Since the first articles by Sackett in the 1990s (Sackett and Rosenberg 1995), evidence based medicine (EBM) has developed considerably. Defined as "the integration of the best research evidence with clinical expertise and patients' values", EBM is an attempt to improve the care of our patients.
There are certain misconceptions about EBM. It is not a standard recipe and there are no standard patient and individual factors that have to be taken into account for definite decisions to be made. EBM is also not an exclusive concept, neither is it a sophisticated "l'art pour l'art" for specialists. If EBM were only practiced by specialists, it would be dead - EBM should thrive in daily practice. Last but not least, EBM is not a cost regulating instrument. Often, the best documented therapies - like biologics - are the most expensive ones.
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