Indian Journal of Pain

REVIEW ARTICLE
Year
: 2019  |  Volume : 33  |  Issue : 1  |  Page : 3--6

Consensus on evidence and experience: Future road map for framing guidelines


Gautam Das1, Pankaj Surange2, Debjyoti Dutta1, Jeshnu Prakash Tople1, Suspa Das1 
1 DARADIA: The Pain Clinic, Kolkata, West Bengal, India
2 Director, IPSC, New Delhi, India

Correspondence Address:
Dr. Gautam Das
DARADIA: The Pain Clinic, Kolkata, West Bengal
India

The approach to management of any patient is justified when based on evidence rather than experiences. However, there may be a class of patients for whom experience-based approach shows much better results. This article is an analysis of evidence-based guidelines versus experience-based approach. Although the protocols and guidelines deduced from evidence-based medicine appear infallible, the essential loopholes in standardization of this approach include turning a blind eye to the facts that publications may be company sponsored, with secondary gains intended, unfit for all socioeconomic strata, with a flaw in the review process itself, and many more. It would not be an overstatement that the experience of clinicians may be seriously ignored when adhering to evidence-based guidelines alone. A thorough knowledge of the subject based on the evidence, clinical experience, and clinical acumen together plays a vital role in prescribing the treatment to an individual. While framing the clinical practice guidelines, the role of an experienced clinician also needs to be highlighted. A proposed road map to formulation of the Indian Pain Practice guidelines should be such that an equal emphasis is given to expert opinion as well study-based evidence-based medicine. Among several other aspects, it is also emphasized that practitioners with more than 7 years of experience with dedicated pain practice will be sought for and considered as experts.


How to cite this article:
Das G, Surange P, Dutta D, Tople JP, Das S. Consensus on evidence and experience: Future road map for framing guidelines.Indian J Pain 2019;33:3-6


How to cite this URL:
Das G, Surange P, Dutta D, Tople JP, Das S. Consensus on evidence and experience: Future road map for framing guidelines. Indian J Pain [serial online] 2019 [cited 2019 Jun 15 ];33:3-6
Available from: http://www.indianjpain.org/article.asp?issn=0970-5333;year=2019;volume=33;issue=1;spage=3;epage=6;aulast=Das;type=0