循证牙科与危害概念

Evidence-based dentistry and the concept of harm.

作者信息

Thomas Mark V, Straus Sharon E

机构信息

Department of Oral Health Practice, Division of Periodontology, University of Kentucky College of Dentistry, 800 Rose Street, Room M-122, Lexington, KY 40536-0297, USA.

出版信息

Dent Clin North Am. 2009 Jan;53(1):23-32, vii-viii. doi: 10.1016/j.cden.2008.11.002.

DOI:10.1016/j.cden.2008.11.002

PMID:19215741

Abstract

Evidence-based medicine requires the integration of best research evidence with the clinician's expertise and the patient's unique values and circumstances. One of the most important issues in deciding what course of treatment to select is balancing the potential risks and benefits of treatment. A framework for evidence-based decision-making includes formulating the clinical question and then retrieving, appraising, and considering the applicability of the evidence to the patient. It is the duty of all health care providers to reduce patient risk by selecting appropriate therapies and informing patients of unavoidable risks.

摘要

循证医学要求将最佳研究证据与临床医生的专业知识以及患者独特的价值观和具体情况相结合。在决定选择何种治疗方案时，最重要的问题之一是权衡治疗的潜在风险和益处。循证决策的框架包括提出临床问题，然后检索、评估并考虑证据对患者的适用性。所有医疗保健提供者都有责任通过选择合适的治疗方法并告知患者不可避免的风险来降低患者风险。