medical specialties.

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  • Developmental-behavioral pediatrics can benefit from integrating EBM principles.

    • Outlook:

    • Expanding EBM to developmental-behavioral pediatrics will enhance patient care quality.
    • Increased adoption of systematic reviews in pediatrics is anticipated.
    • Future research should focus on synthesizing evidence for pediatric developmental and behavioral interventions.