An approach to evidence-based clinical decision making during the COVID-19 pandemic

Detalhes bibliográficos
Autor(a) principal: Taype-Rondan, Alvaro
Data de Publicação: 2020
Outros Autores: Goicochea-Lugo , Sergio
Tipo de documento: preprint
Idioma: spa
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/482
Resumo: The COVID-19 pandemic presents us with a difficult context for clinical decision making. In this scenario, this article aims to explain some fundamental concepts about evidence-based decision making. For this purpose, we will first discuss when to carry out an evidence-based decision-making process. Then certain previous concepts will be clarified (decision-making based on pathophysiological plausibility, observations made during clinical practice, indirect clinical evidence, and direct clinical evidence; as well as the influence of the pharmaceutical industry). Next, the following steps are presented to make evidence-based decisions: Ask a question, search for studies that answer that question, critically read these studies, understand the logic of decision-making, prepare to make the decision, bake a balance (between benefits, harms and costs), carry out a shared decision-making process, and reevaluate the evidence.
id SCI-1_5ff542ab64c77211d3ebe6d5b213d2b1
oai_identifier_str oai:ops.preprints.scielo.org:preprint/482
network_acronym_str SCI-1
network_name_str SciELO Preprints
repository_id_str
spelling An approach to evidence-based clinical decision making during the COVID-19 pandemicAproximación a la toma de decisiones clínicas basadas en evidencias durante la pandemia de COVID-19Evidence-Based Medicine, Clinical Decision-Making, COVID-19Medicina Basada en la Evidencia, Toma de Decisiones Clínicas, COVID-19The COVID-19 pandemic presents us with a difficult context for clinical decision making. In this scenario, this article aims to explain some fundamental concepts about evidence-based decision making. For this purpose, we will first discuss when to carry out an evidence-based decision-making process. Then certain previous concepts will be clarified (decision-making based on pathophysiological plausibility, observations made during clinical practice, indirect clinical evidence, and direct clinical evidence; as well as the influence of the pharmaceutical industry). Next, the following steps are presented to make evidence-based decisions: Ask a question, search for studies that answer that question, critically read these studies, understand the logic of decision-making, prepare to make the decision, bake a balance (between benefits, harms and costs), carry out a shared decision-making process, and reevaluate the evidence.La pandemia por COVID-19 nos presenta un contexto difícil para la toma de decisiones clínicas. En este escenario, el presente artículo tiene por objetivo explicar algunos conceptos fundamentales sobre la toma de decisiones basadas en evidencias. Para ello, primero se discutirá cuándo realizar un proceso de toma de decisiones basadas en evidencias. Luego se aclararán ciertos conceptos previos (toma de decisiones en base a la plausibilidad fisiopatológica, las observaciones realizadas durante la práctica clínica, la evidencia clínica indirecta y la evidencia clínica directa; así como la influencia de la industria farmacéutica). Seguidamente, se presentan los pasos para tomar decisiones basadas en evidencias: Formular una pregunta, buscar los estudios que respondan a dicha pregunta, leer críticamente dichos estudios, entender la lógica de la toma de decisiones, prepararse para tomar la decisión, realizar el balance (entre los beneficios, daños y costos), realizar un proceso de toma de decisiones compartidas, y reevaluar la evidencia.SciELO PreprintsSciELO PreprintsSciELO Preprints2020-05-16info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/48210.1590/SciELOPreprints.482spahttps://preprints.scielo.org/index.php/scielo/article/view/482/608Copyright (c) 2020 Alvaro Taype-Rondan, Sergio Goicochea-Lugo https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessTaype-Rondan, AlvaroGoicochea-Lugo , Sergioreponame:SciELO Preprintsinstname:SciELOinstacron:SCI2020-05-15T01:03:54Zoai:ops.preprints.scielo.org:preprint/482Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2020-05-15T01:03:54SciELO Preprints - SciELOfalse
dc.title.none.fl_str_mv An approach to evidence-based clinical decision making during the COVID-19 pandemic
Aproximación a la toma de decisiones clínicas basadas en evidencias durante la pandemia de COVID-19
title An approach to evidence-based clinical decision making during the COVID-19 pandemic
spellingShingle An approach to evidence-based clinical decision making during the COVID-19 pandemic
Taype-Rondan, Alvaro
Evidence-Based Medicine, Clinical Decision-Making, COVID-19
Medicina Basada en la Evidencia, Toma de Decisiones Clínicas, COVID-19
title_short An approach to evidence-based clinical decision making during the COVID-19 pandemic
title_full An approach to evidence-based clinical decision making during the COVID-19 pandemic
title_fullStr An approach to evidence-based clinical decision making during the COVID-19 pandemic
title_full_unstemmed An approach to evidence-based clinical decision making during the COVID-19 pandemic
title_sort An approach to evidence-based clinical decision making during the COVID-19 pandemic
author Taype-Rondan, Alvaro
author_facet Taype-Rondan, Alvaro
Goicochea-Lugo , Sergio
author_role author
author2 Goicochea-Lugo , Sergio
author2_role author
dc.contributor.author.fl_str_mv Taype-Rondan, Alvaro
Goicochea-Lugo , Sergio
dc.subject.por.fl_str_mv Evidence-Based Medicine, Clinical Decision-Making, COVID-19
Medicina Basada en la Evidencia, Toma de Decisiones Clínicas, COVID-19
topic Evidence-Based Medicine, Clinical Decision-Making, COVID-19
Medicina Basada en la Evidencia, Toma de Decisiones Clínicas, COVID-19
description The COVID-19 pandemic presents us with a difficult context for clinical decision making. In this scenario, this article aims to explain some fundamental concepts about evidence-based decision making. For this purpose, we will first discuss when to carry out an evidence-based decision-making process. Then certain previous concepts will be clarified (decision-making based on pathophysiological plausibility, observations made during clinical practice, indirect clinical evidence, and direct clinical evidence; as well as the influence of the pharmaceutical industry). Next, the following steps are presented to make evidence-based decisions: Ask a question, search for studies that answer that question, critically read these studies, understand the logic of decision-making, prepare to make the decision, bake a balance (between benefits, harms and costs), carry out a shared decision-making process, and reevaluate the evidence.
publishDate 2020
dc.date.none.fl_str_mv 2020-05-16
dc.type.driver.fl_str_mv info:eu-repo/semantics/preprint
info:eu-repo/semantics/publishedVersion
format preprint
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://preprints.scielo.org/index.php/scielo/preprint/view/482
10.1590/SciELOPreprints.482
url https://preprints.scielo.org/index.php/scielo/preprint/view/482
identifier_str_mv 10.1590/SciELOPreprints.482
dc.language.iso.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://preprints.scielo.org/index.php/scielo/article/view/482/608
dc.rights.driver.fl_str_mv Copyright (c) 2020 Alvaro Taype-Rondan, Sergio Goicochea-Lugo
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Alvaro Taype-Rondan, Sergio Goicochea-Lugo
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
SciELO Preprints
publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
SciELO Preprints
dc.source.none.fl_str_mv reponame:SciELO Preprints
instname:SciELO
instacron:SCI
instname_str SciELO
instacron_str SCI
institution SCI
reponame_str SciELO Preprints
collection SciELO Preprints
repository.name.fl_str_mv SciELO Preprints - SciELO
repository.mail.fl_str_mv scielo.submission@scielo.org
_version_ 1797047817809690624

Registros relacionados