Ces Urol 2011, 15(1):10-14 | DOI: 10.48095/cccu2011003

Evidence based medicine

Petr Běhounek, Milan Hora, Jiří Klečka

Urologická klinika LF UK a FN, Plzeň

Běhounek P, Hora M, Klečka J. Evidence based medicine EBM (evidence based medicine) is a modern direction in the international medicine. It deals with scientific evidence and its hierarchy. This system of scientific findings and their application to the clinical practice should become in future the basis for treatment of every patient. This article reveals the issue of EBM and emphasis the importance of this topic in medicine. It deals in detail with the hierarchy of evidence and thus its validity for the clinical practice. It also mentions several units which are already functional (e.g. within the evidence based guidelines) as well as some drawbacks which prevents the system EBM from implementing into routine clinical practice (e.g. insufficient systematization of evidence and subsequently insufficient accessibility for doctors). In conclusion, it emphasis the fact that EBM is the only objective way to the correct treatment of a patient.

Keywords: EBM (evidence based medicine), level of evidence, grade of recommendations, trials, metaanalysis, guidelines

Received: January 5, 2010; Accepted: June 24, 2010; Published: January 1, 2011