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Finding answers

Finding answers. Finding answers to EBHC-questions. Atle Klovning, MD Div. for General Practice University of Bergen N-5009 Bergen, Norway atle.klovning@isf.uib.no. Plan. General EBM 1 General linksites which are great starting points into the EBM world

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Finding answers

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  1. Finding answers Finding answers to EBHC-questions Atle Klovning, MD Div. for General Practice University of Bergen N-5009 Bergen, Norway atle.klovning@isf.uib.no

  2. Plan • General EBM • 1 General linksites which are great starting points into the EBM world • I would use the sources in the following priority: • 2 The Cochrane database • 3 MEDLINE - one of many databases which are free and with different interfaces • 4 Secondary Journals - "let others critically appraise and present articles" • 5 Primary Journals on the web • 6 Guidelines on the web, well aware of the varying quality • 7 Internet • 8 Mailbases for posting questions I still have not found an answer to

  3. 1 General linksites • For a more general leap into EBM, I find it very useful to begin with: • An Introduction to Evidence-Based Practice. Seminar 3: An Introduction to Evidence-Based Practice, by Alan O'Rourke • http://www.shef.ac.uk/uni/projects/wrp/sem3.html

  4. 1 General linksites (cont.) • The Wisdom seminars • http://www.shef.ac.uk/uni/projects/wrp/seminar.html • A to Z of Evidence-Based Health Care • http://drsdesk.sghms.ac.uk/Starnet/atoz.htm • Netting the Evidence • http://www.health.su.oz.au/resource/netting.htm • ebmref • http://www.hmc.psu.edu/family/ebm/ebmref.htm • Evidence-based health care sites • http://www.grilib.demon.co.uk/ebm.htm

  5. 1 General linksites (cont.) • Primary Care Internet Guide from our own department • http://www.uib.no/isf/guide/guide.htm • EBM Web Page • http://hiru.hirunet.mcmaster.ca/ebm/userguid/ • Centre for Evidence-Based Medicine • http://cebm.jr2.ox.ac.uk • CATbank • http://cebm.jr2.ox.ac.uk/docs/catbank.html • BIOMEDNET • free; send you the information you look for by e-mail if you don't find it in its searching pages. http://www.biomednet.com You must enter and subscribe.

  6. OMNI • OMNI (Organising Medical Networked Information) is a gateway to the Internet for medicine, biosciences, and allied health. • http://omni.ac.uk/ • Our aim is to provide access to only quality health information, covering resources in the UK and worldwide. We are funded by a UK higher education funding council, JISC.

  7. OMNI • To provide access to only high quality health information resources, we choose them by a process of selection, evaluation and description. The criteria that we use for selection are all available from the OMNI home page, or at • http://omni.ac.uk/agec/agec.html

  8. 2 Cochrane sites • http://www.ohsu.edu/bicc-informatics/ebm/ebm_topics.htm • BALTIMORE COCHRANE CENTER HOME PAGE • http://www.cochrane.org/ • Cochrane Home Page • http://update.cochrane.co.uk/ • Cochrane Collaboration • http://HIRU.MCMASTER.CA/cochrane/default.htm • Cochrane Reviews list by Collaborative Review Group • http://som.flinders.edu.au/FUSA/COCHRANE/cochrane/revabstr/abidx.htm

  9. Cochrane CD-ROM • You need the CD-ROM subscription

  10. 3 MEDLINE - • one of many databases which are free and with different interfaces • There are many more like CINAHL, EMBASE etc., and there are • many different search engines • IGM • WinSPIRS • Knowledgefinder • PubMed etc.

  11. When searching Medline • for a type of artcle, it must be formulated as e.g. • "REVIEW in PT", where PT stands for publication type. If not done so, one will only get 1/3 to 1/4 of relenvant articles.

  12. Other Medline interfaces • WebSearch • http://www.bibsys.no/exec/ws • OBGYN.net - Knowledge Finder® Medline • http://www.obgyn.net/medline.htm • Welcome to PubMed • http://www.ncbi.nlm.nih.gov/PubMed/ • Internet Grateful Med • http://igm.nlm.nih.gov/cgi-bin/processQuery?8968+logoff

  13. Databases at the University of Bergen • http://rosin.ubb.uib.no/felles/cd-rom/ub.htm#medline • CD-ROM meny of databases at the University of Bergen • http://rosin.ubb.uib.no/felles/cd-rom/cd.htm#cd-rom

  14. BIBSYS • http://www.bibsys.no/bibsys.html • Search BIBSYS • http://www.bibsys.no/exec/isi?lang=N

  15. 4 Secondary Journals • ACP Journal Club on Disk • http://cebm.jr2.ox.ac.uk/docs/hiru/acpjc/acpodof.htm • ACP Journal Club • http://cebm.jr2.ox.ac.uk/docs/hiru/acpjc/default.htm • How To Cite ACP Journal Club • http://www.acponline.org/journals/acpjc/jccite.htm • Journal Club on the Web • http://www.webcom.com/mjljweb/jrnlclb/ • In Journal Club you can find the most outstanding publications of important journals on-line. • http://www.journalclub.com

  16. Western scotland pravastatin study • http://www.webcom.com/mjljweb/jrnlclb/a12.html#c11

  17. 4 Secondary Journals (cont.) • Best Evidence • http://hiru.hirunet.mcmaster.ca/acpjc/acpod.htm • Evidence-Based Medicine • http://www.herts.ac.uk/lrc/subjects/health/ebm.htm • ACP • http://www.acponline.org/journals/ebm/ebmmenu.htm • ACP Online - The Web Site for Internal Medicine • http://www.acponline.org/

  18. 4 Secondary Journals (cont.) • Bandolier Home Page • http://www.jr2.ox.ac.uk/bandolier/index.html • How good is that test? • http://www.jr2.ox.ac.uk/bandolier/band26/b26-2.html • How Good is that Test? II • http://www.jr2.ox.ac.uk/bandolier/band27/b27-2.html • Diagnosis of acute sinus infections • http://www.jr2.ox.ac.uk/bandolier/band48/b48-4.html

  19. Workshops for Teaching Evidence-Based Health Care • http://www.ucl.ac.uk/primcare-popsci/uebpp/ttt.htm • Evidence-based health Calendar of Events • http://cebm.jr2.ox.ac.uk/docs/calendar.html • Medical Conferences & Meetings - Doctor's Guide to the Internet • http://www.pslgroup.com/MEDCONF.HTM

  20. 5 Primary Journals • The medical journals on-line • http://www.journalsonline.com

  21. General journals • Instructions to Authors • http://www.mco.edu/lib/instr/libinsta.html • American Medical Association - JAMA • http://www.ama-assn.org/scipub.htm • Likelihood Ratios and Determination of Appendicitis...[Letter, Sep 10 JAMA. 1997;278:819-820] (c) AMA 1997 • http://www.ama-assn.org/sci-pubs/journals/archive/jama/vol_278/no_10/letter_3.htm • BMJ home page • http://www.bmj.com/bmj/ • BMJ Education and debate

  22. General journals • http://www.bmj.com/archive/7104/7104ed.htm • Canadian Medical Association Journal • http://www.cma.ca/cmaj/index.htm • New England Journal of Medicine On-line -- Home Page • http://www.nejm.org/ • User Guides to the Medical Literature (JAMA) • http://www.shef.ac.uk/~scharr/ir/userg.html • ACP - Annals of Internal Medicine - Current Contents

  23. Epidemiology • http://www.acponline.org/journals/annals/annaltoc.htm • American Journal of Epidemiology • http://www.sph.jhu.edu/pubs/jepi/ • International Journal of Epidemiology • http://www.oup.co.uk/jnls/list/ije/

  24. Laboratory journals • Equip - Home Page • http://www.equip.ac.uk/ • AACC's - Clinical Chemistry Journal • http://aacc.org/ccj/ • Clinical Chemistry Journal Abstracts Search • http://aacc.org/ccj/ccjinput.html • Quality in Health Care • http://www.bmjpg.com/data/qhc.htm

  25. Family medicine journals • Journal of Family Practice • http://jfp.msu.edu/default.htm • AFP Index • http://www.racgp.org.au/afp/25_12/25_12.htm • Family Practice • http://www.oup.co.uk/jnls/list/famprj/ • The Royal College of General Practitioners • http://www.rcgp.org.uk/publicat/journal/index.htm • Tidsskrift for Den norske lægeforening • http://www.legeforeningen.no/tidsskriftet/index.html

  26. Family medicine journals • Läkartidningen på Internet • http://www.lakartidningen.se/default.htm • The Medical Journal of Australia • http://www.mja.com.au/ • DADL NET • http://www.dadl.dk/ugeskrift/default.htm • Scandinavian University Press • http://www.scup.no/journals/en/j-415.html • Utposten • http://www.uib.no/isf/utposten/utposten.htm

  27. 6 Guidelines • The number of guidlines accessible on Internet is expanding rapidly. • CRD: Information Service • http://www.york.ac.uk/inst/crd/info • Clinical Information • http://www.ahcpr.gov/clinic/ • HSTAT • http://text.nlm.nih.gov/ contains US government healthcare information and guidelines • Canadian guidelines can be found at • http://www.cma.ca/cpgs/index.htm .

  28. 7 Internet • Webcrawler: • http://webcrawler.com/Health • Infoseek Health Channel; • http://www.infoseek.com • Medexplorer: • http://www.medexplorer.com • Yahoo • http://yahoo.com

  29. 8 Mailbases • Mailbases are useful for following debates on issues of interest to you, and questions may be posted to the listmembers, but you are expected to have done your homework and searched on your own before posting your question. • Mailbase Electronic Mailing List Service • http://www.mailbase.ac.uk/ • The EBH list may be joined at • http://www.mailbase.ac.uk/lists/evidence-based-health/ • and messages are posted to evidence-based-health@mailbase.ac.uk

  30. Recently on the EBH list • A. Booth presented a list on resources for critical appraisal • http://www.mailbase.ac.uk/lists/evidence-based-health/1998-05/0078.html and

  31. Gilberto Lacchia, MD asked: • I am looking for internet sources or major medical journal articles about the following topics: • Searching medical information on the world wide web • Tips for searching the medical search engines (MSEs) • Best available MSEs • Thank you for your help, (PLEASE REPLY TO glacchia@eponet.it NOT TO THE ENTIRE LIST). • which resulted in: http://www.mailbase.ac.uk/lists/evidence-based-health/1998-05/0119.html

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