Evidence based medicine in physical medicine and rehabilitation (German version)

European Journal of Translational Myology

Eva-Maria Strasser⁴  Stefan Loefler^1,8  Helmut Kern³  Gerold Ebenbichler⁶  Friedrich Hartl^1,9  Michael Quittan⁷  Hannah Fruhmann^1,8  Veronika Fialka-Moser¹  Günther Wiesinger¹  Wolfgang Grestenberger¹⁰  Christian Hofer^1,8  Tatjana Paternostro-Sluga¹  Christian Wiederer¹¹  Markus Praschak⁷  Samantha Burggraf^1,8  Richard Crevenna⁵  Claudia Burmester³  Thomas Bochdansky² 

[1] University Clinic of Physical Medicine, Medical University of Vienna;Reha-Klinik Montafon, Schruns;Department of Physical Medicine and Rehabilitation, Wilhelminenspital, Vienna;Department of Physical Medicine and Rehabilitation, Kaiser Franz Joseph Hospital, Vienna;Austrian Society for Physical Medicine & Rehabilitation (ÖGPMR);Berufsverband der Österreichischen Fachärzte für Physikal. Medizin und Rehabilitation, Vienna;Karl Landsteiner Institut für Remobilisation und funktionale Gesundheit, Vienna;Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Vienna;Bundesfachgruppe Physikal. Medizin, Österreichische Ärztekammer;Fachgruppe Physikal. Medizin, Wiener Ärztekammer;Kurhaus Bad Gleichenberg

关键词: EBM;    evidence based medicine;    physical medicine;    physiotherapy;    rehabilitation;   

DOI  :  10.4081/ejtm.2013.2155

学科分类：骨科学

来源: Pagepress

【 摘 要 】

In the last twenty years the term “Evidence Based Medicine (EBM)” has been increasingly applied in all areas of medicine and is often used for decision-making in the medical and public health sector. It is also used to verify the significance and/or the effectiveness of different therapies. The original definition of EBM rests on the following three pillars: the physician’s individual expertise, the patient’s needs and the best external evidence. Today, however, the term EBM is often wrongly used as a synonym for best external evidence, without taking into consideration the other two pillars of the model which was created by Gordon Guyatt, David Sackett and Archibald Cochrane. This problem becomes even greater the more social insurance institutions and politicians use external evidence alone as the main guideline for financing therapies and therapy guidelines in physical medicine and general rehabilitation without taking into account the physician’s expertise and the patient’s needs.The wrong interpretation of EBM can lead to the following problems: well established clinical therapies are either questioned or not granted and are therefore withheld from patients (for example physical pain management). An absence of evidence for individual therapy methods does not prove their ineffectiveness! In this short statement the significance of EBM in Physical Medicine and general rehabilitation will be analysed and discussed.

【 授权许可】

Unknown