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A pioneer of evidence-based practice defines it as . . .

"the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." (Sackett D, 1996)¹


The Institute of Medicine (IOM), at the request of the U.S. Congress in 2008, was asked to undertake a study on the best methods for the development of trustworthy clinical practice guidelines. These methods would address the structure, process, reporting, and final products of systematic reviews of comparative effectiveness research and evidence-based clinical practice guidelines.

In 2010, in anticipation of these changes, a sub-group of the AOA Quality Improvement Committee was asked to investigate and initiate an evidence-based guideline development pilot project. Due to the importance and magnitude of this work, the AOA Board of Trustees appointed Evidence-Based Optometry (EBO) as a stand-alone committee in 2012.

The EBO Committee has worked diligently to create an evidence-based process that aligns with the IOM standards and keeps optometrists in the forefront of evidence-based practice.  

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DAVID L. SACKETT, MD, MSC PROFESSOR EMERITUS, CLINICAL EPIDEMIOLOGY & BIOSTATISTICS, MCMASTER UNIVERSITY
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Dr. Diane Adamczyk, Chair, Evidence-based Optometry Committee, speaks on evidence-based healthcare and how it relates to the revision of the AOA's Clinical Practice Guidelines. Click here to view the video.

The peer and public review period for the Evidence-based Clinical Practice Guideline - Adult Eye and Vision Examination is now closed. All comments are currently being reviewed by the EBO committee, and the final guideline will be published in April. Thank you for your submissions!

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What is Evidence-based Health Care?

An integration of the highest quality of research evidence, clinical expertise, and patient values and preferences.

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The AOA's Evidence-based Process

In alignment with the IOM Standards for Developing Trustworthy Clinical Practice Guidelines

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Optometric Evidence-based Clinical Practice Guidelines

Developed by a multidisciplinary panel of stakeholders, including clinical experts, patients and patient advocates

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