1 / 9

DUETs : ENT Experience

DUETs : ENT Experience. Steve Sharp, Information Specialist. Overview . Background and rationale Phase 1: Ongoing - audit library collection Unresolved Issue - Reliability Phase 2 – clinicians, patients and carers. ENT and Audiology Context. Small specialty

toril
Download Presentation

DUETs : ENT Experience

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. DUETs : ENT Experience Steve Sharp, Information Specialist

  2. Overview • Background and rationale • Phase 1: Ongoing - audit library collection • Unresolved Issue - Reliability • Phase 2 – clinicians, patients and carers

  3. ENT and Audiology Context • Small specialty • Exhaustive systematic review collection • Phase 1: Audit of library collection to harvest uncertainties • Systematic Reviews coded by age and uncertainty status: • Conclusive • Ongoing • Research recommendations • Gap in Research • Unavailable/Unclear

  4. Reliability Issue • Definite conclusions but dubious methodology? • Questions may be answered by relevant reviews but not reliably • How far should critical appraisal extend to assess reliability? • Primary research reviewed may be flawed • Review itself may have flawed methodology

  5. Is carbogen gas effective in the treatment of sudden sensorineural hearing loss? • Health Technology Assessment • Robust methods • Only 3 non-randomised studies identified • Potentially biased • Heterogenous groups and treatments • But no further research recommended • Has the question been answered reliably?

  6. Higher dosages of azithromycin are more effective in treatment of group A streptococcal tonsillopharyngitis • Declarative title, definite conclusion • Review meets basic criteria for systematic review • Methodological weaknesses • DARE verdict: “conclusions should be interpreted with caution”

  7. Dormant Uncertainties - Unanswered questions • Small number of ENT “DARE beware” reviews with definite conclusions • But larger specialties – many more “DARE bewares” • A task for all SLs to expose dormant uncertainties? • What about DARE rejects?

  8. Phase 2: Clinicians, patients and carers • Raising awareness: • Homepage • NKWs • Questionnaire from Clinical Lead • Searching service • Limited response to date • 2008 NKWs aim to take more proactive approach

More Related