History of evidence-based medicine

被引:69
|
作者
Sur, Roger L. [1 ,2 ]
Dahm, Philipp
机构
[1] UC San Diego Hlth Sci, Div Urol, San Diego, CA 92103 USA
[2] Univ Florida, Dept Urol, Gainesville, FL 32610 USA
关键词
Evidence-based medicine; randomized controlled trials; policy; epidemiology; translational research; history;
D O I
10.4103/0970-1591.91438
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
This essay reviews the historical circumstances surrounding the introduction and evolution of evidence-based medicine. Criticisms of the approach are also considered. Weaknesses of existing standards of clinical practice and efforts to bring more certainty to clinical decision making were the foundation for evidence-based medicine, which integrates epidemiology and medical research. Because of its utility in designing randomized clinical trials, assessing the quality of the literature, and applying medical research at the bedside, evidence-based medicine will continue to have a strong influence on everyday clinical practice.
引用
收藏
页码:487 / 489
页数:3
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