Evidence-based medicine - problems and implementation in geriatrics
Journal/Book: Z Gerontol Geriatrie. 2000; 33: Platz der Deutschen Einheit 25, D-64293 Darmstadt, Germany. Dr Dietrich Steinkopff Verlag. 102-110.
Abstract: Thr use of evidence-based medicine (EBM) in the field of geriatrics races some specific problems. Deficits in representation of older people in medical trials and the attitude of the majority of patients and their physicians considering disease as normal aging counteract successful implementation. EBM is also feasible in older patients after some adjustments without dropping the principles of the method or the preferences of patients, thus, resulting in improvement in diagnostic and therapeutic decisions. The methods are exemplified in the use of prophylactic antibiotics in endoscopic gastrostomy, a relevant geriatric problem with practical consequences.
Note: Article Pientka L, Augusta Kranken Anstalt, Med Geriat Klin, Dr C Otto Str 27, D-44879 Bochum, GERMANY
Keyword(s): evidence-based medicine; methods; antibiotics; endoscopic gastrostomy; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; ACUTE MYOCARDIAL-INFARCTION; ANTIBIOTIC-PROPHYLAXIS; CLINICAL-TRIALS; DOUBLE-BLIND; ELDERLY PEOPLE; HEALTH-CARE; THERAPY; COLLABORATION; PREVENTION