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Evidence Based Veterinary I

In Imacardio we firmly believe that a veterinarian and a quality veterinary cardiology pass as close as possible to the principles of Veterinary Medicine Based on Evidence. To clarify what this concept means to explain everything here on this current of opinion.


When faced with a clinical problem, the vet finds a multitude of questions, which must find the answer. Usually the solution is to use the experience and medical knowledge accumulated, either personally or by consulting a more experienced colleague. In case this is not enough, refer to textbooks and extraordinarily read a recent review published in a veterinary journal.





However, this classical approach, although widely practiced, is not the most appropriate. Generalize from the experience is not systematic, self-employed persons, and obtained from a limited number of cases it may be dangerous and often lead to errors. Textbooks are often based on outdated references and reviews published in scientific journals, often of little use to solve specific clinical problems.

Veterinary science is fraught with unacceptable variations in medical practice and only a minority of procedures for daily use are supported by reliable scientific studies.

This situation also occurred in human medicine which led a group of doctors from McMaster University to start a new movement within the teaching and practice of medicine, which they called "Evidence Based Medicine (EBM). In veterinary medicine the term first appears in "The Veterinary Records" in 1998 in letters which discussed the application of EBM in veterinary medicine. In 2003 he published "Evidence-Based Handbook VeterinaryMedicine od" by Peter Cockcroft and Mark A. Holmes


Although the concept is not new, this event appears linked to the introduction of statistical and epidemiological methods in medical practice, development of tools for the systematic literature review and critical evaluation of scientific literature as a way to grade their usefulness and validity.

But what is the evidence-based medicine?


evidence-based medicine, not evidence - the English word meaning evidence not proof or evidence, which has the "evidence" English ", is one approach to clinical problems. In the EBM used to solve these research results generated by scientific. In the words of his predecessors is the use thorough, judicious and explicit statement of current best evidence in making decisions about patient care. "


In medical practice is still an empirical measures introduced and accepted uncritically apparent. The intention of evidence-based medicine is that this practice conforms to clinical research available so that, once located and evaluated by the physician or veterinarian, be applied to improve patient care and their own practice.

And how do you practice evidence-based medicine?

we must continue to practice five steps: 1 .-

accurately formulate a question from the patient's clinical problem.

To formulate a question correctly we must reduce it to clear and precise terms, this can be accomplished in a scheme that, in English, called PICO.
P (Patient Population): What is the patient and / or what is the problem of interest.
I (Intervention): What is the treatment or procedure that we consider
C (Comparison): Faced with that alternative treatment we consider
O (Outcomes): What is the result of the intervention.

2.-Locate
the available evidence in the literature.

At this point we must decide the most appropriate source of information.
Depending on the clinical question that we have raised, we need to find a particular type of test. Most find the answers in the form of research papers. The type of questions (etiology, diagnosis, treatment ...)
determine the methodology that should have the item and, therefore, the font where it should look.
At other times we need to collect a lot of research evidence, such as systematic reviews ometanalisis. These are not always published in the usual format of articles, but as monographs or special collections.

Search Help Internet Reference:
There are many interesting databases but probably the most powerful and effective as MEDLINE, easily accessible through PubMed, obviously most of the items are in human medicine but few correct parameters search you can find appropriate information for our purposes.
Other databases are: CAB Direct, AGRICOLA, IVIS oCONSULTANT.
refine a search to find the information may seem laborious but practice makes that in a short time, we get used to restrict and find the most appropriate terms. Continued on

Veterinary Medicine Evidence Based II