Abstract
Background Evidence-based medicine (EBM) is the conscientious and judicious use of the best data in the literature for optimal care of patients. This must go through four steps: (1) formulation of a clear clinical question, (2) research documented facts, (3) analysis of results and (4) application of results in clinical practice.
Methods Our choice of application was gallstones and complications because it is a frequent and complex pathology that requires several clinical questions. The experimental design was considered to be a non-comparative cohort study (patients were exposed to evidence-based medicine). It can also be considered as a feasibility study. In our application we took the following steps: (1) formulation of several clinical questions, (2) literature search in medline using MeSH and Cochrane library, (3) analysis of results through critical reading of collected articles, (4) calculation of percentage of patients for each clinical
situation and correlating it with the levels of evidence. Then we estimated the matching of our application with EBM by calculating the number of positive responses.
Conclusion As a conclusion we were able to apply EBM with some degrees of confidence. However, some limitations related to environmental factors are still present. We can overcome this problem by introducing an educational learning model.
Keywords
References
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