Balancing evidence-based care with patient-centered individualized care.
J Vasc Surg Venous Lymphat Disord
; 11(6): 1089-1094, 2023 11.
Article
em En
| MEDLINE
| ID: mdl-37689363
ABSTRACT
Weak evidence, when manifested in clinical guidelines, can translate into biased vascular care. In vascular surgery, we have few randomized controlled trials with appropriate representation of females and persons of color, so generalizability of trial results can be problematic. Physicians are required to balance evidenced-based care (which is only as good as the underlying evidence) with personalized treatment recommendations that are often based on demographics, social circumstances, and/or existing therapeutic relationships. Biases, whether implicit or explicit, have an oversized effect on treatment decisions, and patient outcomes. In this commentary, we propose three principles to strengthen the vascular surgery evidence foundation and patient-centered decision-making going forward (1) generating evidence designed for individualized care, (2) constructing clinical guidelines that are context specific and complexity aware, and (3) strengthening the training and support for surgeons to deliver patient-centered individualized care.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Médicos
/
Medicina Baseada em Evidências
Tipo de estudo:
Clinical_trials
/
Guideline
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
J Vasc Surg Venous Lymphat Disord
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Nova Caledônia