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EPO or not-EPO? An evidence based informed consent
- Source :
- The International journal of artificial organs. 27(4)
- Publication Year :
- 2004
-
Abstract
- Background Informed consent is crucial in therapeutic choices; however, the forms presented to patients are often locally developed and information may not be homogeneous. Objective To prepare an evidence-based model for informed consent, applied in the case of erythropoietin therapy (EPO) as a teaching tool for medical students. Methods Methodological tools of Evidence-Based Medicine (EBM) were developed within the EBM Course in the Medical School of Torino, Italy, as problem solving and patient information tools (5th year students work in small groups under the supervision of statisticians, epidemiologists and experts of internal medicine - nephrology in this case). Results Methodological and ethical problems were identified: in the pre-dialysis field, evidence from randomized clinical trials (RCT) is scant; how to use evidence gathered in dialysis? How to deal with implementation? How with the mass media? Do we need to discuss the drug choice with the patients? How to deal with rare and severe side effects?). The “evidence” was searched for on Medline/Embase, by using key-words and free terms. About 680 papers were retrieved and screened. Forms available on the Internet were retrieved and a general scheme was drawn: it included 5 areas: title, aim and targets (patients and family physicians); search strategies and updating; pros and cons of therapy; alternative options; open questions. Conclusions EBM may offer valuable tools for systematically approaching patient information; the inclusion of this kind of exercise in the Medical School EBM courses may help enhance the awareness of future physicians of the correct communication with patients.
- Subjects :
- Male
medicine.medical_specialty
Evidence-based practice
030232 urology & nephrology
Biomedical Engineering
Medicine (miscellaneous)
Bioengineering
030204 cardiovascular system & hematology
Risk Assessment
Biomaterials
03 medical and health sciences
0302 clinical medicine
Informed consent
Renal Dialysis
medicine
Humans
Intensive care medicine
Erythropoietin
Schools, Medical
Aged
Evidence-Based Medicine
Informed Consent
business.industry
Medical school
General Medicine
Evidence-based medicine
Middle Aged
Recombinant Proteins
Surgery
Italy
Nephrology
Female
business
Education, Medical, Undergraduate
Subjects
Details
- ISSN :
- 03913988
- Volume :
- 27
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The International journal of artificial organs
- Accession number :
- edsair.doi.dedup.....0543a0b20c06b283db1f5a49a9a7da8c