Overview Flashcards
In every ….. clinical encounters, a question is generated
2-3
Average questions per day
11
The percentage of answered questions
40%
EBM developed in
Canada 1980
The 6 steps of EBM
1- Assess. 2- Ask. 3- Acquire. 4- Appraise. 5- Apply. 6- Self evaluation.
PICO pneumonic for a good clinical question
Patient - Intervention - Comparison - outcome.
Have no statistical validity
Case report and case series
Starts with the patient and looks backward
Case control
Starts with the exposure and follows forward
Cohort
Excellent for therapy questions
RCT
The best in answering clinical questions
Meta analysis
The best for prognosis
Cohort study
The best for prevention, therapy and etiology
RCT
Level l of evidence
The evidence is obtained from at least one RCT
Level ll-1
Evidence obtained from controlled trials without randomization