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In This Section
» Evidence-Based Decision-Making
 
- Examples of Rating System
- Numeric Presentation
- Sources of Evidence-Based Decision-Making
- Resources
» Information Systems
 
- Essential Functions
- Starting a Registry
- Resources
- Examples

Framework for Making Systems Changes

Resources for Evidence-Based Medicine

Please note: Some links on this page take you outside the Better Diabetes Care website. The NDEP does not endorse or otherwise guarantee the accuracy of links that take you out of this website.

Resources

  1. American Diabetes Association: Clinical Practice Recommendations
    diabetes.org/for-health-professionals
    -and-scientists/cpr.jsp

    This compilation contains all the current ADA positions statements, technical reviews, and consensus statements related to clinical practice, as well as the evidence grading system used. Updated yearly in January.

  2. Evidence-Based Diabetes Care
    Hertzel C. Gerstein , R. Brian Haynes (Editors), BC Decker Inc., Hamilton, 2001
    This textbook provides a broad evidenced based review of the topic of diabetes medicine. The hardbound text is accompanied by a CD-ROM compilation of abstracts and patient information material.

  3. American Heart Association
    Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update

    circ.ahajournals.org/cgi/content/full/106/3/388

  4. Cardiovascular Health in childhood: A Statement for Health Professionals From the Committee on Atherosclerosis, Hypertension, and Obesity in the Young (AHOY) of the Council on Cardiovascular Disease in the Young
    circ.ahajournals.org/cgi/content/full/106/1/143

  5. Agency for Healthcare Research and Quality (AHRQ), formerly known as the Agency for Health Care Policy and Research (AHCPR): Clinical Guidelines and Evidence Reports
    www.ahrq.gov/clinic
    The AHRQ Web site includes links to the National Guideline Clearinghouse, Evidence Reports from the AHRQ's 12 Evidence-based Practice Centers (EPC), and Preventive Services. The AHCPR released 19 Clinical Practice Guidelines between 1992 and1996.

  6. American College of Physicians Journal Club (ACPJC)
    www.acponline.org/journals/acpjc/jcmenu.htm
    ACP Journal Club evaluates evidence in individual articles. Commentary by ACP author offers clinical recommendations. Access to the online version of ACPJC is a benefit for members of the ACP-ASIM.

  7. Bandolier
    www.jr2.ox.ac.uk/bandolier/
    Features short evaluations/discussions of individual articles dealing with evidence-based clinical practice.

  8. Centre for Evidence Based Medicine (CEBM)
    www.cebm.net/
    Established in Oxford in 1995 centre’s broad aim is to develop, teach and promote evidence-based health care and provide support and resources to anyone who wants to make use of them. The site links to evidence-based journals, and evidence-based medicine teaching materials.

  9. Center for Research Support, TRIP Database
    www.ceres.uwcm.ac.uk/frameset.cfm?section=trip
    The AHRQ began the Translating Research into Practice (TRIP) initiative in 1990 to implement evidence-based tools and information. The TRIP Database features hyperlinks to the largest collection of evidence-based materials on the internet, including NGC, POEM, DARE, Cochrane Library, CATbank, and individual articles. A good starting place for an evidence-based medicine literature search.

  10. Clinical Evidence, BMJ Publishing Group
    www.clinicalevidence.com
    Searches BMJ's Clinical Evidence compendium for up-to-date evidence regarding effective health care. Lists available topics and describes the supporting body of evidence to date (e.g., number of relevant randomized controlled trials published to date). Concludes with interventions "likely to be beneficial" versus those with "unknown effectiveness." Individuals who have received a free copy of Clinical Evidence Issue 5 from the United Health Foundation are also entitled to free access to the full online content.

  11. Cochrane Database of Systematic Reviews
    www.cochrane.org
    Systematic evidence reviews that are updated periodically by the Cochrane Group. Reviewers discuss whether adequate data are available for the development of evidence-based guidelines for diagnosis or management.

  12. Effective Health Care
    www.york.ac.uk/inst/crd/ehcb.htm
    Bi-monthly, peer-reviewed bulletin for medical decision-makers. Based on systematic reviews and synthesis of research on the clinical effectiveness, cost-effectiveness and acceptability of health service interventions.

  13. Evidence-Based Medicine
    www.evidence-basedmedicine.com
    Bimonthly publication launched in 1995 by the BMJ Publishing Group. Article summaries include commentaries by clinical experts. Subscription is required.

    Evidence-Based Practice Newsletter (including JFP Patient-Oriented Evidence that Matters [POEM])
    www.ebponline.net
    This JFP newsletter features up-to-date POEM, Disease-Oriented Evidence (DOE), and tests approved for Category 1 CME credit. Subscription required.

  14. Institute for Clinical Systems Improvement (ICSI)
    www.ICSI.org
    ICSI is an independent, nonprofit collaboration of health care organizations, including the Mayo Clinic, Rochester, Minn. Web site includes the ICSI guidelines for preventive services and disease management.

  15. Medical InfoRetriever (including JFP POEMs)
    www.medicalinforetriever.com/
    Evaluates individual studies, concludes with recommendations for clinical practice.

  16. National Guideline Clearinghouse (NGC)
    www.guidelines.gov
    Comprehensive database of evidence-based clinical practice guidelines from government agencies and health care organizations. Describes and compares guideline statements with respect to objectives, methods, outcomes, evidence rating scheme, and major recommendations.

  17. National Health Service (NHS) Centre for Reviews and Dissemination (CRD)
    www.york.ac.uk/inst/crd/
    Searches CRD Databases (includes DARE, NHS Economic Evaluation Database, Health Technology Assessment Database) for EBM reviews. Abstract summaries review articles on diagnostic or treatment interventions and discuss clinical implications.

  18. Primary Care Clinical Practice Guidelines
    medicine.ucsf.edu/resources/guidelines
    University of California, San Francisco, Web site that includes links to NGC, CEBM, AHRQ, individual articles, and organizations.

  19. Translating Research Into Action for Diabetes
    www.triadstudy.org
    TRIAD stands for Translating Research Into Action for Diabetes -- a national study that aims to improve the quality of care and quality of life for people with diabetes. TRIAD is made up of six research centers that have been looking at the care received by people with diabetes. The goals of TRIAD are to assess the level of care provided to people with diabetes; identify the barriers that get in the way of people getting care, and find new ways to provide better care for people with diabetes

  20. U.S. Preventive Services Task Force (USPSTF)
    www.ahrq.gov/clinic/uspstfix.htm
    This Web site features updated recommendations for clinical preventive services based on systematic evidence reviews by the U.S. Preventive Services Task Force.

  21. Guide to Community Preventative Services
    www.thecommunityguide.org
    The Guide to Community Preventive Services is developed through systematic reviews of available evidence of effectiveness for selected interventions in three areas: a) improving health behaviors; b) reducing specific diseases, disabilities, injuries, and impairments; and c) addressing environmental and ecosystem challenges. After completion of the reviews, the independent Task Force on Community Preventive Services issues one of three findings: Strongly recommended, Recommended, or Insufficient Evidence.

  22. Numeric Presentation of Results
    American College of Physicians American Society of Internal Medicine
    Primers

    www.acponline.org/journals/ecp/primers.htm
    The following primers are some of several available:
    • Primer on 95% Confidence Intervals for the Number Needed To Treat
    • Primer on Absolute vs. Relative Differences
    • A Primer on Cost-effectiveness Analysis
    • Primer on Statistical Significance and P Values
    • Primer on 95% Confidence Intervals

Glossary of terms used in therapeutics, definitions relating to data presentation in therapeutics, and terms used in diagnosis
www.acpjc.org/shared/glossary.htm

Online non-profit organization to bring consumers information about breast cancer:
www.breastcancer.org/treatment_stats.html
Provides simple, graphic examples of relative vs. absolute risk -- helpful for both health care providers and patients.


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