The role of epidemiological evidence in providing care for individual patients

Yvo M. Smulders, Marcel Levi, Coen D A Stehouwer, Mark H H Kramer, Abel Thijs

Research output: Contribution to journalArticleProfessional

Abstract

Evidence-based medicine is increasingly being viewed as a sine-qua-non for the modern and high-quality practice of medicine. 'Evidence' refers to the availability of epidemiological research. In this paper, we discuss a number of limitations of over-emphasis on epidemiological evidence. We focus on the availability, reliability and applicability of epidemiological evidence in the context of individualised medicine. We conclude that relying excessively on epidemiological evidence is a danger that we are insufficiently aware of. The implications of our conclusions for patient care and health policy are discussed. We propose that epidemiological evidence should be used for benchmarking average care provided by doctors working alone or in group practices, but not for benchmarking care provided to individual patients.

Translated title of the contributionThe role of epidemiological evidence in providing care for individual patients
Original languageDutch
Article numberA1910
Pages (from-to)892-896
Number of pages5
JournalNederlands Tijdschrift voor Geneeskunde
Volume154
Issue number19
Publication statusPublished - 2010

Cite this

@article{0f7252ff70364c448a8b6a607ad64da0,
title = "De rol van epidemiologisch bewijs in de zorg voor individuele pati{\"e}nten.",
abstract = "Evidence-based medicine is increasingly being viewed as a sine-qua-non for the modern and high-quality practice of medicine. 'Evidence' refers to the availability of epidemiological research. In this paper, we discuss a number of limitations of over-emphasis on epidemiological evidence. We focus on the availability, reliability and applicability of epidemiological evidence in the context of individualised medicine. We conclude that relying excessively on epidemiological evidence is a danger that we are insufficiently aware of. The implications of our conclusions for patient care and health policy are discussed. We propose that epidemiological evidence should be used for benchmarking average care provided by doctors working alone or in group practices, but not for benchmarking care provided to individual patients.",
author = "Smulders, {Yvo M.} and Marcel Levi and Stehouwer, {Coen D A} and Kramer, {Mark H H} and Abel Thijs",
year = "2010",
language = "Dutch",
volume = "154",
pages = "892--896",
journal = "Nederlands Tijdschrift voor Geneeskunde",
issn = "0028-2162",
publisher = "Bohn Stafleu van Loghum",
number = "19",

}

De rol van epidemiologisch bewijs in de zorg voor individuele patiënten. / Smulders, Yvo M.; Levi, Marcel; Stehouwer, Coen D A; Kramer, Mark H H; Thijs, Abel.

In: Nederlands Tijdschrift voor Geneeskunde, Vol. 154, No. 19, A1910, 2010, p. 892-896.

Research output: Contribution to journalArticleProfessional

TY - JOUR

T1 - De rol van epidemiologisch bewijs in de zorg voor individuele patiënten.

AU - Smulders, Yvo M.

AU - Levi, Marcel

AU - Stehouwer, Coen D A

AU - Kramer, Mark H H

AU - Thijs, Abel

PY - 2010

Y1 - 2010

N2 - Evidence-based medicine is increasingly being viewed as a sine-qua-non for the modern and high-quality practice of medicine. 'Evidence' refers to the availability of epidemiological research. In this paper, we discuss a number of limitations of over-emphasis on epidemiological evidence. We focus on the availability, reliability and applicability of epidemiological evidence in the context of individualised medicine. We conclude that relying excessively on epidemiological evidence is a danger that we are insufficiently aware of. The implications of our conclusions for patient care and health policy are discussed. We propose that epidemiological evidence should be used for benchmarking average care provided by doctors working alone or in group practices, but not for benchmarking care provided to individual patients.

AB - Evidence-based medicine is increasingly being viewed as a sine-qua-non for the modern and high-quality practice of medicine. 'Evidence' refers to the availability of epidemiological research. In this paper, we discuss a number of limitations of over-emphasis on epidemiological evidence. We focus on the availability, reliability and applicability of epidemiological evidence in the context of individualised medicine. We conclude that relying excessively on epidemiological evidence is a danger that we are insufficiently aware of. The implications of our conclusions for patient care and health policy are discussed. We propose that epidemiological evidence should be used for benchmarking average care provided by doctors working alone or in group practices, but not for benchmarking care provided to individual patients.

UR - http://www.scopus.com/inward/record.url?scp=77953268905&partnerID=8YFLogxK

M3 - Article

VL - 154

SP - 892

EP - 896

JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

SN - 0028-2162

IS - 19

M1 - A1910

ER -