Evidence-based Medicine:
Introducing Evidence-based Resources in Practice

Dr. Fredric M. Wolf, Ph.D.
Table of Contents
Slide #:
  1. Evidence-based Medicine: Introducing Evidence-based Resources in Practice
  2. Session Objectives
  3. Session Objectives (cont'd)
  4. Introducing Evidence - Outline
  5. Antibiotics for Acute Bronchitis
  6. Indicate whether you would (yes) or would not (no) recommend antibiotic treatment for your patients (1/5)
  7. Indicate whether you would (yes) or would not (no) recommend antibiotic treatment for your patients (2/5)
  8. Indicate whether you would (yes) or would not (no) recommend antibiotic treatment for your patients (3/5)
  9. Indicate whether you would (yes) or would not (no) recommend antibiotic treatment for your patients (4/5)
  10. EBM: Definition (Sackett et al 1997)
  11. EBM is Not...
  12. Why Do We Need EBM?
  13. Half-life of "Facts"
  14. Why Do We Need EBM? (cont'd)
  15. Steps Necessary to Practice EBM
  16. Sources of Evidence in the "Real World" in "Real-time"
  17. Health Care Reform: Cost Driven? Where's the Evidence of Effectiveness?
  18. Problem: Information Explosion
  19. Cartoon (You're talking in...)
  20. One Possible Soulution: Decision Support Systems?
  21. Cartoon (On one hand,...)
  22. Cartoon (Random Medical News)
  23. What is a Systematic Review?
  24. What is a Systematic Review? (cont'd)
  25. Cochrane Library CD (& WWW)
  26. Graph: Pain (Antibiotic vs. Placebo) Comparison
  27. Indicate whether you would (yes) or would not (no) recommend antibiotic treatment for your patients (5/5)
  28. Antibiotics for Acute Bronchitis - Resolution of Cough (1/5)
  29. Antibiotics for Acute Bronchitis - Resolution of Cough (2/5)
  30. Antibiotics for Acute Bronchitis - Resolution of Cough (3/5)
  31. Antibiotics for Acute Bronchitis - Resolution of Cough (4/5)
  32. Antibiotics for Acute Bronchitis - Resolution of Cough (5/5)
  33. Support for Tx > Prevention
  34. RRR>ARR, SR, NNT; RRR=OR; OR>SR; OR=ARR, SR, NNT
  35. RRR>all Others; OR>ARR, SR, NNT; OR
  36. What does it mean? Does it matter?
  37. Example Systematic Review/M-A
  38. Abstract (quote)(1/5)
  39. Abstract (quote)(2/5)
  40. Abstract (quote)(3/5)
  41. Abstract (quote)(4/5)
  42. Abstract (quote)(5/5)
  43. Systematic search (quote)(1/3)
  44. Systematic search (quote)(2/3)
  45. Systematic search (quote)(3/3)
  46. Assessment of quality & extraction of data (quote)
  47. Figure 1 (BMJ -- Greenhalgh 315 (7103):305)
  48. Assessment of quality & extraction of data (quote)(cont'd)
  49. Key messages (quote)
  50. Key messages (quote)(cont'd)
  51. Conclusions (quote)
  52. Questions?
  53. Figure 2 (BMJ -- Greenhalgh 316 (7135):906)
  54. Figure 3 (BMJ -- Greenhalgh 316 (7135):906)
  55. Figure 4 (BMJ -- Greenhalgh 316 (7135):906)
  56. "Medicine is a science of uncertainty and an art of probability" Sir William Osler
  57. Cartoon (It's a Library...)
  58. Evaluating Reliability of Electronic Info (e.g., Web Sites)
  59. Evaluating Reliability of Electronic Info (e.g., Web Sites) (cont'd)
  60. Internet Web Sites (1/3)
  61. Internet Web Sites (2/3)
  62. Internet Web Sites (3/3)
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