Using evidence for the individual patient

The evidence that we have from systematic reviews and meta-analyses tells us how an intervention works in general in the average patient. This is important when large-scale estimates are made regarding, for example, the cost-effectiveness of drugs. However, when making treatment plans for an individual patient, this kind of evidence forms only one part of the information that is needed for appropriate decision making. The patient (e.g. age, gender, other diseases and medications, organ function, financial capacity) will form the framework within which various treatment options are balanced for benefit and harm. It is well known that patients do generally better in RCTs than in normal clinical practice. This may be due to the usually strict entrance criteria. However, there are many factors in the RCTs (patient information, regular appointments and other contacts, true patient participation, encouragement) that could be used to improve clinical outcomes.

Natural Pain Management

Natural Pain Management

Do You Suffer From Chronic Pain? Do You Feel Like You Might Be Addicted to Pain Killers For Life? Are You Trapped on a Merry-Go-Round of Escalating Pain Tolerance That Might Eventually Mean That No Pain Killer Treats Your Condition Anymore? Have you been prescribed pain killers with dangerous side effects?

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