'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
Kit, or, to give him his full title, Dr Kit Sturgess MA, VetMB, PhD, CertVR, DSAM, CertVC, FRCVS, RCVS Recognised Specialist in Small Animal Medicine, has been working as an internist in private referral practice since 2003. In 2006 he became a founding partner in a multidisciplinary referral centre that he saw grow from five to 65 members of staff within five years.
He is also Chair of BSAVA Education Committee, Trustee of Cats Protection and Chair of Trustees of the Wildheart Trust. He was formerly an RCVS Knowledge Trustee and member of RCVS Council.
Kit has authored numerous articles and two textbooks, and presents lectures and research abstracts at conferences worldwide.
Kit will take up the editorship on 2nd September, succeeding Professor Peter Cockcroft. He said: “I am delighted to take on the editorship of Veterinary Evidence. With readers in 150 countries and output that has more than doubled over the past three years, the journal has quickly become a mainstay of evidence-based veterinary medicine, which is a testament to Peter’s enthusiasm and commitment to the development of the journal and its impact on the veterinary community.
"I am excited about leading Veterinary Evidence in its next stage of development, with recent events showing the critical importance of open online access. Veterinary Evidence is ideally placed to support an ever-growing and wide range of veterinary professionals by further developing a multimedia, multiplatform approach facilitating the use of evidence-based medicine in their daily practice."
Veterinary Evidence journal can be read at: veterinaryevidence.org
Dubbed the PICO Project, the scheme will initially run via a series of specialism-specific surveys that let respondents select individual species or topics and input the research questions they would like to see covered within Veterinary Evidence.
Knowledge will make the list of submitted questions available online for the veterinary community to answer as Knowledge Summaries (Critically Appraised Topics), which will be peer-reviewed and published in the open-access journal.
Professor Peter Cockroft, recently appointed Editor-in-chief of Veterinary Evidence, said: "The practice of evidence-based veterinary medicine is an empowering process for practicing veterinarians that enables important gaps in knowledge to be identified. It is the bridge between research and clinical practice.
"If you have a clinical question that may shape the care of a patient, Veterinary Evidence may have the best current answer or will add the question to the growing archive of important information needs."
The first survey to launch – open now – will focus on equine practice, with possible subjects ranging from the likes of husbandry or vaccination to infectious diseases.
To ask for the evidence on a particular area, choose your topic in the survey’s drop-down menus and fill in up to five related questions, preferably in Population Intervention Comparison Outcome format.
Livestock will be the focus for the next survey, due to open alongside the BCVA Congress in October. Further surveys will look at canines, felines and other specialisms.
To keep up to date with the list of PICO questions being answered or available to be answered, visit Veterinary Evidence and follow @RCVSKnowledge on Twitter.
If you wish to become an author of a Knowledge Summary for publication in the journal, contact the Managing Editor at Bridget@rcvsknowledge.org.