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Editorial (Dr K K Aggarwal)                                                                                                     (Dr RN Tandon)
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9th July, 2017
Evidence-based vs eminence-based practice

Western "evidence" cannot take the place of Indian "eminence"
 
Medicine has undergone a generation change with the technology savvy younger doctors now coming to the forefront and taking over from the older doctors. These young doctors have the latest information at hand about the happenings (researches) in the field of medicine.
 
Evidence-based medicine has become the norm in clinical practice today. 
 
In an editorial published in the BMJ in 1996, Dr David L Sackett and coauthors defined EBM as "conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research". 
 
Evidence-based practice (EBP) incorporates clinical expertise or skill with best available clinical evidence and patient expectations and values. It is a dynamic process, which is continually changing because new studies are being published everyday adding to the existing body of evidence.
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Number of patients needing dialysis in India shows an upward trend
Early detection key to treating this disorder, says IMA
 
New Delhi, 08 July 2017: According to statistics, in the past 15 years, the number of Indians suffering from chronic kidney ailments has doubled. It is alarming to note that there has also been a 10% to 15% increase in the number of patients undergoing dialysis in the country and this percentage includes children as well. As per the IMA, kidney disorders still do not receive as much focus in India and that is one reason for under-diagnosis of this condition. 
 
Chronic kidney disease is a slow progressive loss of kidney function over a period of several years where the patient eventually has permanent kidney failure. It largely goes undiagnosed and people realize that they have chronic kidney failure only when the kidney function is down to 25%. 
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