Evidence based decision making in pediatric practice

Year 2010, Volume: 15 Issue: 2, 43 - 47, 15.01.2013

Madhumita Nandi Rakesh Mondal

Abstract

Abstract. Evidence Based Medicine (EBM) is integrating individual clinical expertise with the best available external evidence from systematic research. It has made rapid strides in the last ten years with an increase in the number of EBM centers, books and agencies. The supporters of EBM claim that it is the best and most objective system of medicine. Its opponents criticize it for many reasons referring to EBM as ‘cook-book’ medicine and the fad of epidemiologists etc. Though EBM centers are coming up at a fast rate in the western world, our part of the world has not yet fully aligned with this initiative. The purpose of this communication is to introduce EBM to pediatricians. Provided herein, is a brief introduction followed by brief history, how to incorporate evidence-based practice into the clinical setting and the main criticisms against it.

Key words: Evidence based medicine (EBM), evidence based child-health

Keywords

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References

• Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-Based Medicine: How to Practice and Teach EBM. Edinburgh, U.K.: Churchill Livingstone 2005.
• Jaeschke R Guyatt GH. What is evidence-based medicine? Sem Med Practice 1999; 2: 3-7.
• Health Information Research Unit (HIRU), Evidence Based Health informatics, Department of Clinical Epidemiology and Biostatistics, McMaster University Website. Available at: http://hiru.mcmaster.ca/hiru/Accessed September 12, 2009
• Canadian Cochrane Centre, The Cochrane Library Website. Available at: http://www.ccnc.cochrane.org/Accessed September 12, 2009
• Agency for Health Care Research and Quality,U.S Department of health and Human services Website. Available at: http://www.ahrq.gov/ Accessed on September 12,2009
• Morabia A. In defense of Pierre Louis who pioneered the epidemiological approach to good medicine. J clin Epidem 2009: 62: 1-4.
• Shea JL. Applying Evidence-Based Medicine to Traditional Chinese Medicine: Debate and Strategy. Journal of alternative and complimentary medicine 2006; 12: 255-263.
• Mathew JL, Singh M. Evidence based child health: Fly but with feet on the ground Editorial. Indian Pediatrics 2008; 45: 95-98.
• Smyth RL- Evidence Based Child health in Forfar and Arneil’s Textbook of Pediatrics-6th Edition,Eds- McIntosh N, Helms P, Smyth RL. Churchill Livingstone 2003: pp3-10.
• Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ 1996; 312: 71-72.
• Sackett D. Evidence Based Medicine: In its place; Lancet 1995; 346: 785.
• John W. Evidence-Based Medicine in Japan. Lancet 2005; 336: 112.
• Hadi I. Evidence Based Medicine. Why and How? KMJ200638: 1-2.
• Jadad AR, Moher M, Browman G, et al. Systematic Reviews and meta-analyses on treatment of asthma: critical evaluation. BMJ 2000; 320: 537- 540.
• Cincinnati Children’s Hospital Medical Centre.Evidence Based Care guidelines Website. Available at: http://www.cincinnatichildrens.org/svc/alpha/h/hea lth-policy/ev-based/Accessed September 12, 2009
• Feldman W. Evidence Based Pediatrics B.C. Decker Inc 2000.