Evidence Based Medicine on the court

1
Evidence Based Medicineon the court

• ??????????
• ??????

2
Evidence Based Medicine

• EBM
• Conscientious, explicit, judicious
• Use current best evidence
• Making decisions
• Individual patients

3

• ????????????
• ??

4
????

• ????
• ????
• ?????

5
Critical appraisal

• Validity
• Clinical important
• Clinical skill

6

• Formulating answerable clinical questions
• Searching for the best evidence
• Appraising the evidence critically
• Applying evidence to patients
• evaluating

7
Level

• 1. RCT(Randomized controlled clinical trial
• 2. cohort
• 3. case-control study
• 4. case series
• 5. expert opinion

8
Grading system for recommendations

• Group A
• Group B
• Group C
• Group D

9
?????

• Sensitivity
• Specificity
• LR ( likelihood ratio)

10
??

• Pre-test probability / prevalence
• Pre-test odds
• Post-test odds

11
??

• OR
• RR

12
Risk

• Cross-sectional study
• Cohort study
• Case-control

13
treatment

• RRR ( relative risk reduction)
• ARR (absolute risk reduction)

14

• Effectiveness
• Efficiency
• Efficacy-cost effectiveness
• Cost-benefit

15

• ???????--- ??
• ??
• ????----??

16
Doctor in court

• ????(???)
• ??
• ????

17
Medical tangle

• Iatrogenic
• nonitrogenic

18
Medical negligence

• ??
• ??
• ??

19
surgery

• Operation associated complication
• Operation induced complication

20
Medical malpractice

• Hearsay
• Clinical practice guideline

21

• ???????????????
• ?????
• ??

22

• ??????
• ????

23
???????

• ??????
• ??
• ????
• ????
• ?????????

24
???

• ??
• ??????????
• ??????
• ?????
• ??????

25
????????

• ???????
• ???????
• ?????
• ????

26
??

• ??????
• ??????
• ??????
• ??????