Cochrane Database of Systematic Reviews
A rapidly growing collection of regularly updated, systematic reviews
of the effects of health care, maintained by contributors to the Cochrane
Collaboration. New reviews are added with each issue of The Cochrane Library.
Cochrane reviews are reviews mainly of randomized controlled trials. Evidence
is included or excluded on the basis of explicit quality criteria to minimize
bias. Data are often combined statistically, with metaanalysis, to increase
the power of the findings of numerous studies each too small to produce
reliable results individually. Although the Cochrane Database of Systematic
Reviews is available on subscription only, the Abstracts of Cochrane Reviews
are available without charge and can be browsed or searched.
Cochrane Library
The Cochrane Library is a quarterly updated electronic database containing
systematic reviews and other information that will assist in making
diagnostic, treatment and other health care decisions. It is the most
comprehensive source of references for those with an interest in
evidence-based health care. The Cochrane Library consists of four main
databases: The Cochrane Database of Systematic Reviews, The Database of
Abstracts of Reviews of Effectiveness, The Cochrane Controlled Trials
Register and The Cochrane Review Methodology Database.
http://www.cochrane.org/cochrane/cdsr.htm
Cochrane Library [Abstracts]
This facility from Update Software allows you to search the abstracts of
the Cochrane Database of Systematic Reviews. The full-text of the reviews is
only available through the Cochrane Library above.
http://www.update-software.com/abstracts/Default2.htm
Database of Abstracts of Reviews of
Effectiveness
DARE is a database of high quality systematic research reviews of the
effectiveness of health care interventions produced by the NHS Centre for
Reviews and Dissemination at the University of York.
http://agatha.york.ac.uk/darehp.htm
Evidence Based Health Care - Latest
Articles
A list of the latest articles on Evidence Based Health Care provided by
the Evidence Based resource Centre in New York.
http://www.ebmny.org/pubs.html
Guideline
Guideline is a UK-based initiative to develop an electronic database of
critically appraised, clinical practice guidelines for health and allied care
professionals across the National Health Service (NHS). The project began in
March 1997 and is funded by the four health authorities of Oxford shire,
Berkshire, Buckinghamshire and Northampton shire until August 1998.
http://www.ihs.ox.ac.uk/guidelines/index.html
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Health Technology Advisory Committee
Evaluation Reports
Reports and issue briefs from the HTAC in Minnesota.
http://www.health.state.mn.us/htac/techrpts.htm
Health Technology Assessment (HTA) Database
The HTA Database, mounted by the NHS Centre for Reviews and Dissemination
at the University of York, contains abstracts produced by INAHTA
(International Network of Agencies for Health Technology Assessment) and
other healthcare technology agencies.
http://agatha.york.ac.uk/htahp.htm
InfoPOEMS
Searchable database of POEMS (Patient Oriented Evidence that Matters) from
the Journal of Family Practice. POEMS are summaries similar to ACP Journal
Club articles in methodology and format, targeted at family practitioners.
http://www.infopoems.com/POEMs/POEMs_Home.htm
Medical SmartSearch
Medical SmartSearch is a single gateway that attempts to provide
references to answer Clinical questions around diagnosis, aetiology,
prognosis and therapy (plus physical Findings, adverse treatment effects and
screening/prevention) by searching only high quality sources. Smartsearch
always searches:
1. Merck Manual.
2. MEDLINE for review articles and editorials that have full texts
available.
3. National Guideline Clearinghouse from the Agency for Health Care Policy
and Research (AHCPR)
4. Database of Abstract of Reviews of Effectiveness (DARE)
5. MEDLINE for original research.
Depending of the focus requested SmartSearch would search PubMed with the
highest sensitivity filters developed by Haynes et al.
http://smartsearch.uthscsa.edu/cgibin/smartsearch.exe
National Library of Medicine's Health
Services/Technology Assessment Text (HSTAT)
This WWW resource contains the following collections: AHCPR Supported
Guidelines, AHCPR Technology Assessments and Reviews, ATIS (HIV/AIDS
Technical Information), NIH Warren G. Magnuson Clinical Research Studies, NIH
Consensus Development Program, PHS Guide to Clinical Preventive Services
(1989) and SAMHSA/CSAT Treatment Improvement Protocol (TIP).
http://text.nlm.nih.gov/ftrs/gateway
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National Research Register
The National Research Register (NRR) is a register of ongoing and recently
completed research projects funded by, or of interest to, the United
Kingdom's National Health Service. The current release contains information
on over 57,000 research projects, as well as entries from the Medical
Research Council's Clinical Trials Register, and details on reviews in
progress collected by the NHS Centre for Reviews and Dissemination.
http://www.update-software.com/National/nrr-frame.html
NHS Economic Evaluation Database (NHS EED)
The NHS Economic Evaluation Database is a database of structured abstracts
of economic evaluations of health care interventions produced by the NHS
Centre for Reviews and Dissemination at the University of York.
http://agatha.york.ac.uk/nhsdhp.htm
PEDro - Physiotherapy Evidence Database
PEDro, an initiative of the Centre for Evidence-Based Physiotherapy
(CEBP). PEDro is the Physiotherapy Evidence Database. It has been developed
to give physiotherapists and others rapid access to bibliographic details and
abstracts of randomised controlled trials in physiotherapy. Most trials on
the database have been rated for quality to help to quickly discriminate
between trials, which are likely to be valid and interpretable, and those,
which are not.
http://pedro.fhs.usyd.edu.au/
Primary Care Clinical Practice Guidelines
This site will include all guidelines, evidence-based, consensus, practice
parameters, protocols, as well as other resources such as primary articles,
integrative studies, metaanalysis, critically appraised topics, and review
articles. Compiled by Peter Sam at the UCSF School of Medicine.
http://medicine.ucsf.edu/resources/guidelines/
RehabTrials.org
RehabTrials.org is a new web site created by the non-profit Kessler
Medical Rehabilitation Research and Education Corporation (KMRREC) to
promote, encourage, and support clinical trials in medical rehabilitation.
http://www.rehabtrials.org/
SUMSearch
SUMSearch is a single gateway that attempts to provide references to
answer clinical questions around diagnosis, aetiology, prognosis and therapy
(plus physical findings adverse treatment effects and screening/prevention)
by searching only high-quality sources. SUMSearch always searches:
·
Merck Manual.
·
MEDLINE for review articles and editorials that have
full texts available.
·
National Guideline Clearinghouse from the Agency for
Health Care Policy and Research (AHCPR).
·
Database of Abstract of Reviews of Effectiveness
(DARE).
·
MEDLINE for original research.
Depending of the focus requested SUMSearch will search PubMed with the
highest sensitivity filters developed by Haynes et al.
http://www.nelh.nhs.uk/management/sumsearch.htm
Turning Research Into Practice (TRIP)
Database
This resource, hosted by the Centre for Research Support in Wales, aims to
support those working in primary care. The database has 8000 links covering
resources at 28 different centres and allows both boolean searching (AND, OR,
NOT) and truncation.
http://www.tripdatabase.com/
Journals
ACP Journal Club
ACP Journal Club's general purpose is to select from the biomedical
literature those articles reporting studies and reviews that warrant
immediate attention by physicians attempting to keep pace with important
advances in internal medicine. These articles are summarized in "value
added" abstracts and commented on by clinical experts. Further
information can be found at McMaster University.
http://www.acponline.org/journals/acpjc/jcmenu.htm
Bandolier
Bandolier is a journal produced monthly by the Oxford Anglia NHS Region in
the UK. It contains bullet points of evidence-based medicine, hence its
title. Access to Bandolier on the Internet is free of charge, but it may run
several months behind the printed version. Subscription to the printed
version of Bandolier costs stlg30 per year (UK) and stlg60 overseas.
http://www.jr2.ox.ac.uk/Bandolier
Bandolera
An authorized Spanish language version of Bandolier (See above). Includes
translations of Issues 65 onwards.
http://www.infodoctor.org/bandolera/
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Effective Health Care Bulletins
Effective Health Care is a bi-monthly bulletin for decision makers, which
examines the effectiveness of a variety of health care interventions.
Effective Health Care bulletins are based on a systematic review and
synthesis of research on the clinical effectiveness, cost-effectiveness and
acceptability of health service interventions. This is carried out by a
research team using established methodological guidelines, with advice from
expert consultants for each topic. The bulletins are subject to extensive and
rigorous peer review.
http://www.york.ac.uk/inst/crd/ehcb.htm
Effectiveness Matters
Effectiveness Matters provides updates on the effectiveness of important
health interventions for practitioners and decision makers in the NHS. Topics
covered to date include Aspirin and Myocardial Infarction, Helicobacter
Pylori and Peptic Ulcer, Influenza Vaccination and Older People and Screening
for Prostate Cancer. Screening for Prostate Cancer is accompanied by a
patient information leaflet Screening for Prostate Cancer: The Evidence.
Information for Men Considering or Asking for PSA tests. Effectiveness
Matters is a free publication available on subscription. To subscribe to
Effectiveness Matters or to order CRD Reports, contact CRD Publications
(Tel.) 01904433648.
http://www.york.ac.uk/inst/crd/em.htm
Evidence
Quarterly newsletter publications funded as a pilot scheme by the Welsh
National Board for nursing, midwifery and health visiting educationalists.
http://www.bangor.ac.uk/hs/evidence/
Evidence Based Health Care
Formerly known as Evidence-Based Health Policy and Management the
principal purpose of the journal of Evidence-Based Health Care is to provide
managers with the best evidence available about the financing, organisation
and delivery of health care. Appraisal criteria for different types of study
design are available from this site.
http://www.harcourt-international.com/journals/ebhc/
Evidence Based Medicine
The purpose of the secondary journal, Evidence-Based Medicine, is to alert
clinicians to important advances in internal medicine, general and family
practice, surgery, psychiatry, paediatrics, and obstetrics and gynaecology by
selecting from the biomedical literature those original and review articles
whose results are most likely to be both true and useful. These articles are
summarised in value-added abstracts and commented on by clinical experts. A
guest site is also hosted at the Centre for Evidence Based Medicine. Past
issues of the journal only.
http://ebm.bmjjournals.com/
Evidence Based Medicine - Edition Francaise (EBM Journal)
EBM Journal is the French edition of Evidence-Based Medicine. Published
since 1996, it features an in extenso translation of all original material
free access to the full text of many articles is provided to visitors : all
EBM notebooks, local commentaries, plus 3 to 5commented summaries per issue;
access to remaining papers is restricted to subscribers thus, the site could
represent the most comprehensive single resource available for information on
EBM for French speaking colleagues.
http://www.ebm-journal.presse.fr/
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Evidence-Based Medicine - Edizione Italiana
The site for the Italian language edition of the Evidence Based Medicine
journal (see above). Contents pages are available for 1997 onwards together
with the full text of some of the articles.
http://www.infomedica.org/ebm/
Evidence Based Mental Health
The web site for the sister journal to Evidence-Based Medicine. EBMH
Online contains the full content of each issue of the journal. In addition,
the full text is searchable by keyword, and the cited references include
hyperlinks to Medline and to the full text of many other online journals.
Currently running a free trial service until June 2001.
http://www.ebmentalhealth.com/
Evidence Based Nursing
The first issue of this sibling journal to Evidence Based Medicine and
Evidence Based Mental health was published in November 1997 by the BMJ
Publishing Group.
http://www.bmjpg.com/template.cfm?name=specjou_nu
Journal Club on the Web
This web site is an experiment in implementing an on-line, interactive
general medical "journal club" which periodically summarizes and
critiques articles from the recent medical literature and collects and posts
readers' comments. The articles are primarily in the field of adult internal
medicine, and mainly from the NEJM, Annals of Internal Medicine, JAMA and the
Lancet.
http://www.journalclub.org/
Journal of Family Practice POEMs (Patient
Oriented Evidence that Matters)
The POEMs feature is designed to support the evidence-based practice of
medicine. Each month, they review over 80 journals to identify the 8 articles
with patient-oriented outcomes that have the greatest potential to change the
way primary care clinicians practice. These articles are then critically
appraised by expert family physicians, educators, and/or pharmacologists. The
same editorial team is responsible for the Evidence Based Practice
Newsletter.
http://jfp.msu.edu/
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JSCAN-Online
This online edition of JSCAN contains the full text of Journals Scan, a
monthly publication. This site also contains some other resources which are
unique to the website. Access to the entire site is free. Journal Scan aims
to keep you updated on the recent developments in the fields of Medicine
& Health. JSCAN contains articles from journals that provide evidence for
treatment, diagnosis or prognosis. These are presented in a question and
answer format. It also features Web Watch which contains www sites of
interest to health care professionals. JSCAN is compiled and edited by
Dr.P.Badrinath & Prof. Owen Lloyd, Department of Community Medicine,
Faculty of Medicine & Health Sciences, United Arab Emirates University.
http://www.uaeu.ac.ae/jscan/
New Zealand Evidence Based Healthcare Bulletin
The Bulletin is a joint initiative of the New Zealand Guidelines Group
(NZGG), the New Zealand Centre for Evidence-Based Nursing (NZCEBN), New
Zealand Health Technology Assessment (NZHTA), and the New Zealand Cochrane
Fellow. The purpose of the Bulletin is to summarise news and information
about evidence based healthcare activities in New Zealand.
http://www.nzgg.org.nz/news/bulletin.cfm
Appraising
AGREE
AGREE (Appraisal of Guidelines Research & Evaluation) is an
international collaboration of researchers and policy makers who seek to
improve the quality and effectiveness of clinical practice guidelines by
establishing a shared framework for their development, reporting and
assessment.
http://www.agreecollaboration.org/
Canadian Family Physician Critical
Appraisal
Critical Appraisal reviews important articles in the literature relevant
to family physicians. Reviews are by family physicians, not experts on the
topics. They assess not only the strength of the studies but the bottom line
clinical importance for family practice. Also described as "Family
Medicine research reviews with a 'bottom line'".
http://dfcm19.med.utoronto.ca/twhdfcm/evans.htm
CASP Appraisal Checklists
Questionnaires used in critical appraisal of evidence. The critical
appraisal skills programme uses these questionnaires to appraise different
types of research.
http://www.phru.org.uk/~casp/appraisa.htm
CASP Guide to Statistical Terms
This brief "statistics for the uninitiated" guide explains and
illustrates the use of measures of clinical effectiveness such as: Relative
Risk (RR) and Number Needed to Treat (NNT) and also discusses Confidence
Intervals (CI).
http://www.public-health.org.uk/casp/statistics.html
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Clinical Evidence
Clinical Evidence is a compendium of the best available research findings
on common and important clinical questions, updated and expanded every six
months. Sample pages are available as Acrobat files.
http://www.clinicalevidence.org/
Cochrane Collaboration Handbook
The Cochrane Collaboration's handbook is its main working document. It
provides practical guidance for developing and Cochrane Systematic Reviews.
http://www.cochrane.org/cochrane/hbook.htm
Critical Appraisal Resource Guide
This resource guide compiled by Andrew Booth at ScHARR provides a brief
introduction to sources that can be used in teaching critical appraisal. It
can also be downloaded as an MSWORD6 file.
http://www.nzgg.org.nz/tools/resource_critical_appraisal.cfm
Critical Appraisal Worksheets
A number of sites make available printable or form-fill worksheets for
critically appraising articles. The best of these are based on the JAMA User
Guides series (see Core Virtual Library). Links to worksheets by study type
are as follows:
·
Causation and Harm
·
Diagnostic Tests
·
Prognosis
·
Therapy - CASP Version
·
Therapy and Prevention
·
Overview
·
Overview - CASP Version
·
Qualitative research - CASP Version
·
Clinical Practice Guideline II
·
Economic Analysis
·
Economic Evaluation (CASP Version)
·
Variations in Outcomes
·
Critically Appraised Topics (CATs)
·
Critically appraised topics (CATs) are short,
typically one page, digests that summarise the evidence for clinicians. There
are a number of sites experimenting with the CAT format including:
·
Centre for Evidence Based Medicine
http://cebm.jr2.ox.ac.uk/docs/catbank.html
·
South Western Ontario Regional Academic Health
Science Network
http://ahsn2.largnet.on.ca/cat/
·
University of Michigan Pediatrics
http://www.ped.med.umich.edu/ebm/cat.htm
·
University of North Carolina
http://www.med.unc.edu/medicine/edursrc/!catlist.htm
·
University of Rochester Medical Center
http://www.urmc.rochester.edu/medicine/res/CATS/index.html
·
University of Washington
http://depts.washington.edu/pedebm/topic/index.html
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Critique et Pratique (French)
Each week, members of the Laval University Family Medicine Department
(Québec, Canada) summarize and comment on two articles from recent issues of
medical journals. The commentary is based on evidence-based medicine principles
and on the evaluation of the impact of research on medical practice.
http://www.crsfa.ulaval.ca/umf/
Development and Evaluation Committee
Reports
These reports have been prepared as part of the Development and Evaluation
Service funded by the Research and Development Directorate South and West.
They are intended to provide rapid, accurate and usable information on health
technology effectiveness to purchasers, clinicians, managers and researchers
in the South and West. An archive of the DEC Reports is also available at the
Bristol site.
http://www.hta.nhsweb.nhs.uk/rapidhta/
EBM Toolbox
Not to be confused with the Centre for Evidence Based Medicine's resource
of the same name, this is a Canadian based collection of resources to support
EBM. It includes appraisal checklists, methodological filters and other User
Guide-associated resources.
http://www.med.ualberta.ca/ebm/ebm.htm
Guideline Appraisal Project (GAP)
The Guidelines Appraisal Project (GAP) brings health services researchers,
policy makers, and practitioners together in appraising, summarizing and
disseminating information about clinical practice guidelines.
http://www.infoward.ualberta.ca/cpg/
Guide
to Clinical Preventive Services (2nd edition)
This full text resource is the 1996 edition which carefully reviews the
evidence for and against hundreds of preventive services, recommending a
test, immunization, or counseling intervention only when there is evidence
that it is effective. Although the main audience for the Guide to Clinical
Preventive Services is primary care physicians, nurse practitioners, and
physician assistants, it is intended to be of value also to policymakers,
researchers, employers, and those in the health care financing community. I
commend this report and its important message to all of them.
http://text.nlm.nih.gov/
Health Evidence Bulletins, Wales
The Health Evidence Bulletins - Wales act as signposts to the best current
evidence across a broad range of evidence types and subject areas. Where
information from randomised controlled trials is available it is included.
However, many health issues do not lend themselves easily to investigation,
or have not yet been studied, by this method. In these cases, high quality
evidence has been sought from observational and other studies.
http://hebw.uwcm.ac.uk/
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Health Reviews for Primary Care Providers
A listing of documents about primary care medicine and medical practice,
available through the World Wide Web. Some links are to the documents
themselves. Others are to article reviews, plus links to the articles'
abstracts, when available. The documents were selected to serve the
information needs of primary care practitioners.
http://library.mcphu.edu/resources/reviews/revw_ind.htm
Health Technology Assessment Reports
This resource at the Wessex Institute for Research and Development
contains abstracts for the completed reviews from the National Health Service
Health Technology Assessment Programme.
http://www.hta.nhsweb.nhs.uk/main.htm
Méta-analyses des essais thérapeutiques
(French)
Ce site propose une série de ressources relatives aux méta-analyses des
essays thérapeutiques. [A valuable bibliographic site with many English
Language references].
http://www.spc.univ-lyon1.fr/~mcu/ma/
Numbers Needed to Treat
This is a ScHARR Compilation page containing links to NNT sites, tools and
a Medline Bibliography.
http://www.shef.ac.uk/~scharr/ir/nnt.html
Screening and Diagnostic Tests (Cochrane
Collaboration)
The Cochrane Collaboration Methods Working Group on Screening and
Diagnostic Tests has placed its recommendations on how to search for,
appraise and pool results of studies of diagnostic accuracy on the Web. The
document includes a methodological bibliography.
http://www.cochrane.org/cochrane/sadtdoc1.htm
Users' Guides to the Health Care Literature
The Evidence Based Medicine Working Group, a group of clinicians at
McMaster and colleagues across North America, have created a set of guides,
published in the Journal of the American Medical Association (JAMA). The
Users' Guide series aim to assist clinicians to keep up to date in their
clinical discipline and to find the best way to manage a particular clinical
problem. The User's Guides put much emphasis on integrative studies,
including systematic overviews, practice guidelines, decision analysis, and
economic analysis. They introduce strategies for efficiently searching the
medicalliterature. Full-text of some of the Guides is available.
http://www.cche.net/principles/content_all.asp
(A complete list of the published guides, together with their full
bibliographic references is available at: http://www.shef.ac.uk/~scharr/ir/userg.html)
Workshop on How to Teach Evidence Based
Clinical Practice
McMaster University Department of Clinical Epidemiology and Biostatistics
have assembled sets of readings dealing with evidence-based medicine and
critical appraisal issues in therapy, diagnosis, prognosis, harm, overviews
and economic analysis. Some materials, complete with checklists and crib
sheets is available on the Internet, and may be downloaded to support
Critical Appraisal skills programmes locally.
http://www.cche.net/ebcp/
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Organisations
Aggressive Research Intelligence Facility (ARIF)
"Advancing the use of evidence on the effects of health care in the
West Midlands": ARIF is a specialist unit of three people based at the
University of Birmingham, set up to help health care workers access and
interpret research evidence in response to particular problems. They are a
collaboration between the Department of Public Health & Epidemiology, the
Department of General Practice and the Health Services Management Centre at
the University and are funded for three years from 1st July 1995 by the
Research and Development Department of the NHS Executive, West Midlands. The
first objective of ARIF is to provide timely access to, and advice on,
existing reviews of research.
http://www.hsrc.org.uk/links/arif/arifhome.htm
Australian Safety and Efficacy Register of
New Interventional Procedures – Surgical (ASERNIP-S)
ASERNIP-S is a pilot project, funded by the Australian Federal Government
through the Department of Health and Family Services for a three-year period.
The project is administered by the Royal Australasian College of Surgeons and
began operating in January 1998. ASERNIP-S was established as a body to
assess new surgical procedures and technologies. The broad aims of the
project are to establish a mechanism for collecting, collating and analysing
data concerning the safety and efficacy of selected new surgical procedures;
to make recommendations on whether the procedure should be used with or
without continuing audit, or if a more fully controlled evaluation is
necessary and to disseminate the information to fellows and trainees of the
College through CME and training programs, to credentialling committees,
practitioners, consumers, health care providers and government agencies. Full
text reports are available in some cases with alternative summaries where
required.
http://www.racs.edu.au/open/asernip-s.htm
Canadian Centres for Health Evidence
(CHE.net)
The principal task of Centres of Health Evidence (CHE) is to package, disseminate,
and present health knowledge in ways that facilitate its optimum use. Within
a CHE, staff will monitor knowledge-based software and literature from a
variety of public and private sources. Significant resources are identified,
and for these items, structured summaries are developed to alert the user to
the quality of evidence supporting health recommendations, the relative
importance of recommendations, and how the needs of specific patients,
practitioners and settings are addressed. Contains full-text versions of
Users' Guides to Evidence-Based Practice (q.v).
http://www.cche.net/
The Canadian
Coordinating Office for Health Technology Assessment (CCOHHTA)
http://www.ccohta.ca/
CASP - Critical Appraisal Skills Programme
CASP is a UK project that aims to help health service decision makers and
those that seek to influence the decision makers develop skills to find,
critically appraise and change practice in line with evidence of
effectiveness. These skills promote the delivery of evidence-based
healthcare. At the heart of CASP's work is a cascade of half day workshops
where participants learn through going on an interactive journey. CASP
introduces people to the ideas of evidence-based healthcare and, through
critical appraisal of systematic reviews, introduces people to the related
ideas of the Cochrane Collaboration. CASP is developing an interactive
CD-ROM, to be used in conjunction with workshops, video conferencing, as a
stand alone package or to reinforce learning, thereby taking these skills to
a wider audience and giving opportunities for independent practice or
learning.
http://www.public-health.org.uk/casp/
CASPinternational
These pages tell you about the aims and resources of the CASPinternational
network, which aims to promote the use of evidence of effectiveness in health
and allied services.
http://www.phru.org/caspinternational/index.htm
Centre for Clinical Effectiveness
The Centre for Clinical Effectiveness opened at Monash Medical Centre in
Australia in January 1998. Its objective is to enhance patient outcomes
through the clinical application of the best available evidence about
treatments.
http://www.med.monash.edu.au/publichealth/cce/
Centre for Evidence Based Child Health
The Centre for Evidence-Based Child Health is part of a national network
of centres for evidence-based health care. The overall aim of the Centre is
to increase the provision of effective and efficient child health care
through an educational programme for health professionals. Introductory
seminars, short courses, MSc modules, workshops for groups in the workplace
and training secondments are beng offered to paediatricians, nurses, general
practitioners, healthcare purchasers and others involved in child health.
http://www.ich.bpmf.ac.uk/ebm/ebm.htm
Centre for Evidence Based Dentistry
The main objective of the Centre, based at the Institute of Health
Sciences in Oxford is to promote the teaching, learning, practice, and
evaluation of Evidence-Based Dentistry throughout the United Kingdom.
http://www.ihs.ox.ac.uk/cebd/index.htm
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Centre for Evidence-Based Medicine (U.K.)
The World Wide Web page of the Centre for Evidence-Based Medicine,
established in Oxford as the first of several centres around the country
whose aim broadly is to promote evidence-based health care and provide
support and resources to anyone who wants to make use of them. The Centre's
web site contains the EBM Toolbox with numerous aids to the practice and
teaching of EBHC, including: pre-test probabilities, Likelihood Ratios,
SpPins and SnNouts, Numbers Needed To Treat and other measures of
effectiveness for diagnostic tests, therapy and prognosis; teaching materials
for public health, primary care, hospital medicine, child health,
neonatology, mental health, surgery, obstetrics and gynaecology; a glossary
of terms; hints, tips and worksheets on asking clinical questions, searching
and critical appraisal; slide presentations on the background to EBM; and
much more!
http://cebm.jr2.ox.ac.uk/
Centre for Evidence Based Medicine (Mount
Sinai, U.S.)
This site hosted by the University of Toronto includes Practising EBM,
Syllabi for EBM, Teaching EBM, Evidence Resources and a Glossary of EBM
terms. It is designed to support the second edition of Evidence-based
Medicine: How to Practise and Teach EBM.
http://www.library.utoronto.ca/medicine/ebm/
Centre for Evidence-based Mental Health
The site contains a range of resources to promote and support the teaching
and practice of evidence-based mental healthcare: OXAMWEB (a comprehensive
list of links to evidence-based mental health websites); Toolkit of teaching
resources, including examples of scenarios used in the teaching of
evidence-based practice in mental health; details of the secondary journal -
Evidence-Based Mental Health; details of forthcoming workshops and conferences.
details of how to join the centre or subscribe to their mailing list. Other
features that will appear on the site in the near future include:
1. Information about the new Network for Clinical Effectiveness and
Evidence-Based Practice (including full-text of the Royal College of
Psychiatrists' clinical practice guidelines).
2. A glossary of EBM terminology with particular relevance to mental health.
http://www.cebmh.com/
Centre for Evidence Based Nursing
The Centre for Evidence-Based Nursing works with nurses in practice, other
researchers, nurse educators and managers to identify evidence-based practice
through primary research and systematic reviews and promotes the uptake of
evidence into practice through education and implementation activities in
areas of nursing where good evidence is available. The Centre is also
researching factors which promote or impede the implementation of
evidence-based practice. The University of York has established a Centre for Evidence-Based
Nursing as part of the national network of Centres for Evidence-Based
Clinical Practice (which includes the Centre for Evidence-Based Medicine at
Oxford and the Centre for Evidence-Based Child Health in London). Each Centre
contributes a specific perspective. The Centre for Evidence-Based Nursing is
working as part of this network, collaborating in the promotion of
evidence-based health care.
http://www.york.ac.uk/depts/hstd/centres/evidence/ev-intro.htm
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Centres for Evidence Based Nursing (the
Seven)
There are seven antipodean centres for evidence based nursing; five in
Australia, one in Hong Kong and one in New Zealand.
http://www.joannabriggs.edu.au/sevencen.html
Centre for Evidence Based Pharmacotherapy
The Centre for Evidence-Based Pharmacotherapy (CEBP) was set up in July
1995 to undertake research in the methodology of medicines assessment,
pharmacoepidemiology and pharmacoeconomics and to undertake such studies. The
Centre is active within the Cochrane Collaboration with membership of the
editorial team of the Menstrual Disorders Review Group and coordination of
the Pharmaceuticals Field as well as membership of the Statistical Methods
Working Group. The Centre also has close links with the Consumers
Association.
http://www.aston.ac.uk/pharmacy/cebp/
Centre for Evidence Based Physiotherapy
The Centre of Evidence-Based Physiotherapy was established by a small
group of clinical and academic physiotherapists. It is based at the School of
Physiotherapy at the University of Sydney. The Centre's mission is to
maximise the effectiveness of physiotherapy services by facilitating the
clinical application of the best available evidence. The Centre functions as
a non-profit organisation to facilitate physiotherapy research and
implementation of effective physiotherapy.
http://ptwww.cchs.usyd.edu.au/CEBP/index.htm
Centre for Evidence Based Social Services
This Centre has been jointly funded by The Department of Health and a
consortium of Social Services Departments in the South and South West of
England with the main aim of ensuring that decisions taken at all levels in
social services are informed by trends from good-quality research.
http://www.ex.ac.uk/cebss/
Centre for Reviews and Dissemination
The NHS Centre for Reviews and Dissemination (CRD) is a facility
commissioned by the NHS Research and Development Division to produce and
disseminate reviews concerning the effectiveness and cost-effectiveness of
healthcare interventions. The aim is to identify and review the results of
good quality health research and to disseminate actively the findings to key
decision makers in the NHS and to consumers of health care services. In this
way health care professionals and managers can ensure their practice reflects
the best available research evidence. The reviews will cover: the
effectiveness of care for particular conditions; the effectiveness of health
technologies; evidence on efficient methods of organising and delivering
particular types of health care. The CRD has made its public databases
accessible over the internet and via dialup access. The first is a database
of structured abstracts of good quality systematic reviews (DARE), which
comment on the methodological features of published reviews and summarise the
author's conclusions and any implications for health practice. The abstracts
represent the end product of a detailed sifting and quality appraisal
process. There is also an economic evaluations database (NEED).
http://www.york.ac.uk/inst/crd/welcome.htm
CHAIN - Contact Help Advice Information
Network for Effective Health Care
C.H.A.I.N. is a reference database for clinical effectiveness and evidence
based health care activities in the North Thames Region, and beyond.
http://www.doh.gov.uk/ntrd/chain/chain.htm
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Cochrane Collaboration
The Cochrane Collaboration facilitates the creation, review, maintenance
and dissemination of systematic overviews of the effects of health care. This
is the home page for this international Collaboration and provides access to
information on all its activities, to the Handbook (see next entry) as well as
free access to the Review abstracts. This site has contact details and links
to the web sites of Cochrane Centres and Groups. The Cochrane Collaboration
site is available at:
·
Australia
·
Canada
·
Denmark
·
Germany
·
Japan
·
Spain
·
UK
·
USA
Cochrane Effective Practice and
Organisation of Care (EPOC) Group
Information about the group, a newsletter, downloadable database of
bibliographic references about achieving change in healthcare plus links to
health-related sites and information about discussion groups.
http://www.epoc.uottawa.ca/
Evidence Based Education (UK)
A site produced by the Curriculum Evaluation Centre at the University of
Durham. The site discusses similarities with Evidence Based Medicine and
provides conference details and some tools such as "What is an effect
size?"
http://www.cem.dur.ac.uk/ebeuk/
Evidence Based Occupational
Therapy-University of Queensland Group (EBOT-UQ)
The Evidence Based Occupational Therapy-University of Queensland Group was
formed by occupational therapists at The University of Queensland, Australia
with the primary goal of promoting and facilitating evidence based
occupational therapy practice. Specifically the group aims to provide research,
training and continuing education in evidence based occupational therapy,
support the location and access of occupational therapy evidence, and
facilitate collaboration between occupational therapists with respect to
evidence based practice. These web pages provide information on the aims and
roles of the EBOT-UQ group; locating research evidence relevant to
occupational therapy; evidence based practice web links; an elective subject:
"Evidence Based Practice in Allied Health"; and The International
Symposium on Evidence Based Occupational Therapy: Collaborating For the
Future.
http://www.shrs.uq.edu.au/
Evidence-Based Practice Centers
The Agency for Health Care Policy and Research (AHCPR) established 12
centers in the United States to develop evidence reports and technology
assessments of diagnostic and therapeutic interventions used in a variety of
clinical conditions. The AHCPR has chosen to pursue a partnering approach
that brings developers and users together at the beginning of the process.
These partners, which may be professional societies, health plans, states,
and other entities, will use the products of the Evidence based Practice
Centers (EPCs) to develop and implement practice guidelines and other
clinical quality improvement tools.
http://www.ahcpr.gov/clinic/epc/
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Centers involved
New England Medical Center, Center for Clinical Evidence Synthesis
http://www.nemc.org/dccr/epc.htm
University of California
at San Francisco (UCSF)-Stanford
http://www.stanford.edu/group/epc/
Evidence-supported Medical Union (EMU)
Evidence-supported Medicine Union (EMU) is funded through the West
Midlands Regional Levy Board to promote evidence-based health care for the
NHS in the West Midlands.
http://www.hsrc.org.uk/links/emu/emu.html
GIMBE - Gruppo Italiano per la Medicina
Basata sulle Evidenze
Probably the best non-English Language EBM site on the Web this new
resource contains definitions on the various stages of EBM, a comprehensive
bibliography and an excellent links page.
http://www.gimbe.org/Home.htm
Health Information Research Unit
The Health Information Research Unit (HIRU) at McMaster University
conducts research in the field of health information science and is dedicated
to the generation of new knowledge about the nature of health and clinical
information problems, the development of new information resources to support
evidence-based health care, and the evaluation of various innovations in
overcoming health care information problems.
http://hiru.mcmaster.ca/
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Health Technology Assessment Organisations
This ScHARR compilation page lists the primary international sites
involved in Health Technology Assessment activities.
http://www.shef.ac.uk/~scharr/ir/htaorg.html
Institute for Clinical Evaluative Sciences
The Institute for Clinical Evaluative Sciences in Ontario (ICES) is a
non-profit research organization dedicated to conducting research that
contributes to the effectiveness, quality and efficiency of health care in
the province of Ontario. It produces the newsletter informed for physicians.
http://www.ices.on.ca/
MRC Clinical Trials Unit
The Medical Research Council (UK) Clinical Trials Web site includes the
MRC's role in trials, how to apply for funding, guidelines on good clinical
practice in trials and a directory of current trials.
http://www.ctu.mrc.ac.uk/
National Guideline Clearinghouse (U.S.)
The National Guideline Clearinghouse (NGC) is a comprehensive database of
evidence based clinical practice guidelines and related documents produced by
the Agency for Health Care Policy and Research (AHCPR), in partnership with
the American Medical Association (AMA) and the American Association of Health
Plans (AAHP). The NGC mission is to provide physicians, nurses, and other
health professionals, health care providers, health plans, integrated
delivery systems, purchasers and others an accessible mechanism for obtaining
objective, detailed information on clinical practice guidelines and to further
their dissemination, implementation and use. Key components of NGC include:
Structured abstracts (summaries) about the guideline and its development; a
utility for comparing attributes of two or more guidelines in a side-by-side
comparison; syntheses of guidelines covering similar topics, highlighting
areas of similarity and difference; links to full-text guidelines, where
available, and/or ordering information for print copies; an electronic forum
for exchanging information on clinical practice guidelines, their
development, implementation and use; annotated bibliographies on guideline
development methodology, implementation, and use.
http://www.guidelines.gov/
National Institute for Clinical Excellence
The National Institute for Clinical Excellence (the Institute) is a
Special Health Authority which will work with the NHS, the Institute will
systematically appraise health interventions. It will offer clinicians and
managers clear guidance on which treatments work best for patients and which
do not. This guidance will support everyone in the NHS including doctors,
nurses, midwives and other health professionals - those who make the complex
decisions about the treatment of individual patients. Guidance will also be available
for patients and the public.
http://www.nice.org.uk/
National Pathways Association
The National Pathways Association (NPA) exists to promote the development
and use of Pathways nationally. It was formed in the early 1990's out of the
local networks of Pathway Users around the UK. As the organisation has grown,
the membership has expanded across the many organisations and individuals who
are interested in the development and use of Pathways. The group is multi-disciplinary
and multi-professional, and includes healthcare individuals across the
independent, private and public sectors. The NPA has an advisory role to
central government and is a key player in the development and promotion of
the new quality agenda. The NPA website is open to both NPA members and
non-members. However, access to certain pages is restricted by password to
members only.
http://www.the-npa.org.uk/
The National Training and Research
Appraisal Group
Established in 1993 the National Training and Research Appraisal Group
(NTRAG) is a research and evidence-based healthcare education and training
consultancy. Based at the University of North London NTRAG consists of a
small core staff who co-ordinate a pool of over thirty tutors.
http://www.ntrag.co.uk/
The Northern and Yorkshire Evidence-Based
Practice Group
This group came together after having tutored individually in previous EBP
workshops at Oxford, London and Wales, and organised the successful Workshop
in 1999.
http://www.eb-practice.fsnet.co.uk/
Occupational Therapy Evidence Based
Practice Research Group
The McMaster Occupational Therapy Evidence-based Practice group focuses on
researchto critically review evidence regarding the effectiveness of
occupational therapy interventions and to develop tools for evaluation of
occupational therapy programmes They have produced review forms and
guidelines for quantitative and qualitative articles, available to download
in Acrobat pdf format (Quantitative review form; Quantitative review
guidelines; Qualitative review form ; Qualitative review guidelines). They
have also completed two systematic reviews on the effect of activity-based
interventions for older persons with dementia and the effect of
cognitive-behavioural interventions for persons with chronic pain.
http://www-fhs.mcmaster.ca/rehab/ebp/
Office of Technology Assessment
Although the remit of the U.S. based Office of Technology Assessment is
much broader than just healthcare they do produce a number of useful reports;
including the report "Identifying Health Technologies that Work".
The full text of their reports is available from this site.
http://www.wws.princeton.edu/~ota/
Odontología Basada la Evidencia Spanish Evidence
Based Dentistry site.
http://infodoctor.org/obe/inicio.htm
R&D Strategy pages
Most of these pages deal with the mechanics of the strategy but many
practitioners will be interested in research per se and will want to keep up
to date with the NHS strategy. There are now several home pages. They include
a Department of Health R&D Strategy Home Page
http://www.doh.gov.uk/research/index.htm
All the Regional Offices have committed to having a Regional home page. So
far there are six:
South and West
http://www.epi.bris.ac.uk/rd
West Midlands
http://www.csv.warwick.ac.uk/NHSEXECwmro/
RAND Corporation
RAND is a US-based nonprofit institution that aims to improve public
policy throughresearch and analysis. RAND aims to carry out high-quality,
objective research addressing problems of domestic policy including health
care. RAND has been studying health care issues for more than thirty years.
Today, RAND conducts one of the largest private, nonprofit programs of health
policy research and analysis in the world. They publish numerous reports and
other documents in areas of health care technology assessment.
http://www.rand.org/
School of Health and Related Research
(ScHARR) ScHARR
The School of Health And Related Research (ScHARR) is a health services
research department within the University of Sheffield which is involved in
finding the evidence (expertise in literature searching); appraising the
evidence (critical appraisal training) and producing the evidence (systematic
reviews). The Information Resources Section of ScHARR produced a
retrospective bibliography and resource guide entitled "The ScHARR Guide
to Evidence Based Practice" (1997). http://www.shef.ac.uk/uni/academic/R-Z/scharr/index.htm
Scottish Health Purchasing Information
Centre (SHPIC)
SHPIC was set up by the NHS Management Executive to carry out
effectiveness and cost benefit studies on health service interventions, and
to produce concise reports for purchasers. The full text of their current publications
is available from this site.
http://www.nhsconfed.net/shpic/
Scottish Intercollegiate Guidelines Network
(SIGN)
The Scottish Intercollegiate Guidelines Network (SIGN) develops and
publishes evidence-based clinical practice guidelines for use by the health
service in Scotland. Full text of many of their guidelines is available from
their site. You will however require an Acrobat Reader.
http://www.show.scot.nhs.uk/sign/
Swedish Council on Technology Assessment in
Health Care (SBU)
SBU's task is to evaluate methods used within health care and to look
critically at their costs, their risks and their benefits. SBU assesses the
medical, ethical, social and economic impact of new and established medical
procedures.
http://www.sbu.se/sbu-site/index.html
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Trent Working Group on Acute Purchasing
The Trent Working Group on Acute Purchasing was set up to enable
purchasers to shareresearch knowledge about the effectiveness and
cost-effectiveness of acute service interventions and determine collectively
their purchasing policy. The Group is facilitated by The School of Health and
Related Research (ScHARR), part of the Trent Institute for Health Services
Research. A list of work in progress and current publications is available at
this site.
http://www.shef.ac.uk/uni/academic/R-Z/tiwgap/
UK Clearing House on Health Outcomes
The UK Clearing House on Health Outcomes, based within the Nuffield
Institute for Health at the University of Leeds, aims: to develop approaches
to outcomes assessment within routine health care practice and to promote the
role of health outcomes within decision making in health care commissioning
and provision. They have two databases available on the WWW; the other being
an Outcomes Activities Database containing a wide range of outcomes related projects.
This forms the basis for networking people working in similar areas or using
similar measures.
http://www.leeds.ac.uk/nuffield/infoservices/UKCH/home.html
Other outcomes sites of potential interest include:
·
CBO Health Care Outcomes Programme ECCHO
·
Dutch Outcomes Database
·
German Outcomes database
·
Greek Outcomes Database
·
Irish Outcomes Database
·
Nordic Outcomes Database
·
Portugese Outcomes Database
·
wiss Outcomes Database
Unit for Evidence Based Practice and Policy
(UEBPP)
The UEBPP is a 'virtual' subunit of the Joint Department of Primary Care
and Population Sciences (PCPS) of the merged medical schools of University
College London and the Royal Free Hospital. Their web page is maintained by
Dr Trisha Greenhalgh, and describes the work of a number of key staff at PCPS
who undertake work in evidence-based health.
http://www.ucl.ac.uk/primcare-popsci/uebpp/uebpp.htm
Wessex Institute for Health Research and
Development
The Wessex Institute aims to provide the highest quality research and
intelligence, education and training and innovation and development services.
It aims to help the NHS to secure the strongest possible knowledge base for
improving the health of the population.
http://www.soton.ac.uk/~wi/index.html
West Midlands Development & Evaluation
Services
West Midlands Development & Evaluation Service (DES) is a research
academic unit in the Department of Public Health & Epidemiology,
University of Birmingham. It produces systematic reviews for NHS R&D HTA
programme, the National Institute for Clinical Excellence (NICE), and for the
West Midlands region. West Midlands DES is also conducting methodological
research on health technology assessment, and provides training in systematic
reviews and health technology assessment.
http://www.bham.ac.uk/WMidsDES/
West Midlands Health Technology Assessment
Collaboration (formerly InterTASC)
The West Midlands Health Technology Assessment Collaboration (WMHTAC) is
an organisation involving several universities and academic groups who
collaboratively produce health technology assessments and systematic reviews.
They produce systematic reviews and economic evaluations for NHS R&D HTA
programme (NCCHTA), the National Institute for Clinical Excellence (NICE),
and for the health service in the West Midlands. WMHTAC also undertakes
methodological research on health technology assessment, and provides
training in systematic reviews and health technology assessment.
http://www.publichealth.bham.ac.uk/wmhtac/
WISDOM
WISDOM is a pilot project based at the University of Sheffield and funded
by the National Health Service Executive to create an on-line environment,
using the Internet to train primary care professionals in informatics. At the
heart of the project is a discussion group: this web site supports the group
and offers information resources and background to the project. Evidence
Based Practice is one of the focus areas for the project (Practice because it
targets all members of the Primary Health Care Team). Several tutorials,
originally distributed by e-mail but now deposited in the project archive,
cover aspects of evidence based practice.
http://www.wisdomnet.co.uk/
Tutorials to date cover:
·
Evidence based practice 1: An Introduction to
Evidence-Based Practice
·
Evidence based practice 2: The basic stages in EBP
and how to get started.
·
Evidence based practice 3: A little bit about
databases...
·
Evidence based practice 4: Running a literature
search
·
Evidence based practice 5: How to Evaluate the
Evidence
·
Evidence based Practice 6: From Evidence to Practice
·
Second series - EBP Seminar 1: Finding Useful Web
Sites
·
Second series - EBP Seminar 2: Critical Appraisal
·
Second series - EBP Seminar 3: Relative &
Absolute Risk Interpretation
·
Second series - EBP Seminar 4: Clinical Governance:
An Introduction
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Implementing
Bedside Diagnosis
An Annotated Bibliography of Literature on Physical Examination and
Interviewing made available on the American College of Physicians' site. This
resource has a searchable index complete with bibliographical references.
http://www.acponline.org/public/bedside/index.html
Clinical Decision Rules
From the Mount Sinai Medical Centre
http://med.mssm.edu/ebm/
- cpr
Clinical Examination Research Interest Group
A special interest group of the Society for General Internal Medicine this
group is responsible for the set of Rational Clinical Examination Guides
published in JAMA between 1992-1999. A full bibliography of the articles is
given together with a search engine covering PubMed and Bedside Diagnosis.
http://www.sgim.org/Publicweb/interestgroups/clinexam/clinexam.html
The Clinical Informaticist Project
The clinical informaticist project is a NHSE funded project in which GPs
and nurse practitioners are provided with evidence based answers to their
questions. At present the website is limited in that access to the answers is
password protected and can only be viewed by those GPs and nurses directly
involved in the project. However this is only a temporary problem.
http://www.med.ic.ac.uk/divisions/63/phcgp/homepage.htm
CMA Infobase - Clinical Practice Guidelines
The clinical practice guidelines in this Canadian Medical Association
collection were produced or endorsed by a national, provincial or territorial
medical or health organization, professional society, government agency or
expert panel. This new product is being developed in three stages. During the
first stage, CMA is providing access to guidelines previously published in
the Canadian Medical Association Journal (CMAJ); the guidelines to which CMAJ
does not hold copyright are listed and the full text will be added when the
developers have granted permission. Other guidelines will be added as they
become available.
http://www.cma.ca/cpgs
CONSORT
The CONSORT statement for improving the quality of reporting of randomized
controlled trials.
http://www.consort-statement.org/
Definitions of Evidence Based
Medicine/Healthcare/Practice ScHARR
This is a ScHARR Compilation page of definitions of Evidence Based
Medicine etcetera from published articles, reports books and Web pages.
http://www.shef.ac.uk/~scharr/ir/def.html
Discussion Lists ScHARR
A ScHARR compilation page listing all evidence based healthcare email
discussion lists that have been identified to date. The page includes joining
criteria, instructions and a brief description of each list.
http://www.shef.ac.uk/~scharr/ir/email.html
Evidence Based Emergency Medicine Home Page
A group of physicians at Lincoln Hospital with a commitment to Evidence
Based emergency medicine have created a Web site containing a CAT-Bank,
Journal Club and support materials on how to Formulate a Question, Appraise a
Study and search the literature.
http://www.ebem.org/
Evidence Based Healthcare - a resource pack
This pack contains reading and key references concerning the background
and current thinking on evidence-based health care and details of the groups
and organisations involved in this movement. The pack is designed to guide
your reading around the subject and to aid contact with national
organisations and academic bodies that are playing a role in promoting and
enabling evidence-based health care.
http://drsdesk.sghms.ac.uk/Starnet/pack.htm
Evidence Based Medicine Calculators
·
Diagnosis
·
Harm
·
Treatment
Evidence-Based Medical Practice / Pratique
Médical Fondée Sur les Preuves Scientifiques
Fully bi-lingual Canadian site. The purpose of this web site is to
facilitate finding and using the evidence-based medical data available on the
Internet. The site is primarily aimed at medical doctors, but we also hope to
reach other healthcare professionals, policy makers, and healthcare consumers
along with related organizations. When completed, this web site will offer
four modules: a directory of web sites offering evidence-based medical
information, a search engine for evidence-based data, an interactive
self-teaching program, and an electronic discussion group.
http://www.medecine.quebec.qc.ca/
Evidence Based Medicine Course
Online tutorial prepared by a Reference Librarian and HTML Programmer at
State University of New York. Topics covered include: Purposes of Evidence
Based Medicine, A Guide to Research Methods, Searching Biomedical Databases,
Applying EBM to Online Searching and Evaluating the Studies You Find.
http://library.downstate.edu/ebm/toc.html
Evidence Based Medicine - Finding the Best
Clinical Evidence
EBM resource from the University of Illinois.
http://www.uic.edu/depts/lib/lhsp/resources/ebm.shtml
Evidence Based Medicine : Principles and Practice
Produced by Dr. P. Badrinath, Asst. Professor & Epidemiologist, Dept.
of Community Medicine, United Arab Emirates University this presentation
contains a useful PowerPoint package of slides plus a series of
"tasks" suitable for getting people started in EBM.
http://www.uaeu.ac.ae/jscan/EBM/grandround
Evidence Based Medicine Resource List
This site maintained by Chris Cox at the Library at the University of
Hertfordshire has useful references and links to other resources. Although
lacking the comprehensiveness of the ScHARR Guide to Evidence Based Practice
this site more than makes up for this with its conciseness and clarity.
Probably the best single compilation page on EBM on the Web.
http://www.herts.ac.uk/lis/subjects/health/ebm.htm
Evidence Based Medicine Training Packages
ScHARR
This is a ScHARR list of Teaching Packages and resources found on the
World Wide Web. It includes both self-directed learning and tools to support
teaching sessions. A further list of materials is available at the Italian
GIMBE site.
http://www.shef.ac.uk/~scharr/ir/training.html
Evidence Based Medicine Workbook :
Critical appraisal for clinical problem solving ScHARR The home page for
the workbook published by Butterworth Heinemann, currently being translated
into Spanish and Japanese. The site-owner has plans to develop the Web pages
in the near future.
http://www.shef.ac.uk/uni/academic/R-Z/scharr/ebm/
Evidence Based Pathology
This site, developing at the University of Nottingham, is currently a
gateway to resources on EBM. However it is likely to develop into a valuable
resource in its own right.
http://www.ccc.nottingham.ac.uk/~mpzjlowe/evpath.html
Evidence Based Pediatrics
A resource for evidence based paediatrics at the University of Michigan
containing Critically Appraised Topics, Guidelines for a Journal Club and a
CAT Templates
http://www.ped.med.umich.edu/ebm/
Evidence Based Practice - Electronic Distance
Learning Course
St.Loye's School of Health Studies, Exeter runs this innovative,
credit-rated course which aims to introduce the principles, methods and
applications of EBP to nurses, midwives, health visitors and the professions
allied to medicine.
http://www.ex.ac.uk/stloyes/ebpweb.htm
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Guidelines
This is a ScHARR resource list of a number of guidelines available in
full-text from the WWW.
http://www.shef.ac.uk/~scharr/ir/guidelin.html
Information Mastery: An Introduction
A Web-based course from Michigan State University that introduces the
basic concepts
of Information Mastery, Evidence-Based Medicine (EBP), and critical
appraisal of the
medical literature. Contents include:Reading an article about diagnosis,
Reading an
article about therapy, Reading an article about prognosis and Reading an
overview or
meta-analysis.
http://www.poems.msu.edu/InfoMastery/
Introduction to Evidence Based Medicine
A tutorial developed between UNC and Duke University.
http://www.hsl.unc.edu/ebm/index.htm
Midwives Online
An information site for midwives.
http://www.midwivesonline.com/
Oxford & Anglia Mental Health Web
(OXAMWEB)
To help support evidence-based practice, the Directorate of Research and
Development for the Anglia and Oxford Region has provided resources for
Internet connection in libraries in the Region and for the development of
OXAMWEB. To be included in OXAMWEB, articles must fulfil the following
minimum criteria written in English, free to view, easy to understand and
clearly presented, likely to be relevant and helpful to site users/ patients/
professionals. An important part of the material, marked with an EB
(evidence-based) logo, also fulfils the more stringent criteria of Evidence
Based Medicine.
http://www.psychiatry.ox.ac.uk/oxamweb/
Pediatría
Basada en la Evidencia
Spanish evidence based pediatrics site. Contains a CAT Bank ("archivo
de temas valorados críticamente"
and "archivo de artículos
valorados críticamente").
http://members.es.tripod.de/cristobal_2/
Percentage of Evidence Based Treatment ScHARR
This is a ScHARR compilation page of studies (and email discussions)
concerning the percentage of evidence based healthcare in various
specialties. It traces the pre-history of the debate and then, following the
landmark study by Ellis et al, 1995, it documents all contributions to the
debate.
http://www.shef.ac.uk/~scharr/ir/percent.html
PRODIGY
PRODIGY is a computerized GP decision support system whose guidance is
evidence based.
http://www.prodigy.nhs.uk/
Quackwatch
Quackwatch, Inc., a member of Consumer Federation of America, is a
nonprofit corporation whose purpose is to combat health-related frauds,
myths, fads, and fallacies. Its primary focus is on quackery-related
information that is difficult or impossible to get elsewhere.
http://www.quackwatch.com/
The Referral Practice Booklet
Topics: Acne, Acute low back pain, Atopic eczema in children, Glue ear in
children, Menorrhagia, Osteoarthritis of the hip, Osteoarthritis of the knee,
Psoriasis, Recurrent episodes of acute sore throat in children, Urinary tract
(outflow) symptoms, Varicose veins.
http://server1.nice.org.uk/nice-web/Article.asp?a=1178&c=51
Resources for Evidence Based Surgery
A site, created for all surgeons and the related medical community, hosted
by the Royal College of Surgeons, England. It contains a listing of the 300+
journal titles held by the Library together with links to journal home pages
( in many cases, providing current content pages, full text articles, etc).
Similar links to the most frequently used journals in the different
categories of surgery (based on the Science Citation Index). Links to free
medical databases including Medline and a listing of Cochrane Systematic
Reviews relevant to surgery are also available together with details of
guidelines and reports publicsed by the RCS and other surgical
bodies/societies. Links to internet resources relevant to evidence based
surgery complete the picture together with details of the many email
discussion groups open to surgeons.
http://www.rcseng.ac.uk/public/infores/reso_ir.htm
Resources for Practicing EBM
This site specialises in paediatric critical care (aka intensive care)
medicine but many of its links are of wider applicability to EBM. It also
includes the PedsCCM Evidence- Based Journal Club.
http://pedsccm.wustl.edu/EBJ/EB_Resources.html
SUNY Health Sciences Evidence Based
Medicine Course
An online tutorial providing a comprehensive overview of Evidence Based
Medicine.
http://servers.medlib.hscbklyn.edu/ebmdos/toc.html
Sections include:
·
Purposes of Evidence Based Medicine
·
A Guide to Research Methods
·
Searching Biomedical Databases
·
Applying EBM to Online Searching
·
Evaluating the Studies You Find
Systematic Literature Review Training Module This module at the University
of Leeds has been designed to provide a basic introduction to the systematic
literature review process. It follows the NHS CRD Guidelines for systematic
reviews and includes a self assessment questionnaire for evaluating learning
outcomes.
http://www.comp.leeds.ac.uk/comir/people/eberry/sysrev/sysrev.htm
Therapeutic NNTs and NNSs
From the Mount Sinai Medical Centre.
http://med.mssm.edu/ebm/
- nnt
TROUT
Traditional vs. Randomised OUTcomes. "How do the outcomes of patients
treated within randomised control trials compare with those of similar
patients treated outside these trials?"
http://hiru.mcmaster.ca/ebm/trout/
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