Related Experiment Videos
[Evidence-based ambulatory dermatological treatment]
G B Jemec1, H Thorsteinsdottir, H C Wulf
1Dermatologisk afdeling D, H:S Bispebjerg Hospital.
Ugeskrift for Laeger
|August 30, 2000
Summary
Most dermatological treatments for out-patients are supported by scientific evidence. Approximately 75% of therapies are based on randomized controlled trials or logical deductions from similar conditions.
Area of Science:
- Dermatology
- Evidence-Based Medicine
- Medical Research
Context:
- Assessing the evidence base for routine therapeutic decisions in dermatological out-patients.
- Utilizing a random sample of 115 out-patient case-notes for analysis.
- Conducting literature searches in MEDLINE and EMBASE to evaluate prescribed therapies.
Purpose:
- To determine the proportion of dermatological out-patient therapies supported by scientific evidence.
- To categorize evidence into primary (randomized controlled trials) and secondary (follow-up studies, clinical analogies).
- To compare the evidence base in dermatology to other medical fields.
Summary:
- Randomized controlled trials (RCTs) supported 38% of treatments, while secondary evidence supported 33%.
- No evidence was found for 23% of treatments.
- Overall, approximately 75% of dermatological out-patient therapy is founded on scientific evidence, ranging from RCTs to logical deduction.
Impact:
- Highlights the significant role of evidence-based medicine in current dermatological practice.
- Suggests that the level of evidence-based care in dermatology is comparable to other medical specialties.
- Provides a quantitative assessment of evidence utilization in routine dermatological treatment decisions.