December 15, 2015 HCMatColumbia

Evidence or Eminence – who rules? Insights from the German spine congress

Professor Janus was invited to present and moderate at the German spine congress on December 10, 2015 in Frankfurt, Germany, on “What an optimized, multistage, and interdisciplinary care concept should look like that entails best results for the patient?”

Leading medical experts, such as Dres. Fleege (Frankfurt) and Ringe (Aachen), as well as Ms. Bühn (Witten-Herdecke) who presented results of the most recent orthopedic report, elaborated on the impact of the upcoming hospital legislation and its impact on quality management/measurement, best-practice exchange and implementation, as well as standardization and integration.

The consistent struggle between evidence-based and eminence-based medicine emerged as a key issue, also in a voting casted by the larger audience. Is it the lack of existing evidence/standards or the still heavy reliance on personal experience that prevents communication and, thus, cooperation among professionals?

Only half of all surveyed physicians stated that they convened regularly to discuss treatment plans among colleagues. Prof. Janus asked whether one could generate better evidence to ameliorate this result or to what degree it would be possible to integrate SOPs (standard operation procedures) with POPs (people operating procedures) if the aim was to improve care along the entire value chain?

Spine care provides an excellent study site for this purpose: it requires the coordination of at least three medical professions (orthopedics, neurosurgery, and emergency care) as well as nursing care, physical therapy and others. For more information: