[Evidence based medicine in veterinary daily practice]

Tierklinik für Fortpflanzung, Fachbereich Veterinärmedizin, Freie Universität Berlin, Königsweg 65, Haus 27, 14163 Berlin.
Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere (Impact Factor: 0.47). 06/2012; 40(3):186-92.
Source: PubMed


The veterinary practitioner should base decisions concerning diagnostic procedures and treatments in practice on recent, valid and clinically relevant information. He may rely on journal papers, colleagues, the internet or other sources. It is a great challenge to find appropriate information in a reasonable time. Furthermore, the practitioner has to judge the information regarding its actuality and validity. Ideally, such information should provide a high level of evidence. This means that this information is more likely to be "correct". Good information can be obtained through high quality trials, such as randomized and blinded controlled clinical trials. Universities, publishers and professional organizations should promote editing of scientific information to support practitioners in decision making.

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    ABSTRACT: Veterinary practitioners have to use optimal diagnostics, inten'entions and medications to examine and to treat their patients. Therefore, clinical decisions must be based on recent and valid research data. This means that especially in difficult cases in veterinary practice up to date literature has to be consulted. Several projects assessing the quality of published literature on animal reproduction revealed substantial deficits. Results of a literature review concerning articles on dogs showed that 68% of the 287 evaluated papers were not suitable to draw valid conclusions. In another project, a sam- pie of 268 articles was evaluated. The quality of 33% of publications on bovine reproduction, 7% of publications on canine reproduction and one article (1%) on equine reproduction was considered good enough to draw sound conclusions. The need for further research is obvious. We strongly recommend assessing the quality of scientific information when reading journal papers before using them in practice.
    No preview · Article · Dec 2012
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    ABSTRACT: Dairy cows with ovarian cysts are reduced in their fertility performance. Several programs of ovulation synchronization to treat this pathological ovarian condition with various outcomes have been published. Thus, afield study for the comparison of three selected protocols ( [a] modified ovsynch protocol with contemporaneous application of GnRH and PGF(2 alpha) at the beginning of the treatment, [b] conventional ovsynch protocol, [c] modified ovsynch protocol using PRID) with subsequent time-fixed insemination relating to treatment success was conducted. Factors with a possible influence such as number of lactation, daily milk yield or season were considered. In this investigation, pregnancy rates after one treatment cycle of [a] 19.3, [b] 35.3 and [c] 30.7 %, respectively, were achieved. Cows in their first lactation and cows with a daily milk yield over 40 kg achieved better results by using PRID. Nevertheless, the risk factors for the development of ovarian cysts have to be reduced by the herd management to achieve a sustainable increase of fertility performance.
    Full-text · Article · Dec 2012 · Tierärztliche Umschau
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    ABSTRACT: Objective: Veterinarians should conduct diagnostic and therapeutic procedures according to the most recent and scientifically proven methods. Therefore, a rapid and effective transfer of scientific information is crucial. An important link between science and practice are findings published in scientific journals. The productivity of scientists is often measured referring to the number of papers published in reputable journals. Because many of these journals publish in the English language, it is possible that results from German research may never reach German veterinarians or only after a delay. Material and methods: Using an online questionnaire, faculty members (professors and scientific assistants) from Germany, Austria and Switzerland were asked how they had published their results during the previous 5 years. Furthermore, they were asked to identify the factors influencing their choice of journal for publication. Results: A total of 118 respondents completed the questionnaire. Nearly two thirds had published ten or more papers during the previous 5 years. More than half of these were published in the English language. Most participants consider the peer review process suitable for enhancing the quality of publications. The impact factor is seen as a fair indicator for the quality of a paper while considered an important factor for the choice of a journal for publication of the respondents own results. Conclusion and clinical relevance: According to the data, respondents prefer to publish their results in the English language and in journals with a high impact factor. Therefore, veterinarians may never receive this information via German journals or only after a delay. One possible solution could be a regularly published practice-oriented compilation of relevant scientific findings.
    No preview · Article · Oct 2013 · Tierärztliche Praxis. Ausgabe K, Kleintiere/Heimtiere
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