Evidence-based medicine as a strategy for improving the quality of clinical decision making for dialysis patients
Traditional clinical decision making has been based on information provided by clinical experts, usually during undergraduate and post graduate training, and then supplemented by formal continuing medical education and informally through consultations. There is an implicit assumption that the need for scientific information is satisfied by this process. However, there is convincing evidence that this assumption is incorrect . The opinion of experts is often inconsistent with scientific evidence . In response to this unsatisfactory situation, the concept of evidence-based medicine has evolved .
KeywordsMedical Literature Clinical Practice Guideline National Kidney Foundation Post Graduate Training Individual Article
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- 4.Kuhn TS. The structure of scientific revolutions. Chicago, Ill: University of Chicago Press; 1970.Google Scholar
- 5.Carruthers SG, Larochelle P, Haynes RB, Petrasovits A and Schiffrin EL. Report of the Canadian hypertension society concensus conference: 1. Introduction. Can Med Asoc J 1993; 149:289–93Google Scholar
- 16.Klahr S, Levey AD, Beck GJ, Caggiula AW, Hunsicker L, Kusek JW, Striker G for the Modification of Diet in Renal Disease Study Group. The effects of dietary protein restriction and blood-pressure control on the progression of chronic renal disease. N Engl J Med 1994; 330: 877–44PubMedCrossRefGoogle Scholar
- 17.Mehta R, McDonald B, Gabbi F, Pahl M, Farkas A, Pascual M, Fowler W for the ARF Collaborative Study Group. Continuous versus intermittent dialysis for acute renal failure in the ICU. J Am Soc Nephrol 1996; 7:1457 (abstract).Google Scholar
- 21.Davis DA and Taylor-Vaisey A. Translating guidelines into practice: a systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. Can Med Assoc J 1997; 157:408–16.Google Scholar