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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 4/2014

01-04-2014 | Multimorbidity Symposium

Evidence-Based Medicine and the Hard Problem of Multimorbidity

Authors: Cynthia M. Boyd, MD, MPH, David M. Kent, MD, CM, MSc

Published in: Journal of General Internal Medicine | Issue 4/2014

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Excerpt

Evidence-based medicine (EBM) rests on the proposition that questions in clinical medicine can be formalized, or reduced, into statistical questions. In the reductionist tradition, these statistical questions can then be addressed by studies designed to isolate the effect of a single exposure (typically an intervention) on a single disease outcome. While the results directly address the statistical question, inferences derived from the results are applied back to the complex clinical realm—where generalists live. …
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Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. 2005;294(6):716–24.PubMedCrossRef
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Uhlig K, Leff B, Kent DM, Dy S, Brunnhuber K, Burgers J, Greenfield S, Guyatt G, High K, Leipzig R, Mulrow C, Schmader K, Schunemann H, Walter L, Woodcock J, Boyd CM. A framework for making clinical practice guidelines more relevant to the care and management of people with multimorbidity. JGIM. 2013, doi:10.​1007/​s11606-013-2659-y.
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Metadata
Title
Evidence-Based Medicine and the Hard Problem of Multimorbidity
Authors
Cynthia M. Boyd, MD, MPH
David M. Kent, MD, CM, MSc
Publication date
01-04-2014
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 4/2014
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-013-2658-z

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