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A Critical First Step

Arch Pediatr Adolesc Med. 2001;155:636.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

CONSISTENT and mounting data indicate that physicians are failing to implement the latest and best evidence in the care of patients—a disturbing indictment of the current practice of medicine. There is a myriad of reasons for this failure, but one of the most fundamental is a paucity of formal summaries of existing data specific to the clinical decisions we are faced with. Archie Cochrane, famed British epidemiologist and patron saint of the Cochrane collaboration once wrote, "It is surely a great criticism of our profession that we have not organized a critical summary, by specialty or subspecialty, adapted periodically, of all relevant randomized controlled trials."¹ Billions of research dollars are now spent annually to improve health and health care. The burgeoning information superhighway increasingly improves access to the findings of research. But all of the money spent and all of the technology developed may ultimately be of no avail if . . . [Full Text of this Article]

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