College of Public Health, University of Georgia, Athens, Georgia
Department of Family Medicine, Michigan State University College of Human Medicine, East Lansing, Michigan.
Ann Fam Med. 2018 Sep;16(5):436-439. doi: 10.1370/afm.2288.
POEMs (patient-oriented evidence that matters) are studies that address a relevant clinical question, demonstrate improved patient-oriented outcomes, and have the potential to change practice. For 20 years the authors of this article have reviewed more than 100 English language clinical journals monthly to identify POEMs in the medical literature relevant to primary care practice. This article identifies the POEMs in each of the last 20 years that were highest ranked for having recommended a major and persistent change in practice that year. They include POEMs that recommend a novel, effective intervention, a second group that recommends abandoning an ineffective practice, and a third group that recommends abandoning a potentially harmful practice. The top POEMs of the past 20 years illustrate the breadth of practice change in primary care and the need for family physicians to have a systematic approach to keeping up with the medical literature, such as that in POEMs, especially because many of these important articles did not appear in the primary care literature.
POEMs（以患者为中心的重要证据）是指针对相关临床问题进行研究，展示出改善患者为中心的结果，并有可能改变实践的研究。20 年来，本文作者每月都会对 100 多种英文临床期刊进行审查，以确定与初级保健实践相关的医学文献中的 POEMs。本文确定了过去 20 年中每年在实践中推荐重大和持续变化的排名最高的 POEMs。其中包括推荐新颖有效干预措施的 POEMs、推荐放弃无效实践的第二组 POEMs，以及推荐放弃潜在有害实践的第三组 POEMs。过去 20 年中排名最高的 POEMs 说明了初级保健中实践变化的广泛程度，以及家庭医生需要有一种系统的方法来跟上医学文献的步伐，例如 POEMs，特别是因为许多这些重要的文章并没有出现在初级保健文献中。
