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Clinical guidelines & EBM reviews. AHILA-WHO-INASP workshop Dar-es-Salaam, Tanzania, July 2005 Martha J Garrett, Director, INFORM. Some reasons they are valuable. Based on weighing of the scientific evidence Help clinicians to identify effective treatments, valid diagnostic tools
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Clinical guidelines & EBM reviews AHILA-WHO-INASP workshop Dar-es-Salaam, Tanzania, July 2005 Martha J Garrett, Director, INFORM
Some reasons they are valuable • Based on weighing of the scientific evidence • Help clinicians to identify effective treatments, valid diagnostic tools • Prevents waste of resources
Some international resources • Medline/PubMed • Cochrane • GFMER
How it works at Medline/PubMed #1 • Go to www.pubmed.org, click on limits • Under ’Publication types’ select one: • Meta-analysis • Practice guideline • Randomized controlled trial • Review • Type in search phrase and click on Go
How it works at Medline/PubMed #2 • Go to www.pubmed.org • Click on ’Clinical queries’ to the left • Select ’Search by Clinical Study Category’ • Type in search term(s) • Select category and scope (usually narrow) • Click on Go
How it works at Medline/PubMed #3 • Go to www.pubmed.org • Click on ’Clinical queries’ to the left • Select ’Find Systemic Reviews’ • Type in search term(s) • Click on Go
Cochrane library • Reviews via INASP/PERI • Abstracts free to everyone • Complicated because of shift to Wiley
How it works at Cochrane (2 ways) • Go to www.cochrane.org/cochrane/revabstr/mainIndex.htm • Click on ’Browse by Review Group’ • Go to www.mrw.interscience.wiley.com/cochrane/cochrane_clsysrev_subjects_fs.html • Use pull-down menu to select group
How it works at GFMER • Go to www.gfmer.ch, click on ’English’ • Click on ’Databases, links’, ’Free medical journals…’, then select topic • On new page, scroll to ’Guidelines, position statements, recommendations, standards, systematic reviews’ • Click on link to access item of interest