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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: 377 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 • Guideline Written by Physicians for Physicians

  7. Quick Facts about UpToDate • 3,663 world-renowned physician authors (international) • 7,309 clinical topics in 13 specialties • 4,327 unique drug entries in adult, pediatrics, international, and natural drugs (Lexi-Comp) • 75,832 pages of text • 23,220 graphics • 254,555 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 interaction • ECG test • Calculator • Movies

  12. 16.1 • New Web Site Design • Patient Information • What’s New • Search Bar • Find in Topic • Feedback • Calculator

  13. 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

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

  15. 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?

  16. Q & A

  17. Thank you for your attention

  18. 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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