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EBMR & How to use OVID resources. 飞资得信息有限公司 大中华地区医学资源 陈惠玲. Outline . EBM The Cochrane Collaboration Evidence Based Medicine Resources EBMR-Systematic Review EBMR vs. Medline vs. Full Text RCT from Medline. Evidence-Based Medicine. EBM introduction. 定义 将好的医疗证据实地应用个案病例上,并针对整个过程加以
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EBMR &How to use OVID resources 飞资得信息有限公司 大中华地区医学资源 陈惠玲
Outline • EBM • The Cochrane Collaboration • Evidence Based Medicine Resources • EBMR-Systematic Review • EBMR vs. Medline vs. Full Text • RCT from Medline
EBM introduction • 定义 将好的医疗证据实地应用个案病例上,并针对整个过程加以 评估 • 五步骤 • QUESTION 确定一个需要执行实证医学的问题 • SEARCH 寻找最佳的临床文献资源证据 • APPRAISE 评价证据的真实性、可靠性、临床价值及适用性. • PRACTICE 在临床上实施具有效益的证据结果 • AUDIT 对所做的整个工作流程进行评估
Archie Cochrane “It is“It is surely a great criticism of our profession that we have not organised a critical summary, by specialty or subspecialty, adapted periodically, of all relevant randomised controlled trials.” surely a great criticism of our profession that we have not organised a critical summary, by specialty or subspecialty, adapted periodically, of all relevant randomised controlled trials.”
Cochrane Organization-组织 • Collaborative Review Groups 协会评论小组 • Methods Groups 实行方法小组 • Field/Networks领域小组 • Consumer Network消费者网络 • Centers 中心 • Steering Group指导委员会
Evidence-based Medicine • EBMR • CE • ACP Journal The American College of Physicians
EBMR • EBM Review-ACP Journal Club • EBM Review-Cochrane Database of Systemic Review(CDSR) • EBM Review-Database of Abstracts of Reviews Effectiveness(DARE) • EBM Review -The Cochrane Central Register of Controlled Trials(CCTR)
数据库内容属性 Review
Article Review Process Monthly Review of Top Clinical Journals Quality Screening Article Review : Enhanced Abstract
Core Journals for Article Review • American Journal of Medicine • Annals of Internal Medicine • Archives of Internal Medicine • Journal of Internal Medicine • New England Journal of Medicine • Diabetes Care • Circulation, Jama, Lancet
What is Systematic Reviews???? Topic Review?
Systematic Review Process Comprehensive Topic Search Quality Screening Meta Analysis Topic Review
Review Groups • HIV/AIDS • Hypertension • Incontinence • Infectious diseases • Inflammatory bowel disease • Injuries • Lung cancer • Menstrual disorders and subfertility • Metabolic and endocrine disorders • Movement disorders • Multiple sclerosis • Muskuloskeletal • Musculoskeletal injuries • Neonatal • Neuromuscular disease • Oral health • Pain, palliative and supportive care • Peripheral vascular diseases • Pregnancy and childbirth • Prostatic diseases and urologic cancers • Renal • Schizophrenia 目前共有49个 Review Groups
CDSR CCTR What’s relationship between CDSR and CCTR?
What is CCTR? • 资料来源:Medline,EMBASE,其它电子数据库 • CCTR 包含超过 300,000有关Randomized Controlled trials 随机临床试验或controlled clinical trials 控制临床实验
Contents in a trial register • Title of trial • Research question • Study population and interventions • Lead investigator or institution • Funding organisation • Unique identifier to prevent repeat registrations • Status of trial Ongoing or completed? Is trial still open to accrual? Contact address for potential participants • Other details of methodology Design, power calculation, outcomes, analysis • Ethical aspects Type of consent, information given to participants, approval by ethics committee • Results Published or unpublished? Abstracts presented? References to best account of results • Full protocol
DARE(Database of Abstracts of Reviews of Effectiveness • Additional Resource for Systematic Review • DARE is produced by the expert reviewers and information staff of the NHS-CRD. • It includes structured abstracts of systematic reviews from around the world. • Current Contents Clinical Medicine, MEDLINE, CINAL, Biosis, ERIC, PsycINFO are the resources.
Outline of the Records in DARE • Author Objective • Type of Intervention • Specific included Intervention in Review • Profile of Participants in Review • Outcome Assessed in Review • Quality Criteria of Validity • Applied Inclusion Criteria • How studies to be combined • Implication of Review • Author’s conclusion • Subject Indexing
EBMR vs. MEDLINE vs. Full Text • 数据库内容属性不同 • 数据库检索惯性不同
Browse Funtion • CDSR – Browse topic/53 groups • ACP – Browse Journal • CCTR - Tools
ACP Journal Club 横向查寻期刊
Medline, EBMR, and Full-ext OVID resources Ovid MEDLINE Other resources Ovid Full Text Collection Journal@ovid EBMR
Medline, EBMR, and Full-ext OVID resources Ovid MEDLINE Other resources books Ovid Full Text Collection Journal@ovid EBMR
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