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Evidence-Based Medicine

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Abstract

Evidence-based medicine (EBM) is the application of current, best-available clinical evidence to health care decisions for individual patients. EBM consists of five major steps: asking a clinical question, systematic retrieval of the best-available evidence, critical appraisal of the evidence, application of results, and evaluation of performance. This systematic approach allows the clinician to assess and grade the validity of a study and its applicability to the clinical question at hand. A sound knowledge of study design and study bias helps the clinician astutely evaluate the literature and design a study of his/her own. The five steps of EBM, categorizing and grading evidence, and major principles of study design are discussed in this chapter.

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References

  1. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996;312(7023):71–2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Evidence-Based Medicine Working Group. Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA. 1992;268(17):2420–5.

    Article  Google Scholar 

  3. Burns PB, Chung KC. Developing good clinical questions and finding the best evidence to answer those questions. Plast Reconstr Surg. 2010;126(2):613–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Richardson WS, Wilson MC, Nishikawa J, Hayward RS. The well-built clinical question: a key to evidence-based decisions. ACP J Club. 1995;123(3):A12–3.

    CAS  PubMed  Google Scholar 

  5. Center for Evidence Based Medicine. http://www.cebm.net. Accessed 28 Jan 2015.

  6. McCarthy CM, Collins ED, Pusic AL. Where do we find the best evidence? Plast Reconstr Surg. 2008;122(6):1942–7.

    Article  CAS  PubMed  Google Scholar 

  7. American Society of Plastic Surgeons. ASPS Scale for Grading Recommendations. http://www.plasticsurgery.org/Documents/medical-professionals/health-policy/evidence-practice/ASPS-Scale-for-Grading-Recommendations.pdf. Accessed 4 Feb 2015.

  8. QUT Library Guide: Systematic Reviews. https://libguides.library.qut.edu.au/systematicreviews. Accessed 14 Dec 2018.

  9. Meta-analysis. 2018. In Merriam-Webster.com. Retrived December 14, 2018, from https://www.merriam-webster.com/dictionary/meta-analysis.

  10. Hennekens CHBJ. Epidemiology in medicine. Boston: Little, Brown and Company; 1987.

    Google Scholar 

  11. Devereaux PJ, Bhandari M, Clarke M, et al. Need for expertise based randomised controlled trials. BMJ. 2005;330(7482):88.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Boutron I, Estellat C, Guittet L, et al. Methods of blinding in reports of randomized controlled trials assessing pharmacologic treatments: a systematic review. PLoS Med. 2006;3(10):e425.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kooistra B, Dijkman B, Einhorn TA, Bhandari M. How to design a good case series. J Bone Joint Surg Am. 2009;91 Suppl 3:21–6.

    Article  PubMed  Google Scholar 

  14. Pannucci CJ, Wilkins EG. Identifying and avoiding bias in research. Plast Reconstr Surg. 2010;126(2):619–25.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Brandyn Dunn .

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Dunn, B., Sharma, G.K., Boeckmann, J.O., Wong, B.JF. (2021). Evidence-Based Medicine. In: Wong, B.JF., Arnold, M.G., Boeckmann, J.O. (eds) Facial Plastic and Reconstructive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-45920-8_3

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  • DOI: https://doi.org/10.1007/978-3-030-45920-8_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-45919-2

  • Online ISBN: 978-3-030-45920-8

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