Transcript Connecting Consumers to Health Information

Finding the Best Evidence
Literature for Evidence Based Health
Care
Agenda
 Welcome & Introductions
 Ovid
 Bibliographic Databases
 EBM Reviews
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EBSCO
 DynaMed
Publication Types, Clinical Queries, and
Subject Subsets Limits
 Ovid Search Demo
 Additional Resources
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Ovid: Bibliographic Databases
 MEDLINE
MEDLINE
 Produced by the National Library of Medicine
 Indexes over 4,700 journals from the mid1960’s forward
 Controlled vocabulary (MeSH) available
 Premier bibliographic database for
information in the fields of medicine, dentistry,
veterinary medicine, nursing, the healthcare
system, and preclinical sciences
 International in scope
Publication Types
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Clinical Trial, Phase
I-IV
Controlled Clinical
Trial
Randomized
Controlled Trial
Evaluation Studies
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Meta-Analysis
Multicenter Study
Practice Guideline
Clinical Queries
(sensitivity, specificity, optimized)
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Therapy
Diagnosis
Prognosis
Reviews
Clinical Prediction
Guides
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Qualitative Studies
Etiology
Costs
Economics
Subject Subsets
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Systematic Reviews
EBM Reviews
 ACP Journal Club
 Cochrane Central Register of
Controlled Trials
 Cochrane Database of Systematic
Reviews
 Database of Abstracts of Reviews
of Effects (DARE)
ACP Journal Club
 Database consists of two journals:
 ACP Journal Club
 Evidence-Based Medicine (BMJ)
 Titles merged in 2000; new content appears in
ACP Journal Club
 Editors of ACP Journal Club:
 screen the top clinical journals on a regular basis
and identify studies that are both methodologically
sound and clinically relevant
 write an enhanced abstract of the chosen articles
and provide a commentary on the value of the
article for clinical practice
 No controlled vocabulary
Cochrane Central Register of
Controlled Trials
 Bibliographic database of definitive controlled
trials
 Intent: systematically search the international
health care literature and create an unbiased
source of data for those preparing systematic
reviews
 Utilizes MeSH and natural language
Cochrane Database of
Systematic Reviews
 Produced by the Cochrane Collaboration - an
international network of individuals and
institutions
 Includes two types of reviews:
 Complete Reviews – full text systematic
reviews, updated and maintained by
designated groups
 Protocols – background, objectives, methods,
and expected date of completion for reviews
currently being prepared
 No controlled vocabulary
Database of Abstracts of
Reviews of Effects (DARE)
 Produced by the expert reviewers and
information staff of the National Health
Services' Centre for Reviews and
Dissemination (NHS CRD) at the University of
York, England
 Full text database containing critical
assessments of systematic reviews from a
variety of medical journals
 No controlled vocabulary
DynaMed
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A clinical reference tool created by a
physicians for physicians and other health
care professionals
For use primarily at the point-of-care
With clinically-organized summaries for
nearly 2,000 topics
Updated daily and monitors the content of
over 500 medical journals and systematic
evidence review databases directly and
indirectly by using many journal review
services
Ovid Demo – Search Questions
 Prostate cancer and Prostatectomy.
 Low back pain treatment (drug)
Additional Resources
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ACP Pier
National Guideline Clearinghouse
Evidence Based Medicine Tool Kit
Netting the Evidence
Evidence-Based Medicine: How to
Teach and Practice EBM
ACP Pier (Physician's
Information and Education
Resource)
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Developed by the American College of
Physicians
Medical knowledge and guidance resource
based on evidence
Covers 360 disease modules
Mirrors the way a physician thinks –
information flows from diagnosis through
management
Available at BHS Library E-Resources
STATRef
National Guideline Clearinghouse
 http://www.guideline.gov/
 Developed and maintained by the Agency for
Healthcare Research and Quality (AHRQ)
 Resource to identify clinical practice
guidelines
 Includes links to additional resources, a
guideline compare tool, and full-text if
available
Evidence Based Medicine
Tool Kit
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Collection of tools for identifying,
assessing and applying relevant
evidence
Originally published in JAMA as a result
Evidence Based Medicine Working
Group
http://www.med.ualberta.ca/ebm/ebm.htm
Netting the Evidence
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Intended to facilitate evidence-based
healthcare by providing support and
access to helpful organizations and
useful learning resources
Resources can be browsed by type
Search engine available
http://www.shef.ac.uk/scharr/ir/netting/
Evidence-Based Medicine: How
to Teach and Practice EBM
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Tells how to integrate best available
evidence into clinical expertise
Available BHS Library WB 102 F933
2005 (copy on reserve and one
circulating copy)
Things to Keep in Mind…
 All of these resources are:
 Keyword searchable
 Under development thus limited in scope
 Excellent for identifying other sources of
evidence based practice materials that
may not be included in more traditional
databases
Questions About This
Presentation?
 Contact:
 Robert M. Bird Health Sciences Library
 (405) 271-2285 x48752
 (405) 800 522 0222 x 48752
 [email protected]