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Slide Presentation of the 2007 Annual Meeting of AHRQ

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Evidence Challenges

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  • Availability of evidence
    • Needs for evidence are increasing
    • Large gaps in the existing literature
    • Limited generalizability of trials data to real-world practice
    • Unique challenges of devices
      • Distinguishing operator vs. product effects
      • Short product life-cycles
      • Feasibility of RCTs
  • Conclusions from the evidence
    • Reconciling "average" population effects with individual effects
    • "Shelf-life" of evidence
  • Practical use of evidence
    • Application of evidence to real-world medical decisions
    • Provider "accountability" for using evidence

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AHRQ Advancing Excellence in Health Care