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Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
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Table of Contents
LETTER TO EDITOR  
Year : 2011  |  Volume : 14  |  Issue : 3  |  Page : 246
Have we something to replace evidence based medicine?


1 Infectious Disease Research Center, Hormozgan University of Medical Sciences (HUMS); Payame Noor University (PNU), Iran
2 Resident of Internal Medicine, Hormozgan University of Medical Sciences (HUMS), Iran
3 Hormozgan Fertility and Infertility Research Center, Iran
4 Hormozgan Cardiovascular Research Center, Hormozgan University of Medical Sciences (HUMS), Iran

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Date of Web Publication20-Aug-2011
 

How to cite this article:
Mahboobi H, Mansoori F, Jahanshahi KA, Khorgoei T. Have we something to replace evidence based medicine?. Ann Card Anaesth 2011;14:246

How to cite this URL:
Mahboobi H, Mansoori F, Jahanshahi KA, Khorgoei T. Have we something to replace evidence based medicine?. Ann Card Anaesth [serial online] 2011 [cited 2019 Oct 16];14:246. Available from: http://www.annals.in/text.asp?2011/14/3/246/84042


The Editor,

In the past issue of Annals of Cardiac Anesthesia, Kapoor published an editorial about evidence-based medicine (EBM). [1] This editorial was interesting because several problems we encounter are mentioned and discussed in it.

Evidence-based medicine seems to be one of the best ways to practice medicine when someone encounters it for the first time. EBM combines the physicians' knowledge and experiences with the current best evidence, to achieve the best results in the treatment of every patient. Also randomized controlled trials (RCTs) seem to be one of the best study types, which can give us the best evidence in the treatment of patients. Their design limits the possibility of bias, unreliable, unethical false results. Unfortunately in actual practice one encounters many problems in finding and applying evidence as mentioned by Kapoor. Your search for evidence about a specific situation may have no results at all or you may find one or two RCTs with poor design and insufficient sample size. Also you may not be able to use the evidence for your own patients because of the difference in age, race, and psychological or social and economical variations. In the other words, evidence that someone can rely on and apply for the treatment of patients is not always available.

Also unfortunately, sometimes, the determining factors for publication of study results are not only the quality of the data, good design, consideration of ethical issues, and good analysis and results. At times, authors who have conducted studies with negative results may prefer not to publish their study, especially when their results are not compatible with the results of large RCTs or the meta-analysis is already published. Also many physicians and medical students may not have adequate skills to interpret and evaluate the available evidences. [2],[3] These facts limit the application of EBM in the practice of medicine. However, the fact is that EBM and RCTs will continue to guide the way medicine is practiced.

We should still accept EBM as one of the correct methods in the practice of medicine and one of the best study types, till we find better tools to replace them with.

 
   References Top

1.Kapoor MC. Evidence based medicine: Can everything be evident?. Ann Card Anaesth 2011;14:3-5.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Mahboobi H, Sharma A, Khogoei T, Jahanshahi KA, Cottrell E. Evidence-based medicine for medical students. Aust Med J 2010;1:190-3.  Back to cited text no. 2
    
3.Mahboobi H, Shahrzad ME, Seddigh SH, Hamedi Y, Sharma A, Khorgoei T, et al. Designing a Research Mentorship Program (RMP) to enhance research productivity at Ebne-Sina psychiatric hospital. Aust Med J 2010;1:180-2.  Back to cited text no. 3
    

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Correspondence Address:
Hamidreza Mahboobi
Hormozgan University of Medical Sciences (HUMS)
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.84042

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