Manríquez MJJ, Silva VS

Language: Spanish
References: 24
Page: 197-207
PDF size: 444.58 Kb.

ABSTRACT

Evidence Based Medicine (EBM) is a useful tool for the efficient resolutipn of clinical situations, which involves the knowledge derived from the clinical experience, and derivative from clinical trials. The application of EBM in the decisions-making process with dermatology patients is what we know as Evidence Based Dermatology. In this article we chek the fundamental concepts of the EBM, the controversial aspects since its introduction, its advantages, and the first step for its execution, the formulation of clinical questions.

REFERENCES

1. 1.Williams H. Dowling Oration 2001. Eviden-ce-based dermatology —a bridge too far? Clin Exp Dermatol 2001;26:714-24.

2. 2.Evidence Based Medicine Working Group. Evidence Based Medicine. A new approach to teaching the practice of medicine. JAMA 1992;268:2420-5.

3. Bigby M. Snake oil for the 21st century. Arch Dermatol 1998;134:1512-4.

4. Rees J. Evidence-based medicine: the epis-temology that isn’t. J Am Acad Dermatol 2000;43:727-9.

5. 5.Rosenberg W, Donald A. Evidence based medicine: an approach to clinical problem solving. BMJ 1995;310:1122-6.

6. 6.Smith BH, Taylor RJ. Medicine, a healing or a dying art? Br J Gen Pract 1996;46:249-51.

7. 7.Glass RM. The Patient-Physician relations-hip. JAMA 1996;275:147-8.

8. 8.Duclos J. Medicina basada en evidencias: ¿una estrategia que acerca o aleja de la medicina interna? Rev Méd Chile 1999;127: 1398-402.

9. 9.Robert F. Indications and contraindications of radiotherapy of acne: 500 cases. Sem Medicale Med Soc 1953 Sep 30; 29: 2872-7.

10. 10.Quastler H. Radiotherapy of acne vulgaris; comparative tests of treatment technics. Radiology 1950 Feb; 54:247-56.

11. Thibaut D, Ramarker S, Chertier A. Cutane-ous tertiary syphilis, first mercury then bismuth resistant, arsenic sensitive. Bull Soc Fr Dermatol Syphiligr 1950;57:514-5.

12. 12.Straus S, Sackett D. Bringing evidence to the clinic. Arch Dermatol 1998;134:1519-20.

13. Bigby M, Gadenne A-S. Understanding and evaluating clinical trials. J Am Acad Dermatol 1996;34:555-90.

14. Bigby M, Szklo M. Evidence-based dermato-logy. En: Freedberg I, Eisen AZ, Katz SI, et al., eds. Dermatology in General Medicine. New York:McGraw-Hill, 2002.

15. 15.Bigby M. Paradigm lost. Arch Dermatol 2000;136:26-7.

16. 16.Webster G. Is dermatology slipping into its anecdotage? Arch Dermatol 1995;131:149-150.

17. Kus S, Gun D, Demircay Z, Sur H. Vitamin E does not reduce the side-effects of isotretinoin in the treatment of acne vulgaris. Int J Dermatol 2005;44:248-51.

18. Strauss J, Gottlieb A, Jones T, Koo J, Leyden J, Lucky A, et al. Concomitant administration of vitamin E does not change the side effects of isotretinoin as used in acne vulgaris: a randomized trial. J Am Acad Dermatol 2000; 777-84.

19. 19.Miller E, Pastor-Burriuso R, Dalal D, Rie-mersma R, Appel L, Guallar E. Meta-analysis: high-dosage vitamin E supplementation may increase all-cause mortality. Ann Intern Med 2005;142:37-46.

20. 20.Covell D, Uman G, Manning P. Information needs in office practice: are they being met? Ann Intern Med 1985;103:596-599.

21. 21.Davidoff F, Haynes R, Sackett D, Smith R. Evidence based medicine: a new journal to help doctors identify the information they need. BMJ 1995;310:1085-1086.

22. Adetugbo K, Williams H. How well are rando-mized controlled trials reported in the dermatology literature? Arch Dermatol 2000; 136:381-5.

23. Berg D, Asgari M. Evidence-Based Medicine for Dermatologic Surgeons: Concepts in Critical Appraisal of Information. Dermatologic Surgery 27:511-514.

24. 24.Soto M, Rada G. Questions formulation in Evidence-Based Medicine. Rev Med Chil 2003;131:1202-3.