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Evidence-Based Medicine is a process for medical practice in which, starting from a structured question, a search for the best scientifi c evidence in the literature is conducted and the evidence found is adapted according to the patient, the context and the doctor’s experience. In this way, doctors take on the commitment to use the best scientifi c evidence available for treating their patients. It is important to make it clear that the doctor’s experience is fundamental to this, since he will inform the patient about the options that exist, their risks and their benefi ts. Thus, scientifi cally informed doctors and patients who have received adequate explanations make decisions together and the moral responsibility for the results is shared. This process benefi ts both sides: patients, because they feel that they have received suffi cient information about the types of treatment that offer the greatest likelihood of being effective; and doctors, because they have gained their patients’ trust and thereby have increased the chances of success for the treatment instituted and prevented unnecessary lawsuits that would end up affecting the country’s judicial process itself. Healthcare decision-making also has economic repercussions, because if the approach that has greatest likelihood of success is recognized, this will avoid waste through approaches that are extremely expensive and do not work. Thus, we need to choose the approach that is most likely to work, and this means that there has to be evidence that it is effi cacious, effective, effi cient and safe. An intervention is efficacious if it works under ideal

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