[Evidence-based medicine: an introduction for clinical practitioners].
In Germany, the term "evidence-based medicine" still leads to confusion. To our continental understanding "evidence" refers to the self-evident, what is obvious and unequivocally clear without any methodological mediation. In English speaking countries, "evidence" is defined as available and disputable facts indicating whether or not a proposition is valid. In clinical medicine both types of evidence are indispensable. However at present "external (i.e. anglosaxon) evidence" from sound-evaluative clinical research is actually needed to define and justify clinical indication rules. The rationale of the concept is obviously consequentialistic, it primarily considers the clinical and community effectiveness of any medical intervention. The paper finally discusses some of the ethical problems involved in evidence-based medicine.
Raspe
H
H
Institut für Sozialmedizin, Medizinische Universität Lübeck. heiner.raspe@sozmed.mu-leubeck.de
D000368:Aged; D002986:Clinical Trials as Topic; D004992:Ethics, Medical; D019317:Evidence-Based Medicine; D005853:Geriatrics; D005858:Germany; D006801:Humans
Evidenz-basierte Medizin: eine Einführung für klinisch Tätige.