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Evidence-based dermatologic out-patient treatment

G B Jemec1, H Thorsteinsdottir, H C Wulf

  • 1Department of Dermatology D, University of Copenhagen, Bispebjerg Hospital, Denmark.

International Journal of Dermatology
|December 29, 1998
PubMed
Summary

Most dermatologic outpatient treatments are supported by scientific evidence, including randomized controlled trials and logical deductions. This evidence-based approach in dermatology is comparable to internal medicine, potentially exceeding expectations.

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Area of Science:

  • Dermatology
  • Evidence-Based Medicine

Background:

  • Assessing the scientific foundation of routine therapeutic decisions in dermatology is crucial for clinical practice.
  • Understanding the evidence base informs treatment guidelines and patient care in dermatologic out-patient settings.

Purpose of the Study:

  • To determine the extent of the evidence base supporting routine therapeutic decisions for dermatologic out-patients.
  • To evaluate the proportion of dermatologic treatments grounded in scientific evidence.

Main Methods:

  • A retrospective review of a random sample of 115 dermatologic out-patients' case notes from a university hospital clinic.
  • Literature searches in MEDLINE and EMBASE were conducted to identify primary evidence (randomized controlled trials) and secondary evidence (follow-up studies, analogous disease applications).

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Main Results:

  • Primary evidence from randomized controlled trials supported 38% of treatments.
  • Secondary evidence was identified for 33% of treatments, while 23% lacked any supporting evidence.
  • The overall evidence base, including primary and secondary sources, covered approximately three-quarters of the treatments studied.

Conclusions:

  • A significant majority of dermatologic out-patient therapy relies on scientific evidence, ranging from rigorous trials to logical inference.
  • The level of evidence-based medicine in dermatology appears comparable to that in internal medicine.
  • These findings suggest that evidence-based practice in dermatology may be more prevalent than previously assumed.