Reflexiones sobre la evidencia en medicina

• Félix Muñoz C ^[2] ; Fernando Cabrera R ^[1]
  1. [1] Universidad de Chile

     Universidad de Chile

     Santiago, Chile

     
  2. [2] Universidad de Chile Facultad de Medicina Hospital Clínico San Francisco de Borja-Arriarán
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 133, Nº. 10, 2005, págs. 1252-1257
• Idioma: español
• Títulos paralelos:
  • Reflections on evidence-based medicine
• Enlaces
  • Texto completo
• Resumen

  • This is a review of the basic concepts of evidence, medicine, evidence-based medicine and its effects. Evidence-based medicine is a contribution for statistical design and management, that allows the gathering of scientific information, but does not completely exclude bias. Its methodology proceeds with order and caution, generating a highly probable mass of knowledge. The quality of the information obtained from diverse sources such as meta-analysis to expert opinions is classified in different levels according to the «strength» of the evidence in which it is based. The best contribution of evidence-based medicine is probably for diseases of incidence and does not replace clinical experience and patients-physician relationship. Basically we treat ill people and not illnesses. Without clinical experience, medical practice can be tyrannized by evidence-based medicine that can become inapplicable or inappropriate. Without evidence-based medicine, medical practice will not be updated, limiting our professional skills (Rev Méd Chile 2005; 133: 1252-8)