title: Application of evidence-based urology in improving quality of care.
abstract: Evidence-based medicine requires use of the best available evidence for optimal patient care. Increasingly scarce resources and escalating demands on time have led to emphasis on effective treatment. Opinion is slowly yielding to high-quality existent evidence. It is important that urologists adapt to these changes for them to deliver optimum care to the patients. This article discusses the levels of evidence, the nature of desirable evidence, means of assessing quality of clinical trials and meta-analysis and finally the practice of evidence-based urology with special reference to bedside evidence-based urology.
authors.affiliation: Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
authors.forename: Arabind
authors.initials: A
authors.lastname: Panda
authors.forename: L N
authors.initials: LN
authors.lastname: Dorairajan
authors.forename: Santosh
authors.initials: S
authors.lastname: Kumar
references.citation: J Urol. 2006 Sep;176(3):1127-34
references.pmid: 16890708
references.citation: BMJ. 1994 Oct 1;309(6958):862-5
references.pmid: 7950620
references.citation: Lancet. 2001 Apr 14;357(9263):1191-4
references.pmid: 11323066
references.citation: Br Med J. 1948 Oct 30;2(4582):769-82
references.pmid: 18890300
references.citation: Clin Gastroenterol Hepatol. 2006 Dec;4(12):1445-51
references.pmid: 17101295
references.citation: BJU Int. 2004 Feb;93(3):303-10
references.pmid: 14764127
references.citation: BMJ. 1998 Aug 1;317(7154):339-42
references.pmid: 9685286
references.citation: Ann Intern Med. 2002 Dec 3;137(11):917-29
references.pmid: 12458993
references.citation: JAMA. 1992 Nov 4;268(17):2420-5
references.pmid: 1404801
references.citation: J Urol. 2003 Aug;170(2 Pt 1):530-47
references.pmid: 12853821
references.citation: Int J Qual Health Care. 2004 Feb;16(1):9-18
references.pmid: 15020556
references.citation: BMJ. 1996 Jan 13;312(7023):71-2
references.pmid: 8555924
references.citation: Am J Obstet Gynecol. 2001 Aug;185(2):275-8
references.pmid: 11518879
references.citation: BMJ. 1994 Oct 15;309(6960):969-70
references.pmid: 7950714
references.citation: N Engl J Med. 2003 Dec 18;349(25):2387-98
references.pmid: 14681504
references.citation: Acad Med. 2005 Jan;80(1):51-6
references.pmid: 15618093
references.citation: Br J Ophthalmol. 1998 Jun;82(6):597-8
references.pmid: 9797656
references.citation: Gastroenterology. 2003 Jun;124(7):1726
references.pmid: 12806603
references.citation: Ann Intern Med. 1991 Apr 1;114(7):576-81
references.pmid: 2001091
references.citation: JAMA. 2002 Jun 5;287(21):2813-4
references.pmid: 12038920
references.citation: Ann Intern Med. 1985 Oct;103(4):596-9
references.pmid: 4037559
references.citation: Rev Esp Salud Publica. 2000 Mar-Apr;74(2):107-18
references.pmid: 10918802