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Answering Clinical Questions at the Point of Care

Answering Clinical Questions at the Point of Care. 鄭如雅 ccheng@uptodate.com. Outline. About UpToDate Evidence Grading How to Search Q & A. About UpToDate. You don’t need more information You need the right information.

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Answering Clinical Questions at the Point of Care

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  1. Answering Clinical Questions at the Point of Care 鄭如雅 ccheng@uptodate.com

  2. Outline • About UpToDate • Evidence Grading • How to Search • Q & A

  3. About UpToDate You don’t need more information You need the right information

  4. Synthesize current literature and best practices, then make specific clinical recommendations

  5. Evidence is derived from a number of Sources • Journals: 411 peer reviewed journals • Databases: • MEDLINE, The Cochrane Database, Clinical Evidence and ACP Journal Club • Guidelines • Clinical trials • FDA, CDC, NIH • Proceedings • Clinical experience and observations Including but not limited

  6. Quick Facts about UpToDate • Topic reviews • Patient Information • Drug Information Written by Physicians for Physicians

  7. Quick Facts about UpToDate • 3,831 world-renowned physician authors (international) • 7,495 clinical topics in 13 specialties • 4,504 unique drug entries in adult, pediatrics, international, and natural drugs (Lexi-Comp) • 24,416 graphics • 254,256 references (Medline) • Updated every 4 months (March, July, November)

  8. Evidence Grading

  9. Evidence Grading – UTD GRADE

  10. How to Search

  11. How to Search • New Search • search  display result  output • Others • Evidence grading • RECOMMENDATIONS • Drug interactions • ECG Test • Calculator • Movies

  12. To Access UpToDate • Please go to library homepage • Just “Accept” the license agreement and you are brought to the search page, ready for your use; within a few seconds

  13. How to use UpToDate based on a Clinical Scenario • How effective is long-term warfarin at preventing recurrent pulmonary embolism?

  14. How to use UpToDate based on a Clinical Scenario • A 58 year-old postmenopausal woman is experiencing stress urinary incontinence that is interfering with her quality of life. She is not having hot flashes, but she has heard that estrogen therapy is very effective for urinary incontinence. What advice do you give her?

  15. Q & A

  16. Thank you for your attention

  17. Specialties • Adult Primary Care & Internal Medicine • Cardiovascular Medicine • Endocrinology & Diabetes • Family Medicine • Gastroenterology & Hepatology • Hematology • Infectious Diseases • Nephrology & Hypertension • Obstetrics , Gynecology & Women’s Health • Oncology • Pediatrics • Pulmonary, Critical Care & Sleep Medicine • Rheumatology

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