Further medical experience will be required to validate these results: How experience -based medicine shapes the validity of medical evidence

Darius Bagli; Katherine W Herbst; Luke Harper; Goedele Beckers; Martin Kaefer; Nicolas Kalfa; Magdalena Fossum; ESPU research committee

doi:10.1016/j.jpurol.2019.10.022

Further medical experience will be required to validate these results: How experience -based medicine shapes the validity of medical evidence

J Pediatr Urol. 2020 Feb;16(1):112-113. doi: 10.1016/j.jpurol.2019.10.022. Epub 2019 Nov 14.

Authors

Darius Bagli¹, Katherine W Herbst², Luke Harper³, Goedele Beckers⁴, Martin Kaefer⁵, Nicolas Kalfa⁶, Magdalena Fossum⁷; ESPU research committee

Affiliations

¹ Division of Urology, Departments of Surgery and Physiology, University of Toronto, Developmental and Stem Cell Biology, The Hospital for Sick Children and Research Institute, Toronto, Ontario, Canada.
² Division of Urology, Department of Research, Connecticut Children's Medical Center, Hartford, CT, United States.
³ Service de Chirurgie Pédiatrique, Hôpital Pellegrin-Enfants, CHU de Bordeaux, France.
⁴ Department of Urology, Pediatric Urology Section, Amsterdam University Medical Centre Location VUmc, Amsterdam, the Netherlands.
⁵ Riley Hospital for Children, Indiana University, Indianapolis, IN, United States.
⁶ Chirurgie et Urologie Pédiatrique, Hôpital Lapeyronie, CHU de Montpellier, Université, de Montpellier, France.
⁷ Department of Pediatric Surgery, Surgical Clinic C, Copenhagen University Hospital Rigshospitalet, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark and Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden. Electronic address: Magdalena.fossum@ki.se.

PMID: 31836435
DOI: 10.1016/j.jpurol.2019.10.022

Abstract

This communication contextualizes the importance of clinical experience or experience-based medicine within the current paradigm of evidence-based medicine, complementing our previously published series of five short educational articles on evidence-based medicine. Previously we focused on optimizing medical decisions using publications of well-conducted research. Previous commentaries included a backgrounder, the hierarchy of evidence, data acquisition, tools for critical appraisal, and clinical use of evidence based medicine.

Keywords: Confounding; Double-blind randomized controlled trial; Evidence-based medicine; Experienced-based medicine; Fragility index; Gold-standard.

MeSH terms

Evidence-Based Medicine / standards*
Humans
Reproducibility of Results