The Moseley study found no significant difference between those in the arthroscopic lavage and debridement arm of the study and those in the sham surgery arm.
This process of developing EBM-based guidelines and applying them to clinical care highlights the tension between generating unbiased knowledge based on statistical aggregation and the application of this information to individual patients.
Elderly persons should not be excluded from participation in clinical trials for cardiovascular drugs since that population comprises the largest number of patients with cardiovascular disease.
Today’s great doctors are part of a long tradition of physicians who have valued the art of medicine and married attention to the patient with rigorous medical investigation.
Use of decision-support systems can improve quality of patient care in residency training programs if the resident physician users participate in the development and routine revision of those systems.