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Evidence-Guided Ophthalmology
Donald S. Fong, MD, MPH;
Frederick L. Ferris III, MD
Arch Ophthalmol. 2001;119:585-589.
One challenge for ophthalmologists entering the 21st century will be
to make clinical decisions based on valid information or evidence rather than
intuition, hearsay, or peer practice. The practice of ophthalmology has been
information based since its inception. However, before the development of
modern clinical study design and statistics, ophthalmologists had been applying
information from all sources to their practice, without regard to its quality.
Subconsciously, many practitioners may give equal weight to the printed word,
no matter the source. Because of an information explosion, ophthalmologists
must now pick and choose evidence from a mountain of published information.
How can this be done efficiently?
From the Departments of Ophthalmology, Southern California Permanente
Medical Group, Baldwin Park, and University of California at Los Angeles School
of Medicine (Dr Fong); and the Division of Biometry and Epidemiology, National
Eye Institute, National Institutes of Health, Bethesda, Md (Dr Ferris).
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