Evidence-Based Veterinary Medicine

1. Evidence-Based Veterinary Medicine Françoise Pasleau, Sandrine Vandenput Nicolas Fairon, Christian Hanzen Bibliothèque des Sciences de la Vie Needs and education at the Univiversity of Liège

2. Users' education at the BSV 4 libraries / 4 Faculties • Human Medicine • Veterinary Medicine • Psychology and Education Sciences • Life Sciences : Zoology & Botany To share experience in users' education

3. Cu rr i c ulum in in f o r m a tion s c i e n ce s a t th e F ac ulty o f M e di c in e Y ea r C o nt e n t - Fi rs t c yc l e Y ea r 1 C om p u te r l i te r ac y - Y ea r 2 Us in g t h e m e d ica l l i b r a r y - S ea r c h in gP u b Me d ( ba si c mo de ) - A na l y si n g t h e st r u ct ur e o f a r e s ea r c h a r ti c le - E v al u at i n g t h e b io m e d i c al In te r n e t EBM EBM - S ec on d cyc l e Y ea r 1 P y r a m i d o f e v i d enc e - C o c h ra n e Li br ar y - C l i n ica l E v id e nc e & EB M R e vi e w s ( O v i d ) - T r an sfo r m i n g n eed i n t o q ue st io n (P I C O ) - A d v an c ed s ea r c h i n g o n O v i d p EBM teaching at the BSV lat fo r m - C l i n ica l q ue r ie s - Y ea r 2 E v al u at i o n g r i d f o r R CT ( t h e r ap y)

4. From EBM to EBVM ? • To survey veterinary practitioners • Have they heard about EBVM ? • Would they be interested in ? • To compare sources of information • Are they adapted to EB(V)M practice ? • To optimize users' education • Is the EBM course content suited to EBVM ? • What adaptations ?

5. Our reference Handbook of Evidence-Based Veterinary Medicine Peter Cockcroft and Mark Holmes Blackwell Publishing, 2003

6. Results of the e-mailed survey • Sample : 800 private "vet." interested in CE / LLL • Participation : 138 feed-back (17%) • Results : The surveyed veterinarians … • never heard about EBVM (93%) • frequently need foreground information (100%) and … • seek evidence in textbooks, journals, Internet, … (54%) • advise with respected colleagues (28%) • refer the patient (28%) • base the clinical decision on background knowledge (6%) • encounter problems during their search (60%) • have never been trained in information sciences (IS) (40%) • are satisfied with their IS education/skills (25%)

7. Information sources Are they adapted to EB(V)M practice ? • To compare the available information • about therapeutic interventions • in human  small/large animals • To search Medline (Ovid) and CAB (SPIRS) • To compare the results

8. Systematicreviews Meta-analyses Blinded RCTs Cohort studies Control case studies Case series Single case reports Pyramid of evidence Integrative Literature Individual Studies

9. GNRH & ovarian cysts treatment Controlled searches (using subject headings) - Limit 1996-2004

10. Conclusion  EBVM • Public • Tools • Courses

11. The veterinarians… • Seek evidence to support decision making • Prefer scientific sources • Are moderately satisfied with their searches • Are rather poorly trained • Are interested in improving their skills • Never heard of EBVM

12. The tools in veterinary medicine …. • Are not adapted to the EBVM practice • The literature has … • Smaller content • No Cochrane Library • No systematic reviews • Very few meta-analyses • Few RCTs • The search engines need to be adapted with • integrated filters for clinical queries • limits according to the publication types

13. Teaching EBVM • The transposition of the EBM course to Vet. Med. is not conceivable without modification • New evaluation grids have to be developped • Librarians have to be trained to evaluate sources of poorer evidence • The collaboration with the clinical staff is needed