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METHODOLOGY AND FIRST TWO YEARS OF EXPERIENCE WITH PURLS: A NEW TERTIARY LITERATURE REVIEW SYSTEM

METHODOLOGY AND FIRST TWO YEARS OF EXPERIENCE WITH PURLS: A NEW TERTIARY LITERATURE REVIEW SYSTEM. Kate Rowland, MD Umang Sharma, MD University of Chicago Department of Family Medicine. Keeping up with the literature. Challenges: volume, variable quality, feasibility

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METHODOLOGY AND FIRST TWO YEARS OF EXPERIENCE WITH PURLS: A NEW TERTIARY LITERATURE REVIEW SYSTEM

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  1. METHODOLOGY AND FIRST TWO YEARS OF EXPERIENCE WITH PURLS: A NEW TERTIARY LITERATURE REVIEW SYSTEM Kate Rowland, MD Umang Sharma, MD University of Chicago Department of Family Medicine

  2. Keeping up with the literature • Challenges: volume, variable quality, feasibility • Incorporation of new research into practice notoriously slow • Need an efficient system to stay up to date • Existing secondary systems still high volume • EvidenceUpdates (BMJ) • DynaMed weekly updates • InfoPoems

  3. Origins of primary care research • Where is research impacting primary care physicians done? • Who funds such research? • Who are the researchers completing such studies? • Where is such research published?

  4. Introducing PURLs • Priority Updates from the Research Literature • Tertiary system designed for efficiency and completeness • Planned, developed, and tested between 2005-2007 • First PURLs published in 2007

  5. PURLs criteria • Scientifically valid • Relevant to Family Medicine • Applicable in a Medical Care Setting • Immediately implementable • Clinically meaningful • Change in practice

  6. PURLs processes

  7. PURLs process: potential PURL review • Standardized critical appraisal forms • Review of secondary literature sources • PURL criteria checklist • 1-3 potential PURLs per week • 1-3 hours for reviewer per article

  8. Medical literature: July 07-August 09

  9. Journal Source

  10. PURL characteristics

  11. PURL timing (days)

  12. Characteristics of original articles

  13. Characteristics of original articles

  14. Conclusions • Most research that changes primary care practice is done outside of the US, mostly by specialists, and with funding from international governments and industry.

  15. Future directions • PURLs project continues • 24 PURLs published in 2009 and 2010 • Similar descriptive analyses as data pool grows • Development of nationwide physician panel • What is current practice? • How do PURLs affect practice? • Policy implications

  16. Acknowledgments • Bernard Ewigman, MD, MSPH, PURLs editor • Cortni Cross, PURLs project manager • Joan Nashelsky, MLS, FPIN librarian • Family Physicians Inquiries Network • The PURLs nomination team • The PURLs working group

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