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

European Journal of Translational Myology

Eva-Maria Strasser³  Benjamin Süsoy⁹  Stefan Loefler⁹  Helmut Kern⁷  Gerold Ebenbichler^1,13  Friedrich Hartl^1,11  Michael Quittan^1,12  Hannah Fruhmann⁹  Veronika Fialka-Moser⁸  Günther Wiesinger²  Wolfgang Grestenberger⁶  Christian Hofer⁹  Tatjana Paternostro-Sluga⁸  Christian Wiederer^1,10  Markus Praschak⁵  Samantha Burggraf⁹  Richard Crevenna⁸  Claudia Burmester¹  Thomas Bochdansky⁴ 

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

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

DOI  :  10.4081/ejtm.2013.3824

学科分类：骨科学

来源: Pagepress

【 摘 要 】

In the last twenty years the term “Evidence Based Medicine (EBM)” has spread into 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 definition of EBM is to use the physician’s individual expertise, the patient’s needs and the best external evidence for each individual patient. Today, however, the term EBM is often wrongly used as a synonym for best “external evidence”. This leads not only to a misuse of evidence based medicine but suggests a fundamental misunderstanding of the model which was created by Gordon Guyatt, David Sackett and Archibald Cochrane. This problem becomes even greater the more social insurance institutions, public healthcare providers and politicians use external evidence alone as a main guideline for financing therapies 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). 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】

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