scholarly journals VIOLATING THE BASIC TENETS OF CARE – LOOKING BACK ON YEARS OF EVIDENCE BASED MEDICINE FROM AN ONCOLOGIST'S VIEWPOINT

2020 ◽  
pp. 86-88
Author(s):  
Bishan Basu
Keyword(s):  
Medical Practice ◽  
Evidence Based Medicine ◽  
Healthcare Systems ◽  
Evidence Based ◽  
Short Time Span ◽  
Short Period ◽  
History Of ◽  
Pros And Cons ◽  
Short Time ◽  
Based Medicine

Evidence-Based Medicine (EBM) came into fashion nearly three decades ago. However, over this short period, this system of medical philosophy has come to dominate the medical practice worldwide. Never in the history of medicine could a single way of medical practice could dominate the healthcare systems of diverse countries like EBM did, that too within such short time span. But, it is high time we should ponder over the pros and cons of EBM and if this way of medical practice is to be allowed to continue, we should consider integration of additional inputs from the traditional ways of medicine. Though article focusses upon the cancer care, the conclusions derived can be applied to any other disciplines of healthcare.

Introduction

2018 ◽  
Author(s):  
Jacob Stegenga
Keyword(s):  
Medical Practice ◽  
Evidence Based Medicine ◽  
Inductive Inference ◽  
Formal Theory ◽  
Practice Research ◽  
Evidence Based ◽  
Master Argument ◽  
Medical Interventions ◽  
Concepts Of Disease ◽  
Based Medicine

This chapter introduces the book, describes the key arguments of each chapter, and summarizes the master argument for medical nihilism. It offers a brief survey of prominent articulations of medical nihilism throughout history, and describes the contemporary evidence-based medicine movement, to set the stage for the skeptical arguments. The main arguments are based on an analysis of the concepts of disease and effectiveness, the malleability of methods in medical research, and widespread empirical findings which suggest that many medical interventions are barely effective. The chapter-level arguments are unified by our best formal theory of inductive inference in what is called the master argument for medical nihilism. The book closes by considering what medical nihilism entails for medical practice, research, and regulation.

Evidence-Based Medicine

2016 ◽  
Author(s):  
Emily R. Winslow
Keyword(s):  
Evidence Based Medicine ◽  
Critical Appraisal ◽  
Reporting Guidelines ◽  
Evidence Based ◽  
Treatment Benefits ◽  
Therapeutic Decisions ◽  
History Of ◽  
Evidence Based Surgery ◽  
Key Resources ◽  
Based Medicine

Descriptions of “evidence-based” approaches to medical care are now ubiquitous in both the popular press and medical journals. The term evidence-based medicine (EBM) was first coined in 1992, and over the last two decades, the field has experienced rapid growth, and its principles now permeate both graduate medical education and clinical practice. The field of EBM has been in constant evolution since its introduction and continues to undergo refinements as its principles are tested and applied in a wide variety of clinical circumstances. This review presents a brief history of EBM, EBM: fundamental tenets, a critical appraisal of a single study, reporting guidelines for single studies, a critical appraisal of a body of evidence, evidence-based surgery, and limitations in EBM. Tables list strength of evidence for treatment decisions (EBM working group), Oxford Centre for Evidence-Based Medicine revised levels of evidence for treatment benefits , “4S” approach to finding resources for EBM, critical appraisal of individual studies examining therapeutic decisions, reporting guidelines by study design, and key resources for evidence-based surgery. This review contains 6 tables and 85 references

Automated Integration of Heterogeneous Data Warehouse Schemas

2011 ◽  
pp. 38-59
Author(s):  
Banek Marko ◽  
Vrdoljak Boris ◽  
Min Tjoa A ◽  
Skocir Zoran
Keyword(s):  
Data Warehouse ◽  
Evidence Based Medicine ◽  
Healthcare Systems ◽  
Heterogeneous Data ◽  
Evidence Based ◽  
Data Warehouses ◽  
Multidimensional Model ◽  
Matching Process ◽  
Legal Restrictions ◽  
Based Medicine

A federated data warehouse is a logical integration of data warehouses applicable when physical integration is impossible due to privacy policy or legal restrictions. In healthcare systems federated data warehouses are a most feasible source of data for deducing guidelines for evidence-based medicine based on data material from different participating institutions. In order to enable the translation of queries in a federated approach, schemas of the federated warehouse and the local warehouses must be matched. In this paper we present a procedure that enables the matching process for schema structures specific to the multidimensional model of data warehouses: facts, measures, dimensions, aggregation levels and dimensional attributes. Similarities between warehouse-specific structures are computed by using linguistic and structural comparison. The calculated values are used to create necessary mappings.

The Pros and Cons of Evidence-Based Medicine

Spine ◽  
2011 ◽  
Vol 36 (17) ◽  
pp. E1121-E1125 ◽  
Author(s):  
Peter Croft ◽  
Antti Malmivaara ◽  
Maurits van Tulder
Keyword(s):  
Evidence Based Medicine ◽  
Evidence Based ◽  
Pros And Cons ◽  
Based Medicine

The history of evidence-based medicine

2016 ◽  
Keyword(s):  
Randomized Controlled Trial ◽  
Evidence Based Medicine ◽  
Controlled Trial ◽  
Scientific Data ◽  
Therapeutic Interventions ◽  
Evidence Based ◽  
Randomized Controlled ◽  
History Of ◽  
Historical Accounts ◽  
Based Medicine

The pursuit of tests for therapeutic interventions has been a characteristic of Western medicine since ancient times. Historical accounts of the clinical trial are usually expressed through the lens of presentism: how the various components of the first modern randomized controlled trial-the comparison, blinding, and randomization-culminated in Austin Bradford Hill’s 1946 trial of streptomycin for tuberculosis. The factual context of the development of the randomized controlled trial is important if only to emphasize the historicity of contemporary research methodology. However, the adoption of the various components of the trial at any one time has as much to do with changing the socio-political and ethical contexts as the ‘objective’ scientific standards of evidence. Evidence is not just scientific data floating in some ethereal medium, but is also linked to facts and beliefs of the various members of diverse medical communities who interpret evidence and deploy it to legitimize various strategies. This introductory chapter aims to present the background and context through which evidence-based medicine has emerged.

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