Antingen bygger man vården på bästa möjliga bevis eller bygger man den på enskilda auktoriteters personliga uppfattningar.

Aspelin et al 2006, LT 103, 7-8.

 

Evidence -based medicine is ‘….the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients’. and    ‘….the practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research’

David L Sackett et al, Editorial BMJ 1996

 

Real evidence based medicine is as much about when to ignore or over-ride guidelines as how to follow them.

Greenhalgh et al, BMJ 2014;348:g3725

 

 

The following websites are excellent sources of information on evidence-based medicine:

– Centre for EBM (Oxford) http://www.cebm.net/
– The Trip database http://www.tripdatabase.com/
– Annals of Emergency Medicine http://www.annemergmed.com/content/ebemresources
– SBU http://www.sbu.se/sv/Evidensbaserad-vard/
– Clinical evidence http://clinicalevidence.bmj.com/x/index.html
– The NNT http://www.thennt.com/
– The SGEM http://thesgem.com/