POEMs (Patient Oriented Evidence That Matters) are studies that address a relevant clinical question, demonstrate improved patient-oriented outcomes, and have the potential to change clinical practice. This report, featured in the Annals of Family Medicine, identifies POEMs in each of the past 20 years that have driven the most major and lasting change in medical practice.
POEMs (Patient Oriented Evidence That Matters) are studies that address a relevant clinical question, demonstrate improved patient-oriented outcomes, and have the potential to change clinical practice. This report, featured in the Annals of Family Medicine, identifies POEMs in each of the past 20 years that have driven the most major and lasting change in medical practice.
These POEMs (See list on table below) have all been at the origin of new effective interventions (eg beta-blockers in heart failure or a longer delay between each screening smear in women) or abandonment of practices that have been shown to be ineffective (e.g. intensive glycemic control in patients with type 2 diabetes or even aggressive treatment of low-grade prostate cancer).
These POEMs illustrate the extent of the changes in practice that have taken place in primary care in recent years and the need for general practitioners to be able to “follow” the medical literature.
Ces POEM (Voir liste sur tableau ci-dessous) ont tous été à l’origine de nouvelles interventions efficaces (ex : les bêtabloquants dans l’insuffisance cardiaque ou un délai plus long entre chaque frottis de dépistage chez les femmes) ou de l’abandon de pratiques démontrées comme inefficaces (ex : contrôle intensif de la glycémie chez les patients atteints de diabète de type 2 ou encore traitement agressif du cancer de la prostate de bas grade).
Ces POEM illustrent l'ampleur des changements de pratique intervenus ces dernières années dans les soins primaires et la nécessité pour les médecins généralistes de pouvoir « suivre » la littérature médicale.