Educating Evidence To Pt

Question 1

Evidence based medicine

Answer 1

1. Components
   A. Pt. Values and preferences
   B. Best evidence
   C. Clinical expertise
2. Reasons:
   A. Insurance companies use it to determine coverage of tx
   B. Dr. Critiqued on pt outcomes
   C. Goal: provide best care w/in coat parameters
   D. 80% pts want honest dx
   E. 80% pts wants dr to listen to concerns, desires, and goals of tx
   F. 90% oncologists discuss pros of tx, <20% cons
   G. Pts engaged in decisions 3-5x more satisfied

Question 2

Hierarchies of evidence

Answer 2

1. Systemic review
2. Randomized controlled or prospective cohort study
3. Pseudo-randomized study
4. Cohort or case central study
5. Comparative study w/o controls
6. Case series or cross-sectional studies

Question 3

Handling controversial topics

Answer 3

PICO

1. Patient problem/question
2. Intervention available
3. Comparison of evidence for intervention
4. Outcome seen analyzing best evidence