10. (Hurwtiz et al, JBJS , 2000) Common Problem Uncommon Problem Patient-Oriented Evidence Best Best source of POEMs Relevance: I Only if Time May not be relevant to everyday practice Relevance: II Disease-Oriented Evidence Danger Can be misleading Relevance: III Worst Read only if extremely interested Relevance: IV
39. Anecdotal Animal / Bench research Unpublished clinical observations Case series Poorly designed cohort / case-control Case-control Cohort Well-designed RCTs / prospective studies Level 5 Level 4 Level 3 3a: SR of case-control studies 3b: Individual case-control Level 2 2a: SR of cohort studies 2b: Individual cohort studies 2c: Outcomes research Level 1 1a: SR of RCTs 1b: Individual RCTs 1c: All or none studies
40. Annotation Clinical Relevance Clinical Question LOE Analysis ā Bottom Lineā Patient Education Critical Appraisal AT 5070 AT 5120 AT 5220
55. http://clinques.nlm.nih.gov/JitSearch. html The ClinicalQuestions Collection is a growing repository of questions that have been collected from healthcare providers in clinical settings across the country. The questions have been submitted by investigators who wish to share their data with other researchers.Ā http ://www.cebm.utoronto.ca / Main CEBM siteĀ http ://www.pedro.fhs.usyd.edu.au/scale_item. html PEDro http ://ebmlibrarian.wetpaint.com / EBM Librarian - has info on appraisals and CATSĀ http://www.cche.net/usersguides/ebm.aspHas info on the Users' GuidesĀ http ://pubs.ama-assn.org/misc/usersguides. dtl Users' GuidesĀ http ://www.ebmny.org/cats. html CATSĀ http ://www.otcats.com / OT CATS
Editor's Notes
Informal ā ask questions Progressive better word