[Patient care according to the latest state of the science--implications of evidence-based medicine].
Evidence-based medicine implies that recommendations ideally exist for each clinical question based on a systematic data search in the current literature, a data extraction, a summary and critical appraisal. Over the last fifty years evidence-based medicine has been growing rapidly. Systematic reviews and randomised controlled trials are of high impact in this field. However, the question remains: in which way is daily clinical practice affected? In an era of time- and cost-pressures as well as manpower shortages, the complex process of evidence-based medicine is difficult. Examples from perioperative pain therapy are provided to demonstrate how evidence-based medicine could be feasible and incorporated into daily practice.
Klinik und Poliklinik für Anästhesiologie und Operative Intensivmedizin des Universitätsklinikums Münster. poppind@uni-muenster.de
Daniel M
DM
Pöpping
Manuel
M
Wenk
Hartmut
H
Bürkle
D019317:Evidence-Based Medicine / Q000266:history / Q000639:trends*; D049673:History, 20th Century; D006801:Humans; D007256:Information Systems; D015201:Meta-Analysis as Topic; D059408:Pain Management; D005791:Patient Care / Q000592:standards / Q000639:trends*; D017410:Practice Guidelines as Topic; D016032:Randomized Controlled Trials as Topic