Evidence-Based Endocrinology

ISBN-13: 9781617376559 / Angielski / Miękka / 2010 / 400 str.

Victor M. Montori

Opis

Internationally recognized experts, pioneers, and opinion makers in evidence-based medicine (EBM) provocatively recast endocrine policy and practice in the light of EBM philosophy and principles. The authors explain the past, present, and future of EBM; consider its practical implications for endocrinology; demonstrate what the "evidence base" is in EBM; and present illustrative case studies by practicing evidence-based clinicians. Highlights include essays on why cost-effective analyses are problematic, the contrast between clinical investigations and large randomized trials, the role of Cochrane reviews and meta-analyses, and the curriculum requirements for training evidence-based endocrinologists.

Recenzje

From the reviews:

"A comprehensive multiauthored review of evidence-based medicine as applied to clinical endocrinology. ... this much-needed volume is well written and highly readable. ... Written by leading experts in the fields of endocrinology and evidence-based medicine, this volume is likely to become the preeminent text on this topic. ... Recommended Readership: Students, residents, fellows, and attending physicians and allied health professionals in the areas of endocrinology, primary care, and geriatrics, as well as public health and policy professionals with interests in clinical endocrinology." (Hau Liu, Mayo Clinic Proceedings, Vol. 81 (8), August, 2006)

Spis treści

The New Endocrinologist: Evidence-Based Medicine Meets Endocrine Practice Victor M. Montori Part I. Past, Present, and Future A Short History of Evidence-Based Medicine: Issues for the Clinician Jeanne Daly The Philosophy of Evidence-Based Medicine Gordon H. Guyatt and Jason W. Busse Preparing Future Generations of Evidence-Based Endocrinologists Michael L. Green Part II. Practicing Evidence-Based Endocrinology Finding Current Best Evidence in Endocrinology R. Brian Haynes and Cynthia J. Walker-Dilks Integrating Evidence Into Clinical Diagnosis W. Scott Richardson Supporting Evidence-Based Endocrine Practice Steven A. Smith and Geoffrey S. Gates Supporting Patients' Participation in Decision Making Annette M. O'Connor, Dawn Stacey, and France Légaré Incorporating Evidence Into Health Policy Decisions Eduardo Ortiz and Janelle Guirguis-Blake Part III. Research Evidence for Evidence-Based Endocrine Practice The Value of Observational Studies in Endocrinology L. Joseph Melton III Clinical Research Center-Based Investigations and Evidence-Based Medicine William L. Isley The Value of Systematic Reviews in Endocrinology: The Impact of the Cochrane Metabolic and Endocrine Disorders Review Group Bernd Richter Health-Related Quality-of-Life Assessment in Endocrinology Elie A. Akl and Holger J. Schünemann Decision Analysis in Endocrinology Evelyn Mentari and David Aron Clouded Thinking: The Misguided Use of Cost-Effectiveness Analysis and the Implications for Endocrine Interventions Amiram Gafni Translation Research in Diabetes: Asking Broader Questions Russell E. Glasgow, Elizabeth Bayliss, and Paul A. Estabrooks Part IV. Case Studies in Evidence-Based Practice The Patient WithType 1 Diabetes and Hypoglycemia Yogish C. Kudva, Teck-Kim Khoo, and Peter J. Tebben The Patient With Medically Complicated Obesity Kurt A. Kennel The Patient at Risk for Diabetes: Considering Prevention Sarah E. Capes An Evidence-Based Approach to Type 2 Diabetes Robert K. Semple and Sean F. Dinneen Patients With Diabetes Using Alternative Medicine Dugald Seely, Edward Mills, and Beth Rachlis Evidence-Based Case Studies in Osteoporosis Clifford J. Rosen and Sue A. Brown The Neuroendocrinology of Medically Unexplained Syndromes: The Example of Chronic Fatigue Syndrome Jason W. Busse Index

Blurb

Evidence-based medicine (EBM) stresses the use of evidence from clinical research as the basis for medical decision making, rather than simple reliance on unsystematic clinical experience and pathophysiological rationales. EBM has changed many aspects of medical practice for the better, but its incorporation into endocrine practice has been minimal. In Evidence-Based Endocrinology, internationally recognized experts, pioneers, and opinion makers in EBM provocatively recast endocrine policy and practice in the light of its philosophy and principles. The authors explain the past, present, and future of EBM; consider its practical implications for endocrinology; demonstrate what the "evidence base" is in EBM; and present illustrative case studies by practicing evidence-based clinicians. Highlights include essays on why cost-effective analyses are problematic, the contrast between clinical investigations and large randomized trials, the role of Cochrane reviews and meta-analyses, and the curriculum requirements for training evidence-based endocrinologists.
Authoritative and cutting-edge, Evidence-Based Endocrinology not only spells out the high value of EBM, but also its limitations, challenging endocrinologists to embrace its principles in the best interests of their patient practice.