Cochrane Systematic Reviews Adrian Banning, MMS, PA-C Gary M. Childs, MS
Hunting Sources: Finding Clinically Relevant Information Quickly
Cochrane Systematic Reviews A study done in 1972 showed inexpensive corticosteroids beneficial in preterm delivery. No systematic review of the literature was done until 1989. Had it been it would have shown that infant mortality is reduced 30 -50% using this evidence that was already on hand. VERY comprehensive analysis of the research
Links To Video Tutorial Playlist http: //tinyurl. com/m 22 fosh -ORhttps: //www. youtube. com/playlist? list=PLkr 8 XTH_bktjgj 4 V 9 mxfl Vv. Bz 7 w. Ak. APIL
Clinical Question • Suzy, the mother of a 2 y/o girl with asthma is concerned about the upcoming cold and flu season. She’s interested in having her child receive the influenza vaccine, but she’s afraid that the vaccine could trigger her daughter’s asthma. What does the current available evidence suggest?
PICO(T) Format • • • P: Patient, population, “problem” I: Intervention C: Comparison Intervention O: Outcome (T): Time
Clinical Question in PICO format • • • P: 2 y/o girl with asthma I: influenza vaccine C: no influenza vaccine O: possible asthma exacerbation risk (T): immediately following vaccination
Cochrane Library: Search Terms
CDSR: Systematic Review Length
CDSR: Plain Language Summary
CDSR: Conclusions
CDSR: References
TRIP: Turning Research Into Practice
TRIP: Article Abstracts
Dyna. Med
Dyna. Med: Search Autocomplete
Dyna. Med: Search With Records & Level of Evidence (LOE)
Dyna. Med: LOE Defined
Dyna. Med: Calculators
National Guideline Clearinghouse (NGC)
NGC: Search Terms
NGC: Results
NGC: Guideline Summaries
NGC: LOE (not standardized!)
NGC: Not All Guidelines Include LOE
MEDLINE (Pub. Med)
MEDLINE: Clinical Queries Search Terms
MEDLINE: Limits
MEDLINE: Display Settings -Abstract
Questions? ?
References Claude Moore Health Sciences Library. Information mastery: navigating the maze. University of Virginia Health System Web site. www. hsl. virginia. edu/collections/ebm/pyramid. cfm. Accessed May 11, 2012. Dartmouth Biomedical Libraries. Evidence-based medicine (EBM) Resources. Dartmouth College Library Web site. http: //www. dartmouth. edu/~biomed/resources. htmld/guides/ebm_resources. shtml. Accessed May 11, 2012. Ebell MH, Barry HC, Slawson DC, & Shaughnessy AF. Finding POEMs in the medical literature. J Fam Pract. 1999; 48(5): 350 -355. Ebell M, Shaughnessy A. Information mastery: integrating continuing medical education with the information needs of clinicians. J Cont Ed Health Prof [serial online]. April 2, 2003; 23: S 53 -62. Available from: CINAHL with Full Text, Ipswich, MA. Accessed May 30, 2013. Johnson CA. The Information Diet. Sebastopol, CA; O’Reilly Media, Inc. ; 2011 Marks S, Mc. Kibbon KA. Posing clinical questions: Framing the question for scientific inquiry. AACN Clin Issues. 2001; 12(4): 477 -481. Mayer, D. (2009). Essential Evidence-Based Medicine. Oxford, UK. Oxford University Press. Mc. Conaghy JR. Evolving medical knowledge: moving toward efficiently answering questions and keeping current. Prim Care: Clin in Office Prac. 2006 December; 33(4): 831 -837
References Pearce-Smith N, Hunter J. The introduction of librarian tutors into the teaching evidencebased medicine week in Oxford, UK. Health Info Libr J. 2005; 22(2): 146 -149. Shaughnessy A, Gupta P, Erlich D, Slawson D. Ability of an information mastery curriculum to improve residents' skills and attitudes. Fam Med. 2012 April; 44(4): 259 -64. Shaughnessy AF, Slawson DC, & Bennett JH. Becoming an information master: A guidebook to the medical information jungle. J Fam Pract. 1994; 39(5): 489 -499. Slawson DC, Shaughnessy AF, & Bennett JH. Becoming a medical information master: Feeling good about not knowing everything. J Fam Pract. 1994; 38(5): 505 -513. Slawson, D. C. & Shaughnessy, A. Information mastery: evidence-based medicine in everyday practice. 2003. Accessed May 11, 2012 from http: //www. bibalex. org/supercourse/bmj. htm. Slawson, D. C. & Shaughnessy, A. 2003. Information Mastery: Evidence-Based Medicine in Everyday Practice. Power. Point file retrieved February 17, 2011 from http: //www. bmj. com. § http: //www. theatlantic. com/international/archive/2012/07/is-it-walter-cronkites-faultwhy-olympic-announcers-keep-saying-beizhing/260556/ § http: //cdn. sheknows. com/articles/2013/08/ron-burgundy-memoir. jpg
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