[Evidence-based medicine in 2025--what will remain?]

Area of Science:

• Medical Informatics
• Clinical Practice Guidelines
• Healthcare Policy

Context:

• The emergence of Evidence-based Medicine (EBM) in healthcare.
• Initial high expectations and subsequent challenges in EBM implementation.
• The role of vested interests and inherent conflicts within the healthcare system.

Purpose:

• To critically evaluate the long-term impact of Evidence-based Medicine (EBM).
• To discuss the fulfillment of initial expectations associated with EBM.
• To analyze EBM's influence on clinical practice and practitioner attitudes.

Summary:

• Evidence-based Medicine (EBM) has not fully met all initial expectations and has not eliminated healthcare controversies.
• Despite challenges, EBM has significantly shifted clinical mentality, promoting cooperation and self-criticism.
• Practitioners have adopted EBM as a critical tool for diagnosis, understanding causality, and guiding interventions.

Impact:

• EBM has fostered a more scientifically grounded and collaborative approach in healthcare.
• It has enhanced practitioners' critical appraisal skills for clinical decision-making.
• The long-term influence of EBM on medical practice and patient outcomes is a subject for ongoing evaluation.