Scientific evidence based medicine: Myth and reality of variability in clinical practice and its impact on health outcomes;La medicina basada en evidencias científicas: Mito o realidad de la variabilidad de la práctica clínica y su repercusión en los resultados en salud

Anales del Sistema Sanitario de Navarra

Volumn 26, Issue 1, 2003, Pages 11-26

  Gomez de la Camara A ^a  

^a HOSPITAL UNIVERSITARIO 12 DE OCTUBRE   (Spain)

Author keywords

Clinical epidemiology; Evidence vs. scientific uncertainty; Scientific information; Variability in clinical practice

Indexed keywords

CLINICAL PRACTICE; EPIDEMIOLOGICAL DATA; EVIDENCE BASED MEDICINE; HEALTH CARE QUALITY; MEDICAL DECISION MAKING; MEDICAL INFORMATION; MEDICAL RESEARCH; PUBLIC HEALTH; REPRODUCIBILITY; REVIEW; SCIENTIFIC LITERATURE;

CLINICAL COMPETENCE; DECISION MAKING; EVIDENCE-BASED MEDICINE; HUMANS; PHYSICIAN'S PRACTICE PATTERNS; PROFESSIONAL PRACTICE;

EID: 0037612557     PISSN: 11376627     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (16)

1. POZO F, RICOY JR, LAZARO P. Una estrategia de investigación en el sistema nacional de salud: 1. La epidemiología clínica. Med Clin (Barc) 1994; 102: 664-669.
2. WENBERG J. Dealing with medical practice variation: aproposal for action. Health Aff 1984; 3: 6-31.
3. EDDY DM. Variations in physician practice: the role of uncertainty. Health Aff 1984; 3: 74-89.
4. MOORE KN, CODY DJ, GLAZENER CMA. Conservative management for post prostatectomy incontinence (Cochrane Review). En: The Cochrane Library, Issue 3, 2000. Oxford: Update Software.
5. COPPIN C, PORZOLT F, KUMPF J, COLDMAN A, WILT T. Immunotherapy for advanced renal cell cancer (Cochrane Review). En: The Cochrane Library, Issue 3, 2000. Oxford: Update Software.
6. WILT T, ISHANI A, MACDONALD R, STARK G, MULROW C, LAU J. Beta-sitosterols for benign prostatic hyperplasia (Cochrane Review). En: The Cochrane Library, Issue 3, 2000. Oxford: Update Software.
7. EDDY DM. The Challenge. JAMA 1990; 263: 287-290.
8. SACKETT D, RICHARDSON WS, ROSENBERG W, HAYNES RB. Evidence-based medicine. How to practice and teach EBM. Churchill Livingstone. London, 1997.
9. SACKETT D, ROSEBERG WM, MUIR GRAY JA, HAYNES RB, RICHARDSON WS. Evidence based medicine: What it is and what it isn't. [Editorial] Br Med J 1996; 312: 71-72.
10. Evidence-based Medicine Working Group. Evidence-based Medicine. A New Approach to Teaching the Practice of Medicine. JAMA 1992; 268: 2420-2425.
11. HAYNES RB, MCKIBBON KA, FITZGERALD D, GUYATT GH, WALKER CJ, SACKETT DL. How to keep up with the medical literature: 1. why try to keep up and how to get started. Ann Intern Med 1986; 105: 149-153.
12. Evidence-based Medicine Working Group. Evidence-based Medicine. Users's guide to biomedical literature. How to get started. JAMA 1993; 270: 2093-2095.
13. BARRETT-CONNOR E. Infectious and chronic diseases epidemiology: Separate and unequal? Am J Epidemiol 1997; 109: 249.
14. WOOLF SH, BATTISTA RN, ANDERSON GM, LOGAN AG, WANG E. Assessing the clinical effectiveness of preventive maneuvers: analytic principles and systematic methods in reviewing evidence and developing clinical practice recommendations. A report by the Canadian Task Force on the Periodic Health Examination. J Clin Epidemiol 1990; 43: 891-905.
15. KONTTNERUS AJ. Medicine based evidences a prerequisite for the evidence based medicine: Br Med J 1997; 311: 1109-1110.
16. HAINES A. The science of the perpetual change. Br J Gen Pract 1996; 46: 114-119.