Introduction to Evidence-Based Medicine

William J. Powers, M.D.--Departments of Neurology, Neurosurgery and Radiology
Washington University School of Medicine -- Presented July 11, 2006


             Translating Evidence into Patient Care

                 
        How to Decide on the Applicability of
                               Clinical Trial Results to Your Patients


                                                      Issues
                     Biologic
                       
(1) Are there pathophysiologic differences in the
                              illness under study that may lead to a diminished
                              treatment response?

                         (2) Are there patient differences that may diminish
                                  the treatment response?

                      Social and economic

                        
(3) Are there important differences in patient compliance
                               that may diminish the treatment response?

                         (4) Are there important differences in provider compliance
                               that may diminish the treatment response?

                      Epidemiologic
                        
(5) Do my patients have co-morbid conditions that
                               significantly alter the potential benefits and risks
                               of the treatment?

                         (6) Are there important differences in untreated patients'
                               risk of adverse outcomes that might alter the efficiency
                               treatment?
              

 

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References

Antonio L. Dans; Leonila F. Dans; Gordon H. Guyatt; Scott Richardson; for the Evidence-Based Medicine Working Group.
Users' Guides to the Medical Literature: XIV. How to Decide on the Applicability of
Clinical Trial Results to Your Patient

JAMA 1998;279:545-549.
 

 

 

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