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

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 case...

Descripción completa

Detalles Bibliográficos
Autores: Taype-Rondan, Alvaro, Goicochea-Lugo, Sergio, Taype-Rondan, Álvaro
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Perú
Institución:Colegio Médico del Perú
Repositorio:Acta Médica Peruana
Idioma:español
OAI Identifier:oai:amp.cmp.org.pe:article/1043
Acceso en línea:https://amp.cmp.org.pe/index.php/AMP/article/view/1043
Access Level:acceso abierto
Palabra clave:Medicina basada en la evidencia
Toma de decisiones clínicas
COVID-19
Evidence-based medicine
Clinical decision-making
Descripción
Sumario: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.