Evidence-Based Medicine and Practice Quiz

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Questions and Answers

What was the year when evidence-based medicine was introduced?

  • 1972
  • 2002
  • 1992 (correct)
  • 2012

Which of the following is NOT an argument for the benefits of evidence-based practice?

  • Inefficient use of resources (correct)
  • Stop ineffective practices
  • Avoid (or decrease) biases from clinical experience alone
  • Promotes inquiry and continual improvement

What does evidence-informed practice arise from?

  • Evidence-based practice only
  • Evidence-based medicine only
  • Unsystematic clinical experience
  • Evidence-based medicine and evidence-based practice (correct)

What did Archie Cochrane observe about treatment decisions in 1972?

<p>Treatment decisions were based on intuition and unsystematic clinical experience (B)</p> Signup and view all the answers

What is one of the benefits of evidence-based practice according to the text?

<p>Improved clinical care (D)</p> Signup and view all the answers

What gap does evidence-informed practice aim to address?

<p>17 (B)</p> Signup and view all the answers

What does evidence-informed practice aim to stop?

<p>Ineffective practices (treatments, diagnostic tools) (B)</p> Signup and view all the answers

Which source does evidence-based practice promote the use of?

<p>More credible sources than 'just google it' (B)</p> Signup and view all the answers

What did the introduction of evidence-based medicine shift away from?

<p>'Intuition, unsystematic clinical experience, and pathophysiologic rationale' (B)</p> Signup and view all the answers

What does evidence-based practice aim to improve within/across professions?

<p>Consistency, communication and collaboration (B)</p> Signup and view all the answers

What type of studies ask if there is a relationship between a risk factor and an outcome?

<p>Observational studies (A)</p> Signup and view all the answers

What strengthens the cause-effect relationship when there are examples of well-established causes that are analogous to the one in question?

<p>Analogy (B)</p> Signup and view all the answers

What type of studies compare the effect of different interventions in an individual patient?

<p>$N$ of 1 studies (B)</p> Signup and view all the answers

What is used to combine the results of multiple studies?

<p>Systematic reviews and meta-analyses (A)</p> Signup and view all the answers

"Biological plausibility strengthens the relationship between cause and effect if the cause-effect relationship is consistent with our current understanding of disease mechanisms." What is a challenge to biological plausibility?

<p>Homeopathy and energy medicine (D)</p> Signup and view all the answers

What is strong evidence for a cause-effect relationship?

<p>One cause leads to one effect (specificity) (A)</p> Signup and view all the answers

What do observational studies ask?

<p>If there is a relationship between a risk factor and an outcome (D)</p> Signup and view all the answers

What do experimental studies do?

<p>Do something to the patient and observe the result (D)</p> Signup and view all the answers

What do systematic reviews and meta-analyses do?

<p>Combine the results of multiple studies (A)</p> Signup and view all the answers

What is the process of evidence-based practice (EBP)?

<p>Ask, Acquire, Appraise, Apply, Assess (C)</p> Signup and view all the answers

What is the main concern about undermining naturopathic philosophy with EBP?

<p>Less individualization and loss of the 'art' of practice (B)</p> Signup and view all the answers

What is critical appraisal in the context of EBP?

<p>Systematically examining research evidence to judge its trustworthiness and value (D)</p> Signup and view all the answers

What is the difference between correlation and causation?

<p>Correlation measures the relationship between variables; causation implies a direct cause-and-effect relationship (A)</p> Signup and view all the answers

What does bias refer to in research?

<p>Anything that systematically influences the conclusion or distorts comparisons (A)</p> Signup and view all the answers

What are the principles of causation in research?

<p>Temporality, strength, dose-response, reversibility, considerations for confounding (D)</p> Signup and view all the answers

What is a confounding variable in research?

<p>An additional variable causing a change in the dependent variable (C)</p> Signup and view all the answers

What is empirical method in acquiring knowledge?

<p>Acquiring knowledge through observation and experimentation (A)</p> Signup and view all the answers

What do gold standard studies represent in EBP?

<p>Expensive studies that are considered highly reliable for evidence-based practice (C)</p> Signup and view all the answers

What is one of the misconceptions about Evidence-Based Practice (EBP)?

<p>Reduction of treatment options for under-studied modalities (C)</p> Signup and view all the answers

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Study Notes

  • Against the Evidence-Based Practice (EBP) approach, a practitioner uses only proven effective modalities or treatments
  • Misconceptions about EBP: reduction of treatment options for under-studied modalities, challenging to study complex clinical situations, and exclusion of factors that can't be applied to complex clinical situations
  • Concerns about undermining naturopathic philosophy: less individualization, loss of the 'art' of practice
  • Studies show an average improvement, but it doesn't guarantee patient benefit
  • Gold standard studies are expensive and don't always exist, reducing emphasis on professional judgement and creativity
  • Evidence-based practice (EBP) process: Ask, Acquire, Appraise, Apply, Assess
  • Critical appraisal: systematically examining research evidence to judge its trustworthiness and value
  • Empirical method of acquiring knowledge through observation and experimentation
  • Correlation: measurement of the size and direction of the relationship between two variables
  • Causation: relationship where one variable (independent variable) causes the other (dependent variable)
  • Confounding variable: an additional variable causing a change in the dependent variable
  • Bias: anything that systematically influences the conclusion or distorts comparisons, including selection, performance, attrition, detection, and observation
  • Principles of causation: temporality, strength, dose-response, reversibility, and considerations for confounding.

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