循证医学与放射学。

Evidence-based medicine and radiology.

作者信息

Chalazonitis A N, Tsimitselis G, Tzovara J, Mariolis A, Alevizos A, Pavi E

机构信息

Dpt of Radiology, Hippocration Athens General Hospital, Greece.

出版信息

JBR-BTR. 2007 Jul-Aug;90(4):294-301.

DOI:
Abstract

In the early 1990's, a group of physician-epidemiologists developed ways of efficiently tracking down and appraising literature and wrote them up in order to help other doctors, with no or with minimal formal epidemiological training. Today Evidence-Based Medicine (EBM) integrates clinical experience and patient values with the best available research information in order to expand research evidence and to provide sensible answers to medical questions in clinical decision making. Although EBM does not provide the answer to every clinical question, it provides us valuable additional evidence helpful in decision making. EBM process includes five steps: answerable questions asking; accessing for the best information; information appraisal for validity and relevance; data application to patient care and finally evaluation of the performance. The purpose of this paper is to help radiologists who have no postgraduate specialist training in research to become familiar with EBM and to find solutions that are based on best current evidence for problems arising in their practice.

摘要

20世纪90年代初,一群内科医生兼流行病学家开发了有效追踪和评估文献的方法,并将其整理出来,以帮助其他没有或仅有极少正规流行病学培训的医生。如今,循证医学(EBM)将临床经验和患者价值观与现有的最佳研究信息相结合,以扩展研究证据,并在临床决策中为医学问题提供合理答案。尽管循证医学并不能回答每一个临床问题,但它为我们提供了有助于决策的宝贵额外证据。循证医学过程包括五个步骤:提出可回答的问题;获取最佳信息;对信息的有效性和相关性进行评估;将数据应用于患者护理,最后评估绩效。本文的目的是帮助没有研究生阶段研究专业培训的放射科医生熟悉循证医学,并为他们在实践中遇到的问题找到基于当前最佳证据的解决方案。

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