New PDF release: Users' Guides to the Medical Literature: A Manual for

By Gordon Guyatt, Drummond Rennie, Visit Amazon's Maureen Meade Page, search results, Learn about Author Central, Maureen Meade, , Deborah Cook

The number 1 consultant to the rules and scientific functions of evidence-based medication has simply gotten higher! A Doody's middle name crucial buy for 2011! No different source permits you to positioned key evidence-based medication protocols into day-by-day medical perform greater than clients' courses to the scientific Literature. An fast vintage in its first version, this distinctive, but hugely readable reference demystifies the statistical, analytical, and scientific rules of evidence-based medication, supplying you with a hands-on, sensible source that no different textual content can fit. the following, you will how you can distinguish strong scientific facts from bad scientific facts, devise the easiest seek concepts for every medical query, severely appraise the clinical literature, and optimally tailor evidence-based medication for every sufferer. the recent moment version of this landmark source is now thoroughly revised and refreshed all through, with increased insurance of either simple and complicated concerns in utilizing evidence-based medication in medical perform. good points: thoroughly revised and up to date to mirror the large enlargement in scientific examine and evidence-based assets because the first version cutting edge association publications you from the basics of utilizing the clinical literature to the extra complicated recommendations and talents to be used in each day sufferer care events ample and present real-world examples drawn from the scientific literature are woven all through, and contain vital comparable ideas and pitfalls in utilizing scientific literature in sufferer care judgements useful specialize in the major matters in evidence-based perform: What are the implications? Are the consequences legitimate? tips on how to I follow to effects to the care of my sufferers? greater than 60 across the world well-known editors and participants from the united states, Canada, South the USA, Europe, and Asia -- the easiest of the easiest within the self-discipline NEW insurance on the best way to: --Avoid being misled by way of biased shows of study findings --Interpret the importance of scientific trials which are discontinued early --Influence clinician habit to enhance sufferer care --Apply key techniques for educating evidence-based drugs additionally search for JAMAevidence.com, a brand new interactive database for the simplest perform of proof established medication.

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Additional info for Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, Second Edition (Jama & Archives Journals)

Example text

3. org/). You can also find systematic reviews in MEDLINE and other databases. By collecting the evidence on a topic, systematic reviews become more useful than individual or primary studies. 4. Studies: Original or primary studies (eg, those stored in MEDLINE). Many studies exist but the information they contain needs evaluation before application to clinical problems. Clinical practice guidelines illustrate that this classification (like any other) has its limitations: guidelines have aspects of systems and summaries, and sometimes of synopses.

Outcome: Unnecessary thoracotomy. DEFINING THE QUESTION: CONCLUSION Constructing a searchable question that allows you to use the medical literature to solve problems is no simple matter. It requires a detailed understanding of the clinical issues involved in patient management. The 3 examples in this chapter illustrate that each patient encounter may trigger a number of clinical questions and that you must give careful thought to what you really want to know. Bearing the structure of the question in mind—patient, intervention or exposure and control, and outcome—is extremely helpful in arriving at an answerable question.

For some patients, incorporation of patient values for major decisions will mean a full enumeration of the possible benefits, risks, and inconvenience associated with alternative management strategies that are relevant to the particular patient. For some patients and problems, this discussion should involve the patient’s family. For other problems—the discussion of screening with prostatespecific antigen with older male patients, for instance—attempts to involve other family members might violate strong cultural norms.

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