Evidence Based Veterinary Medicine

The basis of Evidence based Veterinary Medicine (EBVM) is clinicians using good quality science to make the best decisions about their patients to benefit their health and welfare. To be able to do this the veterinary profession needs high quality, relevant science made readily available. 

There are five steps to Evidence-based Veterinary Medicine, the “Five As”:

1. Ask – This step is about identifying the right questions the veterinary surgeons need answers to.
2. Acquire – This step is about obtaining evidence on the subject of interest. This involves systematic searching for existing literature, and where there is no evidence, undertaking new studies to answer question of interest.
3. Appraise – This step involves appraising the literature for quality and sources of bias that may affect the believability of the results.
4. Apply – This step involves applying the evidence to practice, where appropriate.
5. Audit – This step is all about assessing whether the application of the new evidence has affected the outcome of interest.

[Adapted from: Heneghan C, Badenoch D (2006). Evidence-based Medicine Toolkit, 2nd ed. Blackwell Publishing.] 

Knowledge summaries, reviews and literature searches:

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TopicLinks to documentsContributors (year)
Digital dermatitis treatment and control Treatment of Digital Dermatitis in Dairy Cattle – CAT  Dr Al Manning (2016)
Foot bathing and disinfection Foot disinfection CAT
Here are some accompanying slides: slides
Dr Nick Bell (2015)
Foot trimming CAT Foot Trimming in Dairy Cattle 3(Reviewed)vs2 Dr Al Manning (2016)
Heifer foot health NEW****Lameness in dairy heifers – a systematic review of control strategies
Here are some accompanying slides: slides
Dr Nick Bell (2020)
Lameness detectionReference summary – CAT to follow
Here are some accompanying slides: slides
Dr Nick Bell (2020)

If you have a clinically appraised topic to share, we welcome your contributions. We also welcome comments and views on the submitted reviews (please keep all comments factual, evidence-based and respectful). We reserve the right to remove comments which are considered inappropriate or offensive.

For further information of how to produce a clinically appraised topic then please refer to the RCVS knowledge site and the Centre of Evidence-based Veterinary Medicine (CEBVM).