Ten Bruggencate M J M, Kremer L C M, Caron H N, Knops A M, van Dalen E C
Department of Pediatric Oncology, Emma Children's Hospital/Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Pediatr Blood Cancer. 2009 Feb;52(2):231-6. doi: 10.1002/pbc.21844.
The interest in evidence-based medicine (EBM) is still increasing throughout medicine, but the precise role of EBM in the field of pediatric oncology remains unclear. We undertook this survey to evaluate the attitude of Dutch pediatric oncologists and pediatric oncologists in training towards EBM and their views on how to move from opinion-based medicine to EBM.
A questionnaire was sent to all pediatric oncologists (n = 44) and pediatric oncologists in training (n = 13) of the 8 university medical centers in the Netherlands.
The questionnaire was returned by 71% of the pediatric oncologists and pediatric oncologists in training. The majority had a positive attitude towards EBM, but at the moment only approximately 50% of their clinical practice was thought to be evidence-based. The most important barrier to practicing EBM in pediatric oncology was a lack of time. However, only a minority of the respondents thought that more time was an appropriate method to facilitate the use of EBM in pediatric oncology. The majority of pediatric oncologists and pediatric oncologists in training would prefer to be able to use EBM summaries, guidelines and protocols.
Despite the positive attitude of the majority of pediatric oncologists and pediatric oncologists in training towards EBM, only half of clinical practice is currently believed to be evidence-based. By using EBM summaries, guidelines and protocols as time-saving methods the use of EBM in pediatric oncology practice may be improved.
循证医学（EBM）在整个医学领域的受关注程度仍在不断提高，但EBM在儿科肿瘤学领域的确切作用仍不明确。我们开展这项调查，以评估荷兰儿科肿瘤学家及接受培训的儿科肿瘤学医生对EBM的态度，以及他们对于如何从基于观点的医学转向EBM的看法。
向荷兰8所大学医学中心的所有儿科肿瘤学家（n = 44）及接受培训的儿科肿瘤学医生（n = 13）发送了一份调查问卷。
71%的儿科肿瘤学家及接受培训的儿科肿瘤学医生回复了问卷。大多数人对EBM持积极态度，但目前他们认为只有约50%的临床实践是基于证据的。在儿科肿瘤学中实施EBM的最重要障碍是缺乏时间。然而，只有少数受访者认为增加时间是促进在儿科肿瘤学中应用EBM的合适方法。大多数儿科肿瘤学家及接受培训的儿科肿瘤学医生更希望能够使用EBM总结、指南和方案。
尽管大多数儿科肿瘤学家及接受培训的儿科肿瘤学医生对EBM持积极态度，但目前只有一半的临床实践被认为是基于证据的。通过将EBM总结、指南和方案作为节省时间的方法，儿科肿瘤学实践中EBM的应用可能会得到改善。
