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Samenvatting Evidence Based Medicine - EBM
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Samenvatting EBM - evidence based medicine. Met deze samenvatting was ik geslaagd
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By: matissecallens • 3 year ago
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Evidence based medicine Systematisch zoeken naar
literatuur
EBM = methode van verzameling
en niet hardheid van bewijzen
Kine: KNGF-richtlijnen = leidraad door deskundigen opgesteld, gericht op inhoud
methodisch fysiotherapeutisch handelen bij bep gezondheidsproblemen en aspecten
van beroepsuitoef (Koninklijk Nederlandse Gemeenschap voor fysiotherapie)
o State of art fysiother. Handelen
o Handelen optimaliseren: volgens wetensch literatuur en afh van momenteel gekende
inzichten
6S piramide
Van pt naar evidentie: PICO vraag (H4)
Goede vraag: specifieke klinische vraag ifv hulpvraag = PICO / PECO
PICO/PECO
o Pt probleem aandoening
o Interventie, diagnostisch instrument, Exposure (=risicofactor)
o Comparison, placebo, controlegroep
o Outcome (meetbaar)
o Study designs (RCT, meta-analyse)
o => leidt bij pt interventie tot vermindering pijn vergeleken met comparison
Verschillende types vragen
o Behandeling
o Diagnose
o Prognose
o Etiologie (vaak C open
laten)
K!!!!
, Pt met chronische patellapeesontsteking. Ijsfrictie of warmte? Pt wil zo snel mog terug sport
hervatten
o P: patellapees
o I: warmte
o C: koude
o O: sport hervatten
Pt met knieklacht. Je denkt letsel voorste kruisband, welke test?
o P: knieklacht voorste kruisband
o I: diagnostisch instrument, test
o C: /
o O: betrouwbaarheid, bruikbaarheid, validiteit (test meet wat hij moet meten – roos)
Pt met acute lage rugpijn. Kleuterjuf die terug wilt werken. Je weet dat vele rugpijnen
chronisch worden
o P: acute lage rugpijn
o I: angst, bewegingsangst
o C:
o O : chornische ziekte, werkonbekwaamheid
Study Designs: H3
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