Transcript Scientific Affairs & Research

Evidence
Analysis
Library
Part I
EAL Part I presentation includes:
 List of Current EAL Projects
 Steps in Evidence Analysis Process
 Navigating the EAL
Updated September 2006
www.adaevidencelibrary.com
Online
Resource
with the best
available
research
on important
dietetics
topics in a
practitionerfriendly
format
Key messages
Definition
Why evidence-based practice?
Current Projects/Topics
Steps in Evidence Analysis Process
Example from EAL
Definition/Description
“Evidence-Based Dietetics Practice
is the use of systematically reviewed
scientific evidence in making food and
nutrition practice decisions
by integrating best available evidence with
professional expertise and client values to
improve outcomes.”
Revised by EBP Committee and approved by HOD Leadership January 2006
Why Evidence-based Practice?
• To improve patient outcomes
• To improve patient safety & the
quality & efficiency of practice
• To take advantage of the
“exploding” body of biomedical
knowledge
• Thousands of new research studies
appear every month
Current EAL Projects
Diseases & Conditions
Chronic Kidney Disease (revision)
Diabetes 1 & 2 (revision)
Disorders of Lipid Metabolism
(Hyperlipidemia revision)
Gestational Diabetes (revision)
revision of 2001 Guidelines (CD format)
Current EAL Projects (continued)
Diseases & Conditions
Adult weight management
Determinants of Pediatric Overweight (FNPA)
Chronic Obstructive Pulmonary Disease (COPD)
Critical Illness
Gluten Intolerance/ Celiac
Heart Failure
HIV/AIDS
Current EAL Projects (continued)
Diseases & Conditions
Hydration
Hypertension
Nutrition in Athletic Performance
Nutrition Care in Bariatric Surgery
Oncology
Pediatric Weight Management
Spinal Cord Injury & Nutrition
Unintended weight loss
Current EAL Projects (continued)
Nutrition Care Process
Assessment
Estimating Energy Expenditure/
Indirect Calorimetry
Intervention
Nutrition Counseling
Current EAL Projects (continued)
Foods
Non-nutritive sweeteners
Current EAL Projects (continued)
Nutrients
Fiber
Did you see “your” project?
To suggest a new project for
possible analysis in the future
when resources become
available, send an email to:
[email protected]
Evidence Analysis Process
Steps in ADA’s
Evidence Analysis Process
Steps in ADA’s
Evidence Analysis Process
1)
Formulate Questions.
Expert Workgroup defines questions and the analytical
framework; lists keywords for search terms, and
determines Inclusion / Exclusion Criteria for Literature
Review.
2)
Gather and Classify Evidence Reports
Lead Analyst conducts Literature Review for each
question; records information online in Search Plan &
Results. Work group approves list of included articles
for analysis.
Steps in ADA’s
Evidence Analysis Process
3)
Critically Appraise Each Report
Analysts critically review articles and create article
Worksheets that are reviewed by Lead Analysts and
expert workgroup.
4)
Write the Evidence Summary
Analysts and Lead Analysts complete Evidence
Summaries and Overview Tables that are reviewed
and approved by expert workgroup.
Steps in ADA’s
Evidence Analysis Process
5) Grade the Conclusion Statement
Workgroup members reach consensus on
a brief conclusion statement (the answer
to the evidence analysis question) and
assign a grade based on the strength and
quality of the evidence.
Next Steps

Publish online to the EAL
Question, Conclusion, Grade, Search Plan &
Results, Evidence Summary, Overview Table,
Article Worksheets, and Quality Checklists are
published online.

Position Papers and Guidelines
Published Evidence Analysis Questions are used in
ADA position papers and to support guideline
recommendations.
Example from EAL
Drill down to the level of detail desired.
Question
Conclusion Statement & Grade
Search Plan & Results
Evidence Summary
Bibliography
Worksheets & Quality Checklists
Example: www.adaevidencelibrary.com
Select Diseases and Conditions tab.
1. Select a project from list of Diseases & Conditions.
2. Choose a topic
Disorders of
Lipid Metabolism
(select project)
Macronutrients
(choose topic)
3. Choose a sub-topic - if needed
Trans-fatty acids
(sub-topic)
Question
What is the relationship between
diets high in trans fatty acids and
serum cholesterol levels?
Bibliography
for Topic
Conclusion Statement/Grade
“Mouse over” or click on Question
to see Conclusion & Grade
Trans-fatty acids raise total cholesterol
and LDL-C. Unlike saturated fatty
acids, trans-fatty acids do not increase
and may decrease HDL-C. Trans-fatty
acids increase the TC/HDL-C ratio in a
dose dependent manner. GRADE I
Search Plan and Results
•Date Searched
•Inclusion Criteria
•Exclusion Criteria
•Search Terms
•Databases searched
•Articles identified from handsearch
•Included Articles
•Excluded Articles with reason for exclusion
Grades
Conclusion Grading Table
Link to Evidence Summary
Evidence Summary
Narrative
Summary
Evidence Summary
Of the
research
available
to answer
question
Page Down Evidence Summary
to Bibliography
Bibliography for Question
is listed at end of Evidence
Summary (and linked to
worksheets)
Worksheet
•Citation / PubMed ID
•Date
•Study Design
•Class
•Rating (+/0/-)
•Research Purpose
•Inclusion Criteria
•Exclusion Criteria
•Description of Study
Protocol
•Data Collection
Summary
•Description of Actual
Data Sample
•Summary of Results
•Author Conclusion
•Reviewer Comments
Page Down Worksheet to
Quality Criteria Checklist
Answers to questions
determine the Quality
Rating of Article:
Positive (+)
Negative (-)
Neutral ()
Search on EAL
Enter topic and click on “Search.”
Example: low carbohydrate
Results: Questions, Evidence
Summaries, Worksheets, and Topics
that use the term, “low carbohydrate”
are displayed in a table.
Each is linked to information on EAL.
Questions ?
Help
Frequently Asked
Questions (FAQs)
Resources
Check Resources on EAL for
additional PowerPoint
presentations.
Contact ADA Staff
Contact
[email protected]
Was this PowerPoint presentation useful?
Please send feedback to ADA Staff.