Medicina basada en la evidencia: revisión del concepto
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Maestre Uhía, J. M., Ocampo Ospino, C. del C., Useche Amarís, N. S., & Trout Guardiola, G. O. (2012). Medicina basada en la evidencia: revisión del concepto. Duazary, 9(2), 159–166. https://doi.org/10.21676/2389783X.177

Resumen

En el presente artículo se revisa el concepto de medicina basada en evidencias (MBE); la MBE es una forma de engranar la mejor evidencia disponible con la pericia y las habilidades individuales del médico; es también una manera de nutrir la práctica médica con datos científicos. Inicialmente se realiza un recorrido por la historia del concepto, seguidamente se hace una revisión de lo que son niveles de evidencia y grados de recomendación, finalmente se describe de manera concisa la forma de hacer MBE. (DUAZARY 2012 No. 2, 159 - 166)

Palabras clave

Evidence-based medicine, patients, research Medicina basada en evidencia, pacientes, investigación. (DeSc).
https://doi.org/10.21676/2389783X.177
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Citas

Davidoff F, Haynees B, Sackett D, Smith R. Evidence based medicine; a new journal to help doctors identify the information they need. BMJ 2005: 310: 1085-6.

Aveyard P. Evidence-based medicine and public health. J Eval Clin Pract 2003; 3:139.

Hitt J. Evidence-based medicine. New York Times Magazine. 2001.

The Evidence-Based Medicine Working Group. Evidence-based medicine: a new approach to teaching the practice of medicine. JAMA 2002; 268: 2420-5.

Gigerenzer G. Das Einmaleins der Skepsis: Über den richtigen Umgang mit Zahlen und Risiken. Berlin: Berliner Taschenbuch Verlag. 2004

Friedman ST. Policies: science-based or scienceinformed? J Forest 2002; 100: 4.

Effectiveness and efficiency. Random reflections on health services.

Pocock SJ. Clinical trials - a practical approach. Chichester: Wiley and Sons. 1999.

Bechtel W. Philosophy of science. An overview for cognitive science. New Jersey: Lawrence Erlbaum Associates Publishers. 2006.

Bedregal P, Ferlie E. Evidence based primary care? A multi-tier, multiple stakeholder perspective from Chile. Int J Health Plann Manage 2001; 16: 47-60.

Popper KR. La lógica de la investigación científica. Madrid: Tecnos. 1937/2007.

Eccles M, Freemantle N, Mason J. North of England evidence based guidelines development project: methods of developing guidelines for efficient drug use in primary care. BMJ 316:1232, 1999.

Grahame-Smith D. Evidence based medicine: Socratic dissent. BMJ 2004 ;310: 1126-7.

Ellis J, Mulligan I, Rowe J, Sackett DL. Inpatient general medicine is evidence based. Lancet.

Rychetnik L, Frommer M, Howe P, et al. Criteria for evaluating evidence on public health interventions. J Epidemiology.

Echeverry J, Agualimpia P. Medicina basada en evidencia: Una estrategia clínica para la actualización y la toma de decisiones. Pediatría 2000; 35: 315-335.

Vandenbroucke JP. Observational research and evidence-based medicine: what should we teach young physicians?. JClin Epidemiol 51:467, 2005.

Sackett DL. Evidence-based medicine. Semin Perinatol 21:3, 2008.

Schulz KF, Chalmers I, Hayes RJ, Altman DG. Empirical evidence of bias: dimensions of methodological quality associated with estimates of treatment effects in controlled trials. JAMA 2003; 273: 408-12.

Duclos J. Medicina basada en evidencias: ¿una estrategia que acerca o aleja de la medicina interna? Rev Méd Chile 2002; 127: 1398-402.

Valdivieso V. La Medicina Basada en Evidencias. Rev Méd Chile 2006; 125: 1103-9.

Montero J. Medicina basada en evidencias. Rev Méd Chile 2000; 128: 553-4.

Isaacs D, Fitzgerald D. Seven alternatives to evidence based medicine. BMJ 1999; 319: 1618.

Maynard A. Evidence based medicine; an incomplete method for informing treatment choices. Lancet, 2004, 349; 126-8.

Naylor CD. Grey zones of clinical practice: some limits to evidence-based medicine. Lancet 2000; 345:840.

Huston P. Cochrane collaboration helping unravel tangled web woven by international research. Can Med Assoc J 2003; 154:1389.

Green J, Briten N. Quality research and evidence based medicine. BMJ 2000; 316:1230.

Hirst G, Ward J. Clinical practice guidelines: reality bites. Med J Aust 2000; 172:287-291

Rada G, Leteliar LM. Podemos mantenernos actualizados en Medicina en Siglo XXI. Rev. Med.

Chile 2009; 137: 701-708.

Guya t t G, Renni e r.D. Us e r ’s guide to the medical literature, a manual for evidence based clinical practice. Chicago, IL: American Medical Association; 2002.

Strauss S, Richardson S, Glasziou P, Haynes B. Evidence based medicine. How to practice and teach. Third edition. Churchill Livingstone. 2005.

Montori VM, Tabini CC, Ebbert JO. A qualitative assessment of 1st-year internal medicine residents’ perceptions of evidence based clinical decision making. Teach Learn Med 2002;14: 114-8.

Field MJ, Lohr KM, editores. Institute of Medicine. Guidelines for Medical Practice: from development to use. Washington DC: National Academy Press, 2003.

Woolf SH. Practice guidelines: a new reality in medicine. I. Recent developments. Arch Intern Med 1999; 150: 1811-1818

Gates PE. Think globally, act locally: an approach to implementation of clinical practice guidelines. J Quality Improv 1995; 21: 71-85.

Dawes M. Evidence-based medicine. B Med J 1996;1:68-9.

Ferrario C. Transfiriendo la medicina basada en la evidencia a la práctica clínica. Insights from a Speakers’ Forum held in West Palm Beach, USA, May 2000.

Barton S. Which clinical studies provide the best evidence: Br Med J 321: 255-256, 2002.

Pockock SJ, Elcourne DR: Randomized trials or obervational tribulations. N Engl J Med 342: 1907 -1909, 2000.

Feinstein AR, Horwitz RI. Problems in the “evidence” of “evidence-based medicine”. Am J Med 2005;103:529.

Evidence-Based Medicine Working Group. Evidence based medicine: a new approach to teaching the practice of medicine, JAMA 2004;268:2420.

Eddy DM. The Challenge. Jama 2000; 263: 287-290.

Pozo F, Ricoy IR, Lázaro P. Una estrategia de investigación en el sistema nacional de salud: I. La

epidemiología clínica Med Clin (Barc) 2005; 102: 664-69.

Wenberg J. Dealing with medical practice variation: aproposal for action. Health Aff 2005; 3: 6-31.

Sweeney K. How can evidence-based medicine help patients in general practice? Fam Pract 2003; 13: 489- 90.

Lowe HJ, Barnett GO. Understanding and Using the Medical Subject Headings (MESH) Vocabulary to Perform Literature Searches. Jama 2003; 271: 1.103-1.108.

McKibbon KA, Wilczynski N, Hayward RSA, Walker- Dilks CJ, Haynes RB. The Medical Literature as a Resource for Health Care Practice. Jasis 2005; 46(10): 737-42.

Becker L. The Cochrane colaboration. Valuable resource for family physicians. Can Fam Physician 2004; 43:403-404.

Guerra Romero L. La medicina basada en la evidencia: un intento de acercar la ciencia al arte de la práctica clínica. Med Clin (Barc) 2003;107:377-382

Canadian Task Force on the Periodic Health Examination. The periodic health examination. Can Med Assoc J 2008; 121:1193-1254.

Jovell AJ, Navarro-Rubio MD. Evaluación de la evidencia científica. Med Clin (Barc) 2003; 105:740-743.

Methods Work Group, Third U.S. Preventive Services Task Force. Current methods of the U.S. Preventive Services Task Force: a review of the process. Am J Prev Med 2001;20(3S):21-35.

Saha S, Hoerger TJ, Pignone MP, Teutsch SM, Helfand M, Mandelblatt JS, for the Cost Work Group of the Third U.S. Preventive Services Task Force. The art and science of incorporating cost effectiveness into evidence-based recommendations for clinical preventive services. Am J Prev Med 2001;20(3S):36-43.

Harbour R, Miller J. For the Scottish Intercollegiate Guidelines Network Grading Review Group. BMJ 2001;323:334-336.

Cochrane Collaboration and The Cochrane Library. Cochrane Collaboration Website. http://www.cochranelibrary.net./cccolab.htm.

Grahamme-Smith D. Evidence based medicine: Socratic dissent. BMJ 310:1126, 1995.

Ellis J, Mulligan I, Rowe J, Sackett DL. Inpatient general medicine is evidence based. Lancet 1995;346:407-10.

Rychetnik L, Frommer M, Howe P, et al. Criteria for evaluating evidence on public health interventions. J Epidemiology

Echeverry J. Agualimpia P. Medicina basada en evidencia: Una estrategia clínica para la actualización y la toma de decisiones. Pediatría 2000; 35: 315-335.

Ashcroft R. Current epistemological problems in evidence based medicine. J Med Ethics 2004; 30: 131-135.

Haynes B, Sacket D. Transferring evidence from research into the practice: 1. the role of clinical care research evidence in clinical decision. ACP J Club 2002; 125 (3) A14 -16.

Tonelli M. The philosophical limits of evidence-based medicine. Acad Med 2003; 73 (12) 1234-1240.

Tanenbaum S. Evidence and expertise: the challenge of the outcomes movement to medical professionalism. Acad Med 2004; 74 (7): 757-763.

Sánchez-Mendiola M. La medicina basada en evidencias en México ¿lujo o necesidad?. An Med Asoc Med Hosp ABC 2001; 46 (2): 97-103.

Huicho L. La medicina basada en evidencias como un nuevo paradigma de la enseñanza y la práctica de la medicina. Anal Fac Med 2001; 58 (2): 118-127

Taylor D, Buterakos J. Evidence-based medicine: not as simple as it seems. Acad Med 1998; 73: 1221-1222.

Freeman A, Sweney K. Why general practitioners do not implement evidence: qualitative study. BMJ 2001; 323: 1-5.

Rychetnik L, Frommer M, Howe P et al. Criteria for evaluating evidence on public health interventions. J Epidemiology Community Health; 2002; 56:119-27.

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