Evidence-based medicine and its horizons : a useful tool for nephrologists ?
Advances in Nephrology and Dialysis. Milan, ITA, 1997/12/07.
Though the concept of evidence-based medicine' (EBM) nowadays has become very popular and even fashionable, its practice is far from being an established reality.
There are many reasons why, despite its potential, EBM finds obstacles in expressing its full potential as a tool to better inform health care decisions.
Broadly speaking, these obstacles fall into three categories :
(i) inadequacy of available information with respect the complexities of health care delivery ;
(ii) poor quality of clinical research ;
and (iii) insufficient and inappropriate efforts to promote the uptake of effective interventions in clinical practice.
In the first part of the paper, we will discuss :
(i) what evidence-based medicine is ;
(ii) why systematic reviews are the fundamental tool of EBM and what is really special about them ;
(iii) what are the tools for the practice of EBM ;
(iv) what its limitations are ;
and (v) what are the hindrances to its implementation.
In the second part, a brief assessment of the state of the art of systematic reviews in nephrology will be presented, with special reference to the activities of the recently launched Cochrane Collaborative Review Group in Renal Diseases.
Mots-clés Pascal : Néphropathie, Homme, Médecin, Expérience professionnelle, Concept, Approche déterministe, Raisonnement basé sur cas, Evaluation, Application médicale, Appareil urinaire pathologie, Rein pathologie
Mots-clés Pascal anglais : Nephropathy, Human, Physician, Professional experience, Concept, Deterministic approach, Case based reasoning, Evaluation, Medical application, Urinary system disease, Kidney disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0344935
Code Inist : 002B30A11. Création : 14/12/1999.