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Titolo:
Evidentiary challenges to evidence-based medicine
Autore:
Djulbegovic, B; Morris, L; Lyman, GH;
Indirizzi:
Univ S Florida, Coll Med, H Lee Moffitt Canc Ctr & Res Inst, Div Blood & Bone Marrow Transplant, Tampa, FL 33612 USA Univ S Florida Tampa FL USA 33612 Marrow Transplant, Tampa, FL 33612 USA Univ S Florida, H Lee Moffit Canc Ctr & Res Inst, Dept Internal Med, Tampa, FL 33620 USA Univ S Florida Tampa FL USA 33620 Dept Internal Med, Tampa, FL 33620 USA PRR Res Div, Melville, NY USA PRR Res Div Melville NY USAPRR Res Div, Melville, NY USA Div Med Oncol Hematol, Tampa, FL USA Div Med Oncol Hematol Tampa FL USADiv Med Oncol Hematol, Tampa, FL USA
Titolo Testata:
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
fascicolo: 2, volume: 6, anno: 2000,
pagine: 99 - 109
SICI:
1356-1294(200005)6:2<99:ECTEM>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
INDIVIDUAL PATIENTS; CLINICAL-PRACTICE; HEALTH-CARE; COMBINATION CHEMOTHERAPY; HISTORICAL CONTROLS; SYSTEMATIC REVIEWS; CONTROLLED TRIALS; QUALITY; ETHICS; EQUIPOISE;
Keywords:
clinical knowledge; clinical practice; decision making; evidence-based medicine;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
90
Recensione:
Indirizzi per estratti:
Indirizzo: Djulbegovic, B Univ S Florida, Coll Med, H Lee Moffitt Canc Ctr & Res Inst, Div Blood & Bone Marrow Transplant, 12902 Magnolia Dr, Tampa, FL 33612 USA Univ S Florida 12902 Magnolia Dr Tampa FL USA 33612 612 USA
Citazione:
B. Djulbegovic et al., "Evidentiary challenges to evidence-based medicine", J EVAL CL P, 6(2), 2000, pp. 99-109

Abstract

The evidence-based medicine (EBM) movement has exerted a strong influence on contemporary medicine. It has been used to define the hierarchy of knowledge in clinical medicine by classifying clinical findings according to theperceived relevance and validity of the respective methodologies of studies from which evidence was collected. In the spectrum of theories of knowledge, EBM predominantly relies on findings obtained from population-derived clinical research. This reliance on knowledge obtained from population studies sharply contrasts with a physiologic model of clinical knowledge advocated by basic science researchers and many clinicians. An apparent schism between proponents of physiologic and population models in the approach to thepractice of medicine has been created. This dichotomy between practising physicians and EBM physicians in the approach to clinical knowledge should not be irreconcilable. We advocate a consilient approach to the interpretation of evidence and the integration of medical knowledge. This approach relies on 'linking of facts and fact-based theory across various disciplines tocreate a common groundwork of explanation'.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 18:26:00