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Improving decision-making in complicated or rare cases-An approach towards Evidence-based Veterinary Medicine in small animal reproduction.
Reproduction in Domestic Animals ( IF 1.6 ) Pub Date : 2020-02-24 , DOI: 10.1111/rda.13622
Lisa Riege 1 , Peggy Haimerl 1 , Sebastian P Arlt 1
Affiliation  

The concepts of Evidence-based Veterinary Medicine (EBVM) provide a methodological and systematic approach to include the best evidence from research into clinical decision-making. These concepts include steps as the search and assessment of relevant research findings and consideration of individual aspects. In addition, owners and other persons involved in animal health care should be included in shared decision-making. Some breeders have good basic knowledge concerning breeding management and characteristics of diseases and concerning advantages and disadvantages of different therapeutic approaches, while others are notable to understand complex medical interrelations or emergency situations. All these aspects need to be addressed when communicating and discussing different diagnostic, prophylactic and therapeutic options. In special fields, such as small animal reproduction, veterinarians often see animals with rare diseases or complex conditions so that an application of standard therapies and well-established textbook recommendations is not possible. To learn more about cases too rare for successful systematic research, the case collection tool REPROCASES (www.evssar.org/reprocases) is now available. The aim of this project is to gather information from specialists on small animal reproduction in a multicentre approach. If you see rare or not well-investigated cases such as cystic ovarian diseases, cryptorchidism or others, you are more than welcome to share your findings via the database. Even if this approach cannot completely replace standardized clinical trials, the idea is to gather more information on effects, prognosis, side effects and long-term fertility for specific conditions.

中文翻译:

改善复杂或罕见情况下的决策能力-小型动物繁殖中循证兽医学的一种方法。

循证兽医学(EBVM)的概念提供了一种方法学和系统的方法,可以将研究中的最佳证据纳入临床决策。这些概念包括搜索和评估相关研究结果以及考虑各个方面的步骤。此外,所有人和其他参与动物保健的人员也应包括在共同决策中。一些育种者具有有关育种管理和疾病特征以及不同治疗方法的利弊的良好基础知识,而另一些育种者则了解复杂的医学关系或紧急情况。在交流和讨论不同的诊断,预防和治疗选择时,需要解决所有这些方面。在特殊领域,例如小动物繁殖,兽医经常看到动物患有罕见疾病或病情复杂,因此无法应用标准疗法和完善的教科书建议。要了解更多有关成功进行系统研究的案例很少的案例,现在可以使用案例收集工具REPROCASES(www.evssar.org/reprocases)。该项目的目的是以多中心方式从专家那里收集有关小动物繁殖的信息。如果您发现罕见或未经充分调查的病例,例如囊性卵巢疾病,隐睾症或其他,则非常欢迎您通过数据库共享您的发现。即使这种方法不能完全取代标准化的临床试验,但其想法仍是收集有关疗效,预后,
更新日期:2020-02-24
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