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Summarising	
  a	
  Journal	
  Article1	
  
                                                          [Salford	
  Medical	
  Student	
  Journal	
  Club]	
  
                  	
  
Why	
  you	
  read	
  it	
   - Case	
  on	
  the	
  wards	
  
                             - Personal	
  interest	
  
                             - Exam	
  preparation	
  
                             - Background	
  reading	
  for	
  a	
  Project	
  option/SSC/PBL	
  case	
  
                             - Wanting	
  sound	
  medical	
  practice!	
  
Your	
  search	
  
                             Medline,	
  Google	
  scholar,	
  the	
  library,	
  stumbled	
  across	
  it...	
  
strategy	
  
Standard	
                 Type	
  of	
  Qu	
          Diagnostic,	
  therapeutic,	
  prognostic,	
  aetiologic,	
  economic,	
  physiological	
  
descriptors	
  
                           Type	
  of	
  Study	
  
                           Randomised	
  controlled	
  trial:	
  Random	
  allocation	
  to	
  receive	
  a	
  particular	
  clinical	
  
                           intervention	
  
                           Meta-­‐analysis:	
  combining	
  the	
  results	
  of	
  several	
  studies	
  that	
  address	
  a	
  set	
  of	
  related	
  
                           research	
  hypotheses	
  
                           Case	
  control:	
  Case-­‐control	
  studies	
  are	
  used	
  to	
  identify	
  factors	
  that	
  may	
  contribute	
  to	
  a	
  
                           medical	
  condition	
  by	
  comparing	
  subjects	
  who	
  have	
  that	
  condition	
  (the	
  'cases')	
  with	
  
                           patients	
  who	
  do	
  not	
  have	
  the	
  condition	
  but	
  are	
  otherwise	
  similar	
  (the	
  'controls').	
  
                           Retrospective	
  cohort:	
  Taking	
  data	
  from	
  a	
  particular	
  cohort	
  and	
  comparing	
  for	
  a	
  
                           particular	
  outcome.	
  	
  An	
  odd’s	
  ratio	
  can	
  then	
  be	
  formed	
  to	
  assess	
  relative	
  risk.	
  
                           Cross-­‐sectional:	
  a	
  randomly	
  selected	
  patient	
  cohort	
  studied	
  to	
  assess	
  factors	
  
                           associated	
  with	
  the	
  incidence	
  or	
  prevalence	
  of	
  a	
  disease/condition.	
  
                           Cost	
  effectiveness	
  analysis:	
  Comparing	
  the	
  relative	
  costs	
  and	
  outcomes	
  (effects)	
  of	
  two	
  
                           or	
  more	
  courses	
  of	
  action.	
  
                           Where	
  done	
             (if	
  relevant)	
  country/city,	
  multicentre,	
  subspeciality	
  clinic	
  
                           Other	
  features	
   Anything	
  that	
  makes	
  the	
  study	
  stand	
  out	
  
                                                       e.g.	
  Prominent	
  author	
  /	
  research	
  team	
  or	
  first	
  research	
  of	
  its	
  kind	
  
Research	
             What	
  is	
  the	
  hypothesis	
  being	
  tested?	
  
question	
  (PICO)	
  
It’s	
  importance	
       Why	
  is	
  this	
  an	
  important	
  question	
  to	
  test?	
  
Methods	
                  Population	
                Who	
  was	
  studied?	
  
                           Intervention	
              Therapies,	
  tests,	
  risk	
  factor,	
  	
  
                           Controls	
                  What	
  was	
  this	
  group	
  compared	
  to?	
  
                           Outcomes	
                  What	
  were	
  the	
  deciding	
  outcomes	
  of	
  the	
  study	
  e.g.	
  stroke/no	
  stroke	
  
                                                       Outcomes	
  could	
  be	
  clinical,	
  functional,	
  economic,	
  ...	
  
Validity	
  of	
  study	
   GATE	
  framework	
  (see	
  reference	
  2)	
  
Results	
                  The	
  primary	
  results	
  related	
  to	
  the	
  original	
  question	
  
                           (Only	
  present	
  secondary	
  findings	
  if	
  relevant)	
  
Relevance	
                 External	
  validity	
  
                            -      Can	
  you	
  apply	
  the	
  results	
  to	
  your	
  particular	
  studies	
  or	
  future	
  FY	
  practice?	
  
                            -      How	
  do	
  the	
  results	
  relate	
  to	
  your	
  original	
  presentation/interesting	
  patient?	
  
                	
  
                References	
  
                1. Schwartz	
  MD,	
  Dowell	
  D,	
  Aperi	
  J,	
  Kalet	
  AL.	
  Improving	
  journal	
  club	
  presentations,	
  or,	
  I	
  can	
  present	
  
                     that	
  paper	
  in	
  under	
  10	
  minutes.	
  Evid	
  Based	
  Med.	
  	
  2007	
  Jun;12(3):66-­‐8	
  
                2. Jackson	
  R,	
  Ameratunga	
  S,	
  Broad	
  J,	
  Connor	
  J,	
  Lethaby	
  A,	
  Robb	
  G,	
  Wells	
  S,	
  Glasziou	
  P,	
  Heneghan	
  C.	
  
                     The	
  GATE	
  frame:	
  critical	
  appraisal	
  with	
  pictures.	
  Evid	
  Based	
  Med.	
  2006	
  Apr;11(2):35-­‐8.	
  
                	
  
Summarising	
  a	
  Journal	
  Article	
  Template	
  
                	
  
Why	
  you	
  read	
  it	
   	
  
                             	
  
Your	
  search	
                	
  
strategy	
  
Standard	
                      Type	
  of	
  Qu	
        	
  
descriptors	
                                             	
  
                                Type	
  of	
  Study	
     	
  
                                                          	
  
                                Where	
  done	
           	
  
                                                          	
  
                                Other	
  features	
   	
  
                                                      	
  
Research	
             	
  
question	
  (PICO)	
   	
  
                       	
  
It’s	
  importance	
   	
  
                       	
  
                       	
  
Methods	
                       Population	
              	
  
                                                          	
  
                                Intervention	
            	
  
                                                          	
  
                                Controls	
                	
  
                                                          	
  
                                Outcomes	
                	
  
                                                          	
  
Validity	
  of	
  study	
   	
  
                            	
  
                            	
  
Results	
                   	
  
                            	
  
                            	
  
                            	
  
Relevance	
                     	
  
                                	
  
                                	
  
                   	
  
                   	
  
                   	
  

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Journal Article Summary Template

  • 1. Summarising  a  Journal  Article1   [Salford  Medical  Student  Journal  Club]     Why  you  read  it   - Case  on  the  wards   - Personal  interest   - Exam  preparation   - Background  reading  for  a  Project  option/SSC/PBL  case   - Wanting  sound  medical  practice!   Your  search   Medline,  Google  scholar,  the  library,  stumbled  across  it...   strategy   Standard   Type  of  Qu   Diagnostic,  therapeutic,  prognostic,  aetiologic,  economic,  physiological   descriptors   Type  of  Study   Randomised  controlled  trial:  Random  allocation  to  receive  a  particular  clinical   intervention   Meta-­‐analysis:  combining  the  results  of  several  studies  that  address  a  set  of  related   research  hypotheses   Case  control:  Case-­‐control  studies  are  used  to  identify  factors  that  may  contribute  to  a   medical  condition  by  comparing  subjects  who  have  that  condition  (the  'cases')  with   patients  who  do  not  have  the  condition  but  are  otherwise  similar  (the  'controls').   Retrospective  cohort:  Taking  data  from  a  particular  cohort  and  comparing  for  a   particular  outcome.    An  odd’s  ratio  can  then  be  formed  to  assess  relative  risk.   Cross-­‐sectional:  a  randomly  selected  patient  cohort  studied  to  assess  factors   associated  with  the  incidence  or  prevalence  of  a  disease/condition.   Cost  effectiveness  analysis:  Comparing  the  relative  costs  and  outcomes  (effects)  of  two   or  more  courses  of  action.   Where  done   (if  relevant)  country/city,  multicentre,  subspeciality  clinic   Other  features   Anything  that  makes  the  study  stand  out   e.g.  Prominent  author  /  research  team  or  first  research  of  its  kind   Research   What  is  the  hypothesis  being  tested?   question  (PICO)   It’s  importance   Why  is  this  an  important  question  to  test?   Methods   Population   Who  was  studied?   Intervention   Therapies,  tests,  risk  factor,     Controls   What  was  this  group  compared  to?   Outcomes   What  were  the  deciding  outcomes  of  the  study  e.g.  stroke/no  stroke   Outcomes  could  be  clinical,  functional,  economic,  ...   Validity  of  study   GATE  framework  (see  reference  2)   Results   The  primary  results  related  to  the  original  question   (Only  present  secondary  findings  if  relevant)  
  • 2. Relevance   External  validity   - Can  you  apply  the  results  to  your  particular  studies  or  future  FY  practice?   - How  do  the  results  relate  to  your  original  presentation/interesting  patient?     References   1. Schwartz  MD,  Dowell  D,  Aperi  J,  Kalet  AL.  Improving  journal  club  presentations,  or,  I  can  present   that  paper  in  under  10  minutes.  Evid  Based  Med.    2007  Jun;12(3):66-­‐8   2. Jackson  R,  Ameratunga  S,  Broad  J,  Connor  J,  Lethaby  A,  Robb  G,  Wells  S,  Glasziou  P,  Heneghan  C.   The  GATE  frame:  critical  appraisal  with  pictures.  Evid  Based  Med.  2006  Apr;11(2):35-­‐8.    
  • 3. Summarising  a  Journal  Article  Template     Why  you  read  it       Your  search     strategy   Standard   Type  of  Qu     descriptors     Type  of  Study       Where  done       Other  features       Research     question  (PICO)       It’s  importance         Methods   Population       Intervention       Controls       Outcomes       Validity  of  study         Results           Relevance