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改善复杂或罕见病例的决策——小动物繁殖中循证兽医的一种方法。

Improving decision-making in complicated or rare cases-An approach towards Evidence-based Veterinary Medicine in small animal reproduction.

机构信息

Clinic for Animal Reproduction, Free University of Berlin, Berlin, Germany.

出版信息

Reprod Domest Anim. 2020 Jul;55 Suppl 2:49-54. doi: 10.1111/rda.13622. Epub 2020 Feb 24.

DOI:10.1111/rda.13622
PMID:32090407
Abstract

The concepts of Evidence-based Veterinary Medicine (EBVM) provide a methodological and systematic approach to include the best evidence from research into clinical decision-making. These concepts include steps as the search and assessment of relevant research findings and consideration of individual aspects. In addition, owners and other persons involved in animal health care should be included in shared decision-making. Some breeders have good basic knowledge concerning breeding management and characteristics of diseases and concerning advantages and disadvantages of different therapeutic approaches, while others are notable to understand complex medical interrelations or emergency situations. All these aspects need to be addressed when communicating and discussing different diagnostic, prophylactic and therapeutic options. In special fields, such as small animal reproduction, veterinarians often see animals with rare diseases or complex conditions so that an application of standard therapies and well-established textbook recommendations is not possible. To learn more about cases too rare for successful systematic research, the case collection tool REPROCASES (www.evssar.org/reprocases) is now available. The aim of this project is to gather information from specialists on small animal reproduction in a multicentre approach. If you see rare or not well-investigated cases such as cystic ovarian diseases, cryptorchidism or others, you are more than welcome to share your findings via the database. Even if this approach cannot completely replace standardized clinical trials, the idea is to gather more information on effects, prognosis, side effects and long-term fertility for specific conditions.

摘要

循证兽医(EBVM)的概念为将研究中的最佳证据纳入临床决策提供了一种方法学和系统性的方法。这些概念包括搜索和评估相关研究结果以及考虑个体方面的步骤。此外,应将所有者和其他参与动物保健的人员纳入共同决策。一些饲养员对繁殖管理和疾病特征以及不同治疗方法的优缺点有很好的基础知识,而另一些饲养员则无法理解复杂的医学相互关系或紧急情况。在交流和讨论不同的诊断、预防和治疗选择时,需要考虑到所有这些方面。在特殊领域,如小动物繁殖,兽医经常看到患有罕见疾病或复杂疾病的动物,因此不可能应用标准疗法和既定的教科书推荐。为了了解更多关于成功系统研究太少的病例,现在可以使用病例收集工具 REPROCASES(www.evssar.org/reprocases)。该项目的目的是从多中心的角度收集小动物繁殖方面的专家信息。如果您遇到罕见或研究不足的病例,如卵巢囊肿疾病、隐睾症或其他疾病,欢迎您通过数据库分享您的发现。即使这种方法不能完全替代标准化临床试验,其理念是收集更多关于特定情况的效果、预后、副作用和长期生育能力的信息。

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Reprod Domest Anim. 2020 Jul;55 Suppl 2:49-54. doi: 10.1111/rda.13622. Epub 2020 Feb 24.
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