Evidence-based medicine as Bayesian decision-making.

Abstract:

:We review two recent trends: the emergence of evidence-based medicine and the growing use of Bayesian statistics in medical applications. Evidence-based medicine requires an integrated assessment of the available evidence, and associated uncertainty, but there is also an emphasis on decision-making, for individual patients, or at other points in the health-care system. This demands consideration of the values and costs associated with potential outcomes. We argue that the natural statistical framework for evidence-based medicine is a Bayesian approach to decision-making that incorporates an integrated summary of the available evidence and associated uncertainty with assessment of utilities. We outline a practical agenda for further development.

journal_name

Stat Med

journal_title

Statistics in medicine

authors

Ashby D,Smith AF

doi

10.1002/1097-0258(20001215)19:23<3291::aid-sim627>

subject

Has Abstract

pub_date

2000-12-15 00:00:00

pages

3291-305

issue

23

eissn

0277-6715

issn

1097-0258

pii

10.1002/1097-0258(20001215)19:23<3291::AID-SIM627>

journal_volume

19

pub_type

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