????EBM????! ~EBM??????~

1
????EBM????!EBM??????
EBM???????????

• ????????? ?????
• ?? ??

2
EBM???

• ??????...
• ??????????????????
• ??????,?????????

3
EBM?????

• ?????????????,?????
• (??????????)
• ?????????????????????????? (????????)
• ?????????????,??????????
• ???????,?????????????????

4
??????????!!
EBM ?????

5
EBM?5??step
Step 1.??????
6
EBM?5??step
Step 1.??????
Step 1.??????
7
Step 1. ??????

• Patient??????
• Intervention?????,???????
• Comparison?????,??????
• Outcome?????

8
???...

• Patient??????
• Intervention????????
• Comparison?????????????
• Outcome???????????

9
????????????????

• ?????????????
• ???????
• ???????
• ???????????
• ?????????????????????
• ?????,??????????(???????)???????
• ?????????????????,??????????

10
CAST??
-???????????????????????????????????-
P0.0006
??????,??????????2.64? ?? !!
11
EBM?5??step
Step 1.??????
Step 2.???????????
12
??????????

• ?????,???,MR
• ??,??
• ???????
• ???
• ????Medline(PubMed)
• ????(Clinical Evidence,UpToDate,
• Cochrane Library,Best Evidence,etc