The fundamental principle of evidence-based medicine is thatclinical practice should rest on a sound scientific foundationestablished by clinical studies involving human subjects. Thelevel of evidence needed for the adoption of new therapies shouldvary according to the clinical situation, and the higher thestakes, the better the evidence should be. The stakes grow higherin proportion to the size of the affected population, the severityof illness, and the cost of the therapy.
Several therapies in cardiovascular medicine are backed by substantialevidence of high quality. For example, the effects of statintherapy on mortality and the . . . [Full Text of this Article]
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From the Donald W. Reynolds Cardiovascular Clinical Research Center, Stanford University School of Medicine, Stanford, Calif.
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