Evidence-Based Medicine (EBM) Resources
Evidence-based medicine is the "conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients" (Sackett, DL, Rosenberg WM, Gray JA, et al. BMJ. 1996 312(7023):71-2).
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TRIP (Turning Research Into Practice) Database Plus Simultaneously searches evidence-based sources of systematic reviews, practice guidelines, and critically-appraised topics and articles -- including most of those listed above and many more. Also searches MEDLINE's Clinical Queries, medical image databases, e-textbooks, and patient information leaflets.
Filtered Resources Filtered resources appraise the quality of studies and often make recommendations for practice. Systematic Reviews / Meta-Analyses Authors of a systematic review ask a specific clinical question, perform a comprehensive literature search, eliminate the poorly done studies and attempt to make practice recommendations based on the well-done studies. A meta-analysis is a systematic review that combines all the results of all the studies into a single statistical analysis of results. The Database of Abstracts of Reviews of Effect (DARE) Full-text database containing structured abstracts of systematic reviews from a variety of medical journals. DARE is produced by the National Health Services' Centre for Reviews and Dissemination (NHS CRD) at the University of York. DARE records cover topics such as diagnosis, prevention, rehabilitation, screening, and treatment. Also available via Ovid MEDLINE Systematic Reviews Search Systematic Reviews from the Clinical Queries screen. PubMed's Systematic Reviews filter is available from the Clinical Queries screen (link from sidebar). This screen has been modified so that users can apply either a Clinical Queries filter or the Systematic Reviews filter to their search terms.
Critically-Appraised Topics Authors of critically-appraised topics evaluate and synthesize multiple research studies. National Guideline Clearinghouse A comprehensive database of evidence-based clinical practice guidelines and related documents produced by the Agency for Health Care Research and Quality, in partnership with the American Medical Association and the American Association of Health Plans. Updated weekly. Note: Guideline evidence varies from expert opinion to high levels of evidence.
Critically-Appraised Individual Articles Authors of critically-appraised individual articles evaluate and synopsize individual research studies. Bandolier Bandolier is an independent journal about evidence-based healthcare published in the UK. It includes "information about evidence of effectiveness (or lack of it), and put[s] the results forward as simple bullet points of those things that worked and those that did not: a bandolier with bullets. Information comes from systematic reviews, meta-analyses, randomised trials, and from high quality observational studies." bmjupdates Quality articles from over 110 clinical journals are selected by research staff, and then rated for clinical relevance and interest by an international group of physicians. Includes a searchable database of the best evidence from the medical literature and an email alerting system. From BMJ Publishing Group and McMaster University's Health Information Research Unit.
Unfiltered Resources Evidence is not always available via filtered resources. Searching the primary literature may be required. It is possible to use specific search strategies in MEDLINE and other databases to achieve the highest possible level of evidence. PubMed To limit your PubMed search to the best evidence-producing studies: Click on "clinical queries" (on the left side of the screen). This specialized search is intended for clinicians and has built-in search "filters." Four study categories--therapy, diagnosis, etiology, prognosis--are provided, and you may indicate whether you wish your search to be more sensitive (i.e., include most relevant articles but probably including some less relevant ones) or more specific (i.e., including mostly relevant articles but probably omit a few). PsycINFO (licensed for UHH users only)
International coverage of the professional and academic literature in psychology, medicine, psychiatry, nursing, sociology, education, pharmacology, physiology, linguistics, and other areas. To limit your PsycINFO search to the best evidence-producing studies: Click on the 'Limits' icon to use 'Clinical Queries' or limit to 'methodology' types. CINAHL (Access limited to 12 simultaneous users) Cumulative Index to Nursing and Allied Health Literature To limit your CINAHL search to the best evidence-producing studies: Click on the 'Limits' icon to use 'Clinical Queries' or limit to 'Research' or other 'publication' types (i.e., systematic review).
Background Information/Expert Opinion Note: Evidence in these resources may vary from expert opinion to high levels of evidence. Access Medicine Full text, graphics, images, and illustrations of important medical references in internal medicine, cardiology, genetics, pharmacology, diagnosis and management, basic sciences, and patient care. Updated daily. Includes such books as: Harrison's Principles of Internal Medicine, Current Medical Diagnosis and Treatment, Hurst's The Heart, Medical Epidemiology, Basic & Clinical Endocrinology, and many others. Click here for a fuller description.
Evidence-Based Medicine Information Sites Centre for Evidence-Based Medicine (Oxford University) The Centre promotes evidence-based health care and provide support and resources to anyone who wants to make use of them. Includes the EBM Toolbox, an assortment of materials which are very useful for practitioners of EBM, and EBM Teaching Materials, including PowerPoint presentations. Centre for Evidence-Based Medicine (Toronto) Includes many resources for practicing and teaching EBM. Evidence-Based Medicine A selective list of additional EBM websites developed and maintained by Duke University Medical Center Library. Netting the Evidence From the School of Health and Related Research (ScHARR) at the University of Sheffield, UK. Includes a comprehensive list of EBM databases, journals, articles, and other information sources. Users' Guides to Evidence-Based Practice From the University of Alberta's Centre for Health Evidence. Includes the complete set of EBM Users' Guides originally published as a series in the Journal of the American Medical Association (JAMA).
Evidence-Based Medicine Tutorials Introduction to Evidence-Based Medicine From Duke University Medical Center Library and University of North Carolina at Chapel Hill Health Sciences Library. SUNY Health Sciences Evidence-Based Medicine Course
EBM Pyramid and EBM Page Generator, copyright 2006 Trustees of Dartmouth College and Yale University. All Rights Reserved. Produced by Jan Glover, David Izzo, Karen Odato and Lei Wang.
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