Evidence Based Medicine on the court - PowerPoint PPT Presentation

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Evidence Based Medicine on the court

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Evidence Based Medicine on the court Evidence Based Medicine EBM Conscientious, explicit, judicious Use current best ... – PowerPoint PPT presentation

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Title: Evidence Based Medicine on the court


1
Evidence Based Medicineon the court
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2
Evidence Based Medicine
  • EBM
  • Conscientious, explicit, judicious
  • Use current best evidence
  • Making decisions
  • Individual patients

3
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4
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5
Critical appraisal
  • Validity
  • Clinical important
  • Clinical skill

6
  • Formulating answerable clinical questions
  • Searching for the best evidence
  • Appraising the evidence critically
  • Applying evidence to patients
  • evaluating

7
Level
  • 1. RCT(Randomized controlled clinical trial
  • 2. cohort
  • 3. case-control study
  • 4. case series
  • 5. expert opinion

8
Grading system for recommendations
  • Group A
  • Group B
  • Group C
  • Group D

9
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  • Sensitivity
  • Specificity
  • LR ( likelihood ratio)

10
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  • Pre-test probability / prevalence
  • Pre-test odds
  • Post-test odds

11
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  • OR
  • RR

12
Risk
  • Cross-sectional study
  • Cohort study
  • Case-control

13
treatment
  • RRR ( relative risk reduction)
  • ARR (absolute risk reduction)

14
  • Effectiveness
  • Efficiency
  • Efficacy-cost effectiveness
  • Cost-benefit

15
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16
Doctor in court
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17
Medical tangle
  • Iatrogenic
  • nonitrogenic

18
Medical negligence
  • ??
  • ??
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19
surgery
  • Operation associated complication
  • Operation induced complication

20
Medical malpractice
  • Hearsay
  • Clinical practice guideline

21
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22
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23
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24
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25
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26
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