Step 4 Applying the evidence back to the patient

This is usually the most important step, but the least well developed in EBD. Key points to note here are:

• to consider how similar the patients in the studies are to the patient facing you now

• whether the outcome measures used in those studies (for example percentage reduction in erythema or induration score) mean something to you and the patient

• how large the treatment benefits were

• whether there were any serious side-effects of treatment

• how the evidence fits in with your patient's past experience and current preferences.

This difficult area is discussed in more detail in Chapter 12.

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