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'Evidence-based veterinary medicine at 20 – a commentary on historical, philosophical, practical, and ethical aspects' by David Mills MRCVS, Michael J. Reiss and Madeleine Campbell FRCVS, looks at the history of both evidence-based medicine and EBVM, the moral and ethical arguments for EBVM and the practical barriers.
It concludes that EBVM would be improved by:
Author David Mills MRCVS said: “EBVM has extensively infiltrated the veterinary discourse in the last 20 years and whilst it seems a sensible way of doing medicine, this doesn't always translate into practical improvements.
"Of course we need to base decisions on evidence, and the more reliable that evidence the better the decisions are likely to be.
"But is EBVM the best way?
"Does it serve the individual when the evidence doesn't relate to them or the specifics of their disease?
"Does EBVM help or hinder us in realising welfare improvements for the individual animal?
"In this review of the EBVM movement we examine aspects of the methodology and its practical application and in several areas find it wanting.
"Some of these are practical issues - for example underpowered studies, poor evidence - whilst others are fundamental to the philosophy and practice of EBVM itself such as what is evidence, how it translates to individuals and how we cannot predict the future.
"Evidence-based medicine was forged in the fires of not just accepting eminent pronouncements - in this paper we apply this principle to EBVM itself."
https://veterinaryevidence.org/index.php/ve/article/view/710
Reference
The journal provides free access to critical summaries of the best available evidence, called Knowledge Summaries, to help practitioners make informed evidence-based decisions in practice.
The new website has several new features, such as author and reviewer hubs, which contain information to guide contributors through the process of writing or reviewing papers for the journal.
A new ‘answer me’ button allows potential authors to pick a clinical query they are interested in answering and email it straight to the Editor, streamlining the process.
The new site also includes a new submission system, Editorial Manager, which streamlines the editorial process, communications with authors and reviewers, and the management of articles.
Kit Sturgess, Editor-in-Chief of Veterinary Evidence, says: “I am really excited by the new website; its look and functionality will significantly improve rapid access to information and further boost the engagement of the veterinary team with EBVM.
"After an impressive year for Veterinary Evidence, we have also moved to a new submission system, Editorial Manager, aimed at making the experience of submitting and reviewing papers easier and more efficient.
"Through the new website and publishing platform, the journal can get better metrics of how well we are supporting our readers, authors, and reviewers so we can use evidence to drive Quality Improvement.”
veterinaryevidence.org