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Vetting the evidence: evidence-based veterinary medicine

Vetting the evidence: evidence-based veterinary medicine . Tom Roper, Head of RCVS Library & Information Service EAHIL Workshop, Alghero, 7-9 June 2001. Evidence-based veterinary medicine (EBVM).

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Vetting the evidence: evidence-based veterinary medicine

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  1. Vetting the evidence: evidence-based veterinary medicine Tom Roper, Head of RCVS Library & Information Service EAHIL Workshop, Alghero, 7-9 June 2001 RCVS Library & Information Service

  2. Evidence-based veterinary medicine (EBVM) • EBVM has been slow to develop in the animal health world: witness the results of a PubMed search (June 2001) • Search for EBM: 5822 references • Search for EBVM: 17 references RCVS Library & Information Service

  3. The informed client: Increasing access to information Crisis of public confidence in the health professions Government expectations Veterinarians Increasing pressure to keep up to date; Revalidation CPD Need to demonstrate basis of decisions to clients Increasing interest in EBVM (1) RCVS Library & Information Service

  4. Growing understanding of the economic importance of animal health: UK experience: BSE, FMD zoönoses Scientific advances: Complicated and expensive procedures now possible in animals (eg organ transplantation) Are these: Effective? Economically justifiable? Increasing interest in EBVM (2) RCVS Library & Information Service

  5. Why the slow take up of EBVM?Some hypotheses (1): • Absence of economic drivers? Unlikely: UK animal health care is increasingly funded by insurers, who have an interest in only paying for procedures which have clear benefits RCVS Library & Information Service

  6. Why the slow take up of EBVM?Some hypotheses (2) • The evidence isn’t there • Absence of methodologically rigorous large scale studies: • Smith RD Veterinary clinical research: a survey of epidemiologic study designs and clinical issues appearing in a practice journal Acta Vet Scand Suppl 1988;84:504-6 RCVS Library & Information Service

  7. A solution? • Medical Research Council Comparative Clinical Studies Panel • Aims • To provide a strategic focus for veterinary research, especially clinical research, and promote comparative medicine • Secure an evidence base for the practice of veterinary medicine RCVS Library & Information Service

  8. Comparative Clinical Studies Panel • Funded by a levy on the beneficiaries of veterinary research • Trial period of 5-7 years • Endorsed by Medical Research Council and Chairman of the Higher Education Funding Council RCVS Library & Information Service

  9. For more information, and a copy of our resource list • Visit our web site: • http://www.rcvslibrary.org.uk/ebvm.html • E-mail me: t.roper@rcvs.org.uk • Leave your business card in the pocket below RCVS Library & Information Service

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