Akai Masami
Department of Motor Dysfunction, Research Institute of National Rehabilitation Center for the Disabled, 4-1 Namiki, Tokorozawa, Saitama 359-8555, Japan.
J Orthop Sci. 2002;7(6):731-42. doi: 10.1007/s007760200131.
Evidence-based medicine (EBM) is regarded as a new paradigm in medical practice, equal in enormity to the human genome project. However, there is still much confusion and misunderstanding about the concept and content of EBM. It is often limited to searching the literature and reading papers, serving cost cutters, and suppressing clinical freedom. Some believe that the use of clinical guidelines or the managed care system intimidates doctors' discretion during clinical practice and that EBM is a fashionable tendency of a group of medical academics armed with epidemiological and statistical jargon. Medical practice is a lifelong, continuous process of self-learning, and it requires clinicians to keep up to date on various developments. EBM is our practice for integrating individual clinical expertise with the best available evidence when making decisions about our care for each patient. EBM is one answer for making it possible to cover most of our activities as orthopedic surgeons, from the daily practice of patient care to writing and reading scientific papers.
循证医学（EBM）被视为医学实践中的一种新范式，其重要性等同于人类基因组计划。然而，对于循证医学的概念和内容仍存在诸多困惑和误解。它常常局限于检索文献和阅读论文，服务于削减成本者，并限制临床自主性。一些人认为，临床指南或管理式医疗系统会在临床实践中限制医生的自由裁量权，并且循证医学是一群用流行病学和统计学术语武装起来的医学学者的时尚潮流。医学实践是一个终身的、持续的自我学习过程，它要求临床医生跟上各种发展。循证医学是我们在为每位患者的治疗做出决策时，将个人临床专业知识与最佳现有证据相结合的实践方法。循证医学是使我们作为骨科医生能够涵盖大部分活动的一种方法，从日常的患者护理实践到撰写和阅读科学论文。
