Evidence-based clinical decision making during the COVID-19 pandemic

Keywords: Evidence-based medicine, Clinical decision-making, COVID-19

Abstract

The COVID-19 pandemic is a difficult scenario for clinical decision making. Therefore, this paper aims to explain healthcare practitioners some basic concepts about evidence-based decision making with respect on doing or not doing a given intervention. For this, firstly we will discuss in which cases an evidence-based decision making process in necessary. Then, some previous concepts will be clarified (decision making based on pathophysiological plausibility, observations made during clinical practice, clinical evidence, as well as the influence from the pharmaceutical industry). Afterwards steps for evidence-based decision making will be described: Asking a question, looking for references answering this question, critically assess such references, understand the underlying logic for decision making, prepare for decisionmaking, make a balance (benefit, harm, and cost), perform a shared decision making process and reassess the evidence.

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Published
2020-10-02
How to Cite
1.
Taype-Rondan A, Goicochea-Lugo S. Evidence-based clinical decision making during the COVID-19 pandemic. Acta Med Peru [Internet]. 2020Oct.2 [cited 2020Oct.25];37(3). Available from: http://www.amp.cmp.org.pe/index.php/AMP/article/view/1043
Section
SPECIAL ARTICLES