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    Evidence Based Medicine

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    Mexsi Mutia Rissa
    This document discusses evidence-based medicine (EBM), which involves using the best current evidence from medical research to inform treatment decisions for individual patients. It notes that there is too much journal literature for practitioners to review everything, and not all positive research findings necessarily translate to benefits for patients. The document advocates for focusing on the highest quality studies, such as systematic reviews and randomized controlled trials, to guide clinical decisions. It also provides brief explanations of different types of medical studies in order of least to most potential for bias.

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    Evidence Based Medicine

    Uploaded by

    Mexsi Mutia Rissa
    32 views18 pages
    This document discusses evidence-based medicine (EBM), which involves using the best current evidence from medical research to inform treatment decisions for individual patients. It notes that there is too much journal literature for practitioners to review everything, and not all positive research findings necessarily translate to benefits for patients. The document advocates for focusing on the highest quality studies, such as systematic reviews and randomized controlled trials, to guide clinical decisions. It also provides brief explanations of different types of medical studies in order of least to most potential for bias.

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    Evidence Based Medicine-converted

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    This document discusses evidence-based medicine (EBM), which involves using the best current evidence from medical research to inform treatment decisions for individual patients. It notes that there is too much journal literature for practitioners to review everything, and not all positive research findings necessarily translate to benefits for patients. The document advocates for focusing on the highest quality studies, such as systematic reviews and randomized controlled trials, to guide clinical decisions. It also provides brief explanations of different types of medical studies in order of least to most potential for bias.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    32 views18 pages

    Evidence Based Medicine

    Uploaded by

    Mexsi Mutia Rissa
    This document discusses evidence-based medicine (EBM), which involves using the best current evidence from medical research to inform treatment decisions for individual patients. It notes that there is too much journal literature for practitioners to review everything, and not all positive research findings necessarily translate to benefits for patients. The document advocates for focusing on the highest quality studies, such as systematic reviews and randomized controlled trials, to guide clinical decisions. It also provides brief explanations of different types of medical studies in order of least to most potential for bias.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    EVIDENCEBASEDMEDICINE*

    *PENGOBATANBERBASISBUKTI
    Sabtu, 14 April 2018

    PrimadiAvianto
    [email protected]
    @primadi _avianto
    EVIDENCE BASED MEDICINE (EBM)
    The conscientious, explicit and judicious use of current best
    evidence in making decisions about the care ofindividual patients

    SEDERHANANYA
    Memisahkan mana terapi yang :
    - Bermanfaat positif
    - Belum jelas manfaatnya
    - Merugikan (do more harm than good)
    Berdasarkan pengetahuan terkini, secara tegas dan
    bijaksana
    MENGAPA BUTUH EBM ?
    Begitu banyak jurnal, terlalu sedikitwaktu
    Sehingga….

    - Jeda antara suatu penelitian hingga menjadi praktik sehari hari


    - Tidak semua hasil “positif” dalam penelitian  positifuntuk
    pasien ? (bagaimana bisa?)
    Banyak jurnal, sedikit waktu

    Tidak sempat mengkaji satu per satu dari ribuan jurnal dalam satuhari!
     a) Mencari yang paling sesuai ; b) Menggunakan jurnal yang paling
    berkualitas; c) lakukan critical-appraisal  VIA (Valid, Important, Applicable)
    Tidak semua jurnal berkualitas sama!
    Least Bias  Most bias
    1. Meta analysis & Systematic Review of RCTs
    2. RCT(Randomized Controlled Trial)
    3. Cohort Study
    4. Case ControlStudy
    5. Cross-sectional Study
    6. Case Report
    7. Expert opinion
    Let’s go deep….
    Meta Analysis
    - Make new statistical analysis from RCTsto formulatea
    summary
    - Best of the best, least bias, especially from Cochrane

    Systematic Review
    - Make review and summary from others research
    - No statistical analysis
    - Best if there is no meta analysisavailable
    Let’s go deep….(2)
    RCT (Randomized Controlled Trial)
    - Experimental study
    - Intervention with randomallocation
    - It’s mean that all subject have same chance to be
    treated or not treated
    Eg: ?
    Let’s go deep….(3)
    Cohort Study
    - Observational study
    - Interventions are not randomly allocated
    - Outcome determined after intervention/ exposure
    - Usually called prospective study
    Let’s go deep….(4)
    Case Control Study
    - Observational study
    - Interventions are not randomly allocated
    - Outcome determined before intervention/ exposure
    - Usually called retrospective study
    Let’s go deep….(5)
    Cross Sectional Study
    - Observational study
    - Interventions are not randomly allocated
    - Outcome determined at the same timewith
    intervention/ exposure
    - Like a snapshot

    Case report & Expert Opinion  how aboutthis?


    Too deep??
    GPSForyou…
    (you shouldbtw
    …
    (This are my sources to make this slide)
    Read more and lifelong learning

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