The Need for Evidence-Based Medicine
Journal of the Royal Society of MedicinePublished 1 November 1995Open access
David L. Sackett, William Rosenberg
Citations620
SJR quartileQ1
SJR score1.71
SNIP1.79
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
As physicians, whether serving individual patients or populations, we always have sought to base our decisions and actions on the best possible evidence. The ascendancy of the randomized trial heralded a fundamental shift in the way that we establish the clinical bases for diagnosis, prognosis, and therapeutics. The ability to track down, critically appraise (for its validity and usefulness), and incorporate this rapidly growing body of evidence into one's clinical practice has been named 'evidence-based medicine' (EBM).
Keywords
Decision SciencesHealth Professions
JAMAEvidence-Based Medicine
4,183 Citations1992Gordon Guyatt
An important goal of the medical residency program is to educate physicians in the practice of evidence-based medicine, and strategies include a weekly, formal academic half-day for residents devoted to learning the necessary skills.
New England Journal of MedicineMortality and Morbidity in Patients Receiving Encainide, Flecainide, or Placebo
3,252 Citations1991Debra S. Echt, Philip R. Liebson +10 more
There was an excess of deathsDue to arrhythmia and deaths due to shock after acute recurrent myocardial infarction in patients treated with encainide or flecainide.
BMJSystematic Reviews: Identifying relevant studies for systematic reviews
2,270 Citations1994Kay Dickersin, Roberta W. Scherer +1 more
Although the indexing terms available for searching Medline for randomised clinical trials have improved, sensitivity still remains unsatisfactory.
JAMAA Comparison of Results of Meta-analyses of Randomized Control Trials and Recommendations of Clinical Experts
1,464 Citations1992Elliott M. Antman
Finding and analyzing all therapeutic trials in a given field has become such a difficult and specialized task that the clinical experts called on to summarize the evidence in a timely fashion need access to better databases and new statistical techniques to assist them.
JAMAEvidence for the Effectiveness of CME
1,016 Citations1992David Davis
Broadly defined CME interventions using practice-enabling or reinforcing strategies consistently improve physician performance and, in some instances, health care outcomes.
Annals of Internal MedicineInformation Needs in Office Practice: Are They Being Met?
863 Citations1985David G. Covell, GWEN C. UMAN +1 more
The self-reported information needs of 47 physicians during a half day of typical office practice were studied, and physicians raised 269 questions about patient management, related to all medical specialties and were highly specific to the individual patient's problem.
Postgraduate Medical JournalClinical Epidemiology - a basic science for clinical medicine
786 Citations1992B I Hoffbrand
Annals of Internal MedicineEffects of Computer-based Clinical Decision Support Systems on Clinician Performance and Patient Outcome: A Critical Appraisal of Research
720 Citations1994Mary Johnston, Karl B. Langton +2 more
This overview focuses on studies of the final and most clinically important stages of evaluation and examines controlled trials designed to measure the effects of CDSSs on clinician performance and patient outcomes.
New England Journal of MedicineVentricular Premature Beats and Mortality after Myocardial Infarction
662 Citations1977William Ruberman, Eve Weinblatt +3 more
Analyses of survival taking into account other important prognostic variables establish that the presence of complex premature beats in the monitoring hour is associated with a risk of sudden coronary death three times that of the men free of complex ventricular premature beats.
New England Journal of MedicineA Randomized Trial of Continuing Medical Education
348 Citations1982John C. Sibley, David L. Sackett +4 more
There was no spillover effect on clinical problems not directly covered by the program, and the documented quality of care provided by study physicians rose and differed from that provided by control physicians.
PubMedEffect of problem-based, self-directed undergraduate education on life-long learning.
262 Citations1993Jaesung SHIN, R. Brian Haynes +1 more
The graduates of a problem-based, self-directed undergraduate curriculum who go on to primary care careers are more up to date in knowledge of the management of hypertension than graduates of an traditional curriculum.
JAMAA Controlled Trial of Teaching Critical Appraisal of the Clinical Literature to Medical Students
186 Citations1987Kathryn Bennett
Experimental and control clinical clerks demonstrated both statistically and "clinically" significant increases in their critical appraisal skills, improving 37% on the diagnostic test exercise and 8% in the treatment exercise; control students' scores deteriorated for both.
JAMADoes a Mailed Continuing Education Program Improve Physician Performance?
162 Citations1986Cara Evans
A randomized trial of a mailed continuing education program on hypertension for primary care physicians showed no lasting effect on physician knowledge and no influence on performance in lowering the blood pressures of patients referred from screening.
The American Journal of CardiologyTreatment of ventricular arrhythmias by United States cardiologists: a survey before the cardiac arrhythmia suppression trial results were available
52 Citations1990Joel Morganroth, J.Thomas Bigger +1 more
In this survey, only 1% of cardiologists treated patients with asymptomatic ventricular premature complexes and no heart disease, but 17% treated such patients if unsustained ventricular tachycardia was present, and approximately 50% of responding physicians treated patients comparable to the Cardiac Arrhythmia Suppression Trial study population with antiarrhythmic drugs.
