Medicina basada en la Evidencia: el ejemplo del vértigo posicional paroxístico benigno
Keywords:
Evidence Based Medicine, Vertigo, Dix-Hallpike maneuver, Epley maneuverAbstract
Evidence-based medicine is the paradigm by which doctors are guided to update their diagnostic and therapeutic practice. However, the transition from evidence to clinical practice may be delayed a long time or may not occur for various reasons.These reasons are analyzed in relation to the case of Benign Paroxysmal Positional Vertigo in which circumstances coincide that do not apply the clinical practice guidelines in a generalized way, with great harm to patients.
Changes in clinical practice depend not only on the evidence but also on calculations such as the efficiency and effectiveness of the proposed change, patient satisfaction, and other factors such as previous experience with the change, training, cultural inertia and attitude of clinical leaders and finally pressures for or against the pharmaceutical industry.
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