Interpreting journal articles: Practical tips for urologists
Whether he or she practices in a community or an academic setting, every urologist is faced with the routine challenge of sifting through a myriad of scientific articles each month.
What is evidence-based medicine?
One caveat: The application of EBM never takes place outside the context of an individual patient and his or her particular situation and, likewise, is never meant to be a substitute for sound clinical judgment. Instead, it should be viewed as melding judgment with best available evidence. The criticism that EBM is cookie-cutter medicine is contrary to the very definition of EBM.
Methodology of EBM
The EBM approach to critically appraising an article that relates to therapy involves a three-step process that addresses the following questions, in order:
Issues of randomization
Were the patients randomized? "Apples should be compared with apples and oranges should be compared with oranges." This adage is the basis and rationale for randomization.
Study finds disparities in management of mCSPC
April 17th 2024“These findings suggest that guideline recommended treatment intensification remains low for patients with mCSPC in both Medicare and the Veterans Health Administration, but especially for Black patients,” says Daniel J. George, MD.
