Users' Guides to the Medical Literature: XXV. Evidence-based medicine: principles for applying the Users' Guides to patient care. Evidence-Based Medicine Working Group.
G. Guyatt, R. Haynes, R. Jaeschke, D. Cook, L. Green, C. Naylor, M. Wilson, and W. Richardson. JAMA : the journal of the American Medical Association, 284 (10):
1290-6(September 2000)7490<m:linebreak></m:linebreak>LR: 20071115; JID: 7501160; CIN: JAMA. 2000 Dec 27;284(24):3127-8. PMID: 11135773; ppublish;<m:linebreak></m:linebreak>EBM.
Abstract
This series provides clinicians with strategies and tools to interpret and integrate evidence from published research in their care of patients. The 2 key principles for applying all the articles in this series to patient care relate to the value-laden nature of clinical decisions and to the hierarchy of evidence postulated by evidence-based medicine. Clinicians need to be able to distinguish high from low quality in primary studies, systematic reviews, practice guidelines, and other integrative research focused on management recommendations. An evidence-based practitioner must also understand the patient's circumstances or predicament; identify knowledge gaps and frame questions to fill those gaps; conduct an efficient literature search; critically appraise the research evidence; and apply that evidence to patient care. However, treatment judgments often reflect clinician or societal values concerning whether intervention benefits are worth the cost. Many unanswered questions concerning how to elicit preferences and how to incorporate them in clinical encounters constitute an enormously challenging frontier for evidence-based medicine. Time limitation remains the biggest obstacle to evidence-based practice but clinicians should seek evidence from as high in the appropriate hierarchy of evidence as possible, and every clinical decision should be geared toward the particular circumstances of the patient.
JAMA : the journal of the American Medical Association
number
10
pages
1290-6
volume
284
city
Department of Clinical Epidemiology and Biostatistics, Room 2C12, 1200 Main St W, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada L8N 3Z5.
%0 Journal Article
%1 Guyatt2000
%A Guyatt, G H
%A Haynes, R B
%A Jaeschke, R Z
%A Cook, D J
%A Green, L
%A Naylor, C D
%A Wilson, M C
%A Richardson, W S
%D 2000
%J JAMA : the journal of the American Medical Association
%K ClinicalCompetence DecisionMaking Evidence-BasedMedicine GuidelinesasTopic PatientCare Publications
%N 10
%P 1290-6
%T Users' Guides to the Medical Literature: XXV. Evidence-based medicine: principles for applying the Users' Guides to patient care. Evidence-Based Medicine Working Group.
%U http://www.ncbi.nlm.nih.gov/pubmed/10979117
%V 284
%X This series provides clinicians with strategies and tools to interpret and integrate evidence from published research in their care of patients. The 2 key principles for applying all the articles in this series to patient care relate to the value-laden nature of clinical decisions and to the hierarchy of evidence postulated by evidence-based medicine. Clinicians need to be able to distinguish high from low quality in primary studies, systematic reviews, practice guidelines, and other integrative research focused on management recommendations. An evidence-based practitioner must also understand the patient's circumstances or predicament; identify knowledge gaps and frame questions to fill those gaps; conduct an efficient literature search; critically appraise the research evidence; and apply that evidence to patient care. However, treatment judgments often reflect clinician or societal values concerning whether intervention benefits are worth the cost. Many unanswered questions concerning how to elicit preferences and how to incorporate them in clinical encounters constitute an enormously challenging frontier for evidence-based medicine. Time limitation remains the biggest obstacle to evidence-based practice but clinicians should seek evidence from as high in the appropriate hierarchy of evidence as possible, and every clinical decision should be geared toward the particular circumstances of the patient.
%@ 0098-7484; 0098-7484
@article{Guyatt2000,
abstract = {This series provides clinicians with strategies and tools to interpret and integrate evidence from published research in their care of patients. The 2 key principles for applying all the articles in this series to patient care relate to the value-laden nature of clinical decisions and to the hierarchy of evidence postulated by evidence-based medicine. Clinicians need to be able to distinguish high from low quality in primary studies, systematic reviews, practice guidelines, and other integrative research focused on management recommendations. An evidence-based practitioner must also understand the patient's circumstances or predicament; identify knowledge gaps and frame questions to fill those gaps; conduct an efficient literature search; critically appraise the research evidence; and apply that evidence to patient care. However, treatment judgments often reflect clinician or societal values concerning whether intervention benefits are worth the cost. Many unanswered questions concerning how to elicit preferences and how to incorporate them in clinical encounters constitute an enormously challenging frontier for evidence-based medicine. Time limitation remains the biggest obstacle to evidence-based practice but clinicians should seek evidence from as high in the appropriate hierarchy of evidence as possible, and every clinical decision should be geared toward the particular circumstances of the patient.},
added-at = {2023-02-03T11:44:35.000+0100},
author = {Guyatt, G H and Haynes, R B and Jaeschke, R Z and Cook, D J and Green, L and Naylor, C D and Wilson, M C and Richardson, W S},
biburl = {https://www.bibsonomy.org/bibtex/258b64ef35c9df31e36d4bdecc8ffb333/jepcastel},
city = {Department of Clinical Epidemiology and Biostatistics, Room 2C12, 1200 Main St W, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada L8N 3Z5.},
interhash = {89eafad35ed6a08e991fa5b223650a7a},
intrahash = {58b64ef35c9df31e36d4bdecc8ffb333},
isbn = {0098-7484; 0098-7484},
issn = {0098-7484},
journal = {JAMA : the journal of the American Medical Association},
keywords = {ClinicalCompetence DecisionMaking Evidence-BasedMedicine GuidelinesasTopic PatientCare Publications},
month = {9},
note = {7490<m:linebreak></m:linebreak>LR: 20071115; JID: 7501160; CIN: JAMA. 2000 Dec 27;284(24):3127-8. PMID: 11135773; ppublish;<m:linebreak></m:linebreak>EBM},
number = 10,
pages = {1290-6},
pmid = {10979117},
timestamp = {2023-02-03T11:44:35.000+0100},
title = {Users' Guides to the Medical Literature: XXV. Evidence-based medicine: principles for applying the Users' Guides to patient care. Evidence-Based Medicine Working Group.},
url = {http://www.ncbi.nlm.nih.gov/pubmed/10979117},
volume = 284,
year = 2000
}