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What is the evidence? Evidence-based medicine, or EBM which slips
off the tongue more readily, seeks to offer proof that what we
offer patients whenever we treat them, do a diagnostic test, or
recommend anything from an operation to change in life style, is
known to be effective. Fifty to 100 years ago, health care was
delivered patchily, much less of it was effective, and was based on
an image of a kindly doctor treating the sick, who were glad of
whatever help could be offered. Now, medicine is effective and
whether you look at it as major government expense or big business
in private health care insurance, there is no sense in spending
money on ineffective treatments, while we do not have enough to
spend on what is of proven worth. Individual doctors cannot read
everything and cannot possibly synthesise what they do read, so
that they are aware of what is proven to be effective and what
probably is not. The "The Evidence for ..." series seeks to fill
that need. Into "The Evidence for Cardiothoracic Surgery" we have
commissioned systematic reviews of the common operations and some
innovative treatments, to present the facts to busy doctors. Where
is there and where is there not evidence?
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