When is evidence sufficient for decision-making? A framework for understanding the pace of evidence adoption. (July 2013)

• Record Type: Journal Article
• Authors: Dubois, Robert W; Lauer, Michael; Perfetto, Eleanor
• Is Part Of: Journal of comparative effectiveness research. Volume 2:Number 4(2013)
• Page Start: 383
• Page End: 391
• Publication Date: 2013-07
• Subjects: adoption -- evidence -- evidence-based medicine -- technology diffusion; Medical care -- Research -- Periodicals; Medical care -- Research -- Evaluation -- Periodicals; Medical care -- Decision making -- Periodicals; Evidence-based medicine -- Periodicals; Medicine, Comparative -- Periodicals; 362.1072
• DOI: 10.2217/cer.13.39
• Languages: English
• ISSNs: 2042-6305

Abstract

Translation of medical evidence into practice has not kept pace with the growth of medical technology and knowledge. We present three case studies – statins, drug eluting stents and bone marrow transplantation for breast cancer – to propose a framework for describing five factors that may influence the rate of adoption. The factors are: validity, reliability and maturity of the science available before widespread adoption; communication of the science; economic drivers; patients' and physicians' ability to apply published scientific findings to their specific clinical needs; and incorporation into practice guidelines.