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Totality of the Evidence

Meaning

The Totality of the Evidence is a foundational principle in evidence-based clinical practice, mandating that therapeutic decisions be based on a comprehensive, systematic consideration of all available scientific data. This synthesis includes not only high-level evidence from randomized controlled trials but also mechanistic studies, observational data, and accumulated clinical experience. This holistic approach is essential for making safe and effective recommendations for complex, personalized interventions like hormonal therapy.