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[Evidence-based medicine]

X Bonfill1, R Gabriel, J Cabello

  • 1Centro Cochrane Español, Hospital de La Princesa, Madrid. Xbonfill@siberia.chpt.es

Revista Espanola De Cardiologia
|February 21, 1998
PubMed
Summary
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Evidence-Based Medicine (EBM) is a clinical reasoning paradigm. This paper outlines EBM's core components and its role in promoting evidence-based clinical practice, highlighting the Cochrane Collaboration.

Area of Science:

  • Clinical Medicine
  • Medical Informatics
  • Health Policy

Background:

  • The evolution of clinical decision-making.
  • The need for a systematic approach to medical evidence.
  • Foundations of Evidence-Based Medicine (EBM).

Purpose of the Study:

  • To present the origins and foundational concepts of Evidence-Based Medicine (EBM).
  • To detail the essential components of EBM.
  • To highlight initiatives promoting Evidence-Based Clinical Practice.

Main Methods:

  • Literature synthesis on EBM principles.
  • Description of EBM's core components: problem-oriented policy, information retrieval, critical appraisal, and application.
  • Focus on the Cochrane Collaboration's role.

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Main Results:

  • EBM integrates clinical expertise with current best evidence.
  • Key components facilitate the application of research findings to patient care.
  • The Cochrane Collaboration is a significant resource for systematic reviews.

Conclusions:

  • Evidence-Based Medicine provides a structured framework for clinical reasoning.
  • Effective implementation requires mastering literature synthesis and critical appraisal.
  • The Cochrane Collaboration significantly supports evidence-based healthcare globally.