Users' Guides to the Medical Literature

摘要: This series provides clinicians with strategies and tools to interpret integrate evidence from published research in their care of patients. The 2 key principles for applying all the articles this patient relate value-laden nature clinical decisions hierarchy postulated by evidence-based medicine. Clinicians need be able distinguish high low quality primary studies, systematic reviews, practice guidelines, other integrative focused on management recommendations. An practitioner must also understand patient's circumstances or predicament; identify knowledge gaps frame questions fill those gaps; conduct an efficient literature search; critically appraise evidence; apply that care. However, treatment judgments often reflect clinician societal values concerning whether intervention benefits are worth cost. Many unanswered how elicit preferences incorporate them encounters constitute enormously challenging frontier Time limitation remains biggest obstacle but should seek as appropriate possible, every decision geared toward particular patient.