Beruflich Dokumente
Kultur Dokumente
2011
Intro:
-
Procedures:
-
27kg of guidelines
3000 new papers per day
Medline 1000
RCTs 46
Print source
General specialty
books
Pharmaceutical
textbooks
Journals
Drug company info
Self made compendia
Human sources
Reported
62
25
Observed
27
3
14
18
1
4
33
7
1
7
53
Educational strategy
-
Why EBM?
-
Ocntents
-
Why EBM?
Practice:
- when caring
-
Invitro test tube research -> animal research -> idesas, editorial, ->
case erports, -> case series -> randomized clinical trials
Grades of recommendation
Attribute
Validity
Quality
Can i trust this info
Lcinicla importance
Format
Is there a high
density of valid info
Ask someone
Check ref list in tect book
Bibliography
Primary studies:
-
Therapy
o Was the assignment of patients wto tx
randomized
Dx:
o Was there an independent blind comparison
with a ref standard?
o Did the patient sample include an appropriate
spectrum of the sort
Harm
o Were there clearly identified comparison groups
Prognosis
o Representative patient sample and follow up
Integrativce:
-
Overvies:
o Did the review address a clearly focused queston
Decision analysis
Practice guidelines: flowchart