title: [The use of evidence-based medicine data].
abstract: Although the basic concepts behind evidence-based medicine (EBM) have been largely accepted, some aspects regarding its theoretical background and its methodological characteristics and practical applications (mainly concerning the therapeutic choices) in daily clinical practice are still subject of debate. This is a real problem, and we have not yet found a fully satisfactory solution. With regard to the theoretical point of view, the most radical antagonists of EBM contest that it is an "abstract building" which has lost contact with the day-to-day clinical reality. In spite of these criticisms, at present the medical community largely considers EBM as a real improvement in the methodology of clinical research and as a helpful support for medical practice. However, in applying the principles of EBM, a dangerous mistake has to be avoided: the meaning and benefit of EBM consist of the fact that it suggests but does not impose rational medical options. The practice of EBM must respect the liberty of the doctors and try to increase their professional and ethical responsibilities. These principles require wisdom and caution in drafting the guidelines generated by EBM and compel us to take into account some psychological side-effects of its diffusion among the physicians and common people.
authors.forename: C
authors.initials: C
authors.lastname: Vecchio
mesh_terms: D019317:Evidence-Based Medicine; D006801:Humans
vernacular_title: Qualche riflessione sull'uso dei dati della "evidence-based medicine.".