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[被遗忘的循证医学的投降]

[The forgotten capitulation of evidence-based medicine].

作者信息

Schoemaker Casper G, Smulders Yvo M

机构信息

RIVM, Centrum Gezondheid en Maatschappij, Bilthoven.

出版信息

Ned Tijdschr Geneeskd. 2015;159:A9249.

Abstract

In 1992, the Canadian physician Gordon Guyatt wrote an article that is generally regarded as the starting point of evidence-based medicine (EBM). He described the ideas behind the McMaster residency programme for 'evidence-based practitioners', founded by David Sackett. Eight years later, in 2000, Guyatt concluded that this programme was too ambitious. In a new publication he described most doctors as 'evidence-users'. This editorial marks the transition from an individual to a collective form of EBM, emphasizing the use of evidence-based guidelines. The starting point of this collective form of EBM is not the well-known 1992 paper, but the forgotten editorial in 2000, which was described by Guyatt's colleagues as the capitulation of EBM.

摘要

1992年,加拿大医生戈登·盖亚特撰写了一篇文章,该文章通常被视为循证医学(EBM)的起点。他阐述了由大卫·萨克特创立的麦克马斯特住院医师“循证从业者”项目背后的理念。八年后,即2000年,盖亚特得出结论,该项目过于雄心勃勃。在一篇新的出版物中,他将大多数医生描述为“证据使用者”。这篇社论标志着循证医学从个体形式向集体形式的转变,强调了循证指南的使用。这种集体形式的循证医学的起点不是著名的1992年论文,而是被盖亚特的同事们描述为循证医学投降的2000年那篇被遗忘的社论。

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