Paradigm Lost

Evidence‐based medicine (EBM) is the integration of best research evidence with clinical expertise and patient values. Practising EBM consists of five steps: (i) formulating a well‐built clinical question generated from a patient encounter; (ii) searching for valid external evidence; (iii) critically appraising that evidence for relevance and validity; (iv) applying the results of that appraisal of evidence back to the patient; and (v) recording the information for future use. An important principle of EBM is that the quality (strength) of evidence is based on a hierarchy of evidence. The order of the hierarchy of evidence is dependent on the type of question being asked. The hierarchy of evidence consists of results of well‐designed experimental studies such as randomized controlled trials (especially if the studies have results of similar magnitude and direction, and if there is homogeneity among studies), results of observational studies, case series, expert opinion and personal experience, in descending order.

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Principles of Evidence‐Based Dermatology

Bigby,

Williams

2024

Rook's Textbook of Dermatology

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Evidence‐based dermatology simply refers to the integration of the best external evidence to the care of individual patients. Learning to appraise relevant evidence critically is a skill that has to be learnt, as are the principles of applying such filtered evidence to your patient. This chapter covers the rationale and limitations of evidence‐based dermatology and provides practical guidance on how to formulate clinically focused questions, how to search for relevant evidence and how to appraise evidence critically from systematic reviews, clinical trials, diagnostic tests and studies about adverse events. We also cover how to apply evidence to individual patients. We close with short cut methods to help the busy dermatologist to assess clinical research along with a list of recommended further reading.

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Paradigm Lost

Cited by 9 publications

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The Rationale for Evidence‐Based Dermatology

The Rationale for Evidence‐Based Dermatology

Principles of Evidence‐Based Dermatology

Principles of Evidence‐Based Dermatology

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