I often refer to evidence-based medicine when treating patients, answering questions or presenting to groups about particular therapies related to prevention and treatment of chronic diseases.
What is it and why is it important to me?
Evidence-based medicine (EBM) uses the latest medical and/or scientific research. I use these studies and expert opinion to help guide my decision-making. EBM, in combination with solid clinical judgment, may be the most effective way to increase the probability of optimal health outcomes for patients. With experience, I have learned how to differentiate valid research from unreliable or misguided sources1.
There are generally four types of studies that comprise the EBM field, including2:
In addition, meta-analysis, which pools data from several trials, is sometimes used; the validity of the results depends on the types of trials, how the data was pooled, and assumptions that were made in analyzing it.
I regularly read these types of studies to help ground my decision-making process. In giving medical advice to patients on a one-on-one basis, writing a blog or column, or presenting information to an audience, I will typically cite the latest research and its impact. This allows you, the patient or audience, to validate my statements.
1. Uptodate. Evidence-based Medicine. September 23, 2010.
2. U.S. Preventive Services Task Force (August 1989). Guide to clinical preventive services: report of the U.S. Preventive Services Task Force. DIANE Publishing. pp. 21–25.