Related Experiment Video
Updated: Jun 27, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Pediatric oncologists and evidence-based medicine: a postal survey in The Netherlands
M J M Ten Bruggencate1, L C M Kremer, H N Caron
1Department of Pediatric Oncology, Emma Children's Hospital/Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Background:
The interest in evidence-based medicine (EBM) is still increasing throughout medicine, but the precise role of EBM in the field of pediatric oncology remains unclear. We undertook this survey to evaluate the attitude of Dutch pediatric oncologists and pediatric oncologists in training towards EBM and their views on how to move from opinion-based medicine to EBM.
Procedure:
A questionnaire was sent to all pediatric oncologists (n = 44) and pediatric oncologists in training (n = 13) of the 8 university medical centers in the Netherlands.
Results:
The questionnaire was returned by 71% of the pediatric oncologists and pediatric oncologists in training. The majority had a positive attitude towards EBM, but at the moment only approximately 50% of their clinical practice was thought to be evidence-based. The most important barrier to practicing EBM in pediatric oncology was a lack of time. However, only a minority of the respondents thought that more time was an appropriate method to facilitate the use of EBM in pediatric oncology. The majority of pediatric oncologists and pediatric oncologists in training would prefer to be able to use EBM summaries, guidelines and protocols.
Conclusions:
Despite the positive attitude of the majority of pediatric oncologists and pediatric oncologists in training towards EBM, only half of clinical practice is currently believed to be evidence-based. By using EBM summaries, guidelines and protocols as time-saving methods the use of EBM in pediatric oncology practice may be improved.
Related Concept Videos
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Pharmacokinetics in Pediatric Patients: Drug Excretion
Pharmacokinetics in Pediatric Patients: Drug Distribution
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Cancer Survival Analysis
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption