Evidence Based Medicine in Spine Surgery.
10.4184/jkss.2011.18.3.174
- Author:
Byung Chul PARK
1
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Kyungpook University, Daegu, Korea. bcpark@knu.ac.kr
- Publication Type:Review
- Keywords:
Evidence-based medicine;
Spine surgery
- MeSH:
Cost-Benefit Analysis;
Decision Making;
Evidence-Based Medicine;
Philosophy;
Spine
- From:Journal of Korean Society of Spine Surgery
2011;18(3):174-178
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: A review of literature regarding evidence-based medicine in spinal surgery. OBJECTIVES: To understand the philosophy of evidence-based medicine (EBM) in order to support clinical decision making. SUMMARY OF LITERATURE REVIEW: Evidence-based medicine is a commonplace phrase representing the hallmark of excellence in clinical practice. However, there has been misunderstanding and indiscriminate use of the concept of EBM in clinical practice. It is necessary to understand true philosophy of EBM. MATERIALS AND METHODS: Narrative and review of the literature. RESULTS: EBM is not for research to supplant individual clinical experience and the patients' informed preference but to integrate these factors with the best available research. CONCLUSIONS: Treatment recommendations are no longer based on level of evidence, but also the risk benefit ratio and cost effectiveness.
