KeiS a medical professional

This is a blog about the scientific basis of medicine. A judo therapist reads research papers for study and writes about them.

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3 Tips for Practicing Evidence-Based Medicine

Friday, May 28, 2021

medication

3 Tips for Practicing Evidence-Based Medicine

Using Evidence-Based Medicine

As can be said of any medical professional, the most important thing you can do after you have checked the "information" is to ask yourself, "Is that information a basis for doing what I do? After checking the information, the next important thing to do is to think about it.

For example, when you are trying to lose weight and you are scrutinizing all kinds of methods such as supplements and diets, if you don't have a "basis" for the information, you will not be able to make a choice. Psychology has also shown that people make choices "to avoid loss," so it is necessary to seek a basis for information.

References: Guyatt G. Evidence-based medicine. ACP J Club. 1991;114:A-16.

Muir G. Evidence-Based Healthcare: How to Make Health Policy and Management Decisions: 2nd ed. Churchill Livingstone, 2001.

Muir G. (Author). Muir G. (Author). Evidence-Based Healthcare: How to Make Health Policy and Management Decisions: 2nd ed. Evidence-Based Health Care: How to Make Health Policy and Management Decisions. Elsevier Japan. Elsevier Japan. 2005.

Evidence-Based Information

How to look for and identify evidence-based information depends on people's beliefs, but since the belief of EBM (evidence-based medicine) has been advocated for medical professionals, it is ideal that treatment choices and suggestions are made based on these rather than on the beliefs of medical professionals.

EBM is described as "medical care that makes thoughtful use of the best evidence". What many medical professionals tend to make the mistake of believing is that EBM does not mean making choices based on mere research results or experimental data, but rather that it is medical care for "patients" that is provided as a result of integrating the best evidence obtained from such data, the experience of medical professionals, and the values of patients.

For example, a patient comes to me with a problem of "back pain.

A medical professional, relying only on his own experience and the patient's sense of value, tries to provide what is commonly believed to be a good method, but there is no scientific basis for these methods, and they cannot provide the patient with any improvement in his back pain, and may result in wasting his time.

Patients do not want this kind of result, and as a medical professional, you may deny the other person without denying your own choice, saying that the patient does not fit your experience and that he is selfish.

The fact that we tend to provide services based on our own beliefs when we lack evidence-based information has been published in other papers, and not a few healthcare professionals hold this view.

Tips for Choosing Evidence-Based Medicine

When it comes to making decisions, there are a few things to consider

1.Evidence

2.Values

3.Resources

It is advisable to make decisions based on these three things.

Rationale refers to the question of whether the treatment service is safe or not. This means that This applies to things that have only been concluded through animal testing, or results from the material alone, but no results when mixed with other things.

Next, values are about what you want and what you want to solve.

The last resource is time, money, and effort, and it is desirable to choose from a balance of these three things.

For example, the treatments that are derived from the conclusions of the most reliable "systematic reviews" can be highly effective, but have side effects that cannot be ignored. In this case, the decision to choose a different method because of concerns about side effects is respected, and the option to accept the side effects and still treat the patient should also be respected.

Conclusion

Decision-making is a conclusion you make for yourself. If you blame others for the consequences of this conclusion, something may be wrong with those decisions.

The source of the information you choose is also important.

Be sure to choose results from scientific studies, rather than relying on the opinion of one medical professional, as the author did. In terms of the order of reliability of information, systematic reviews are the most reliable and professional and personal experiences are the least reliable.Therefore, the author uses medical articles as a source of information and invites everyone to read the article, rather than just expressing his or her own thoughts.

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