Evidence Based Medicine

Marshell Tendean, MD
Objectice
• Evidence Based Medicine
• Define Medical Terms Structured Question
• Uderstand PICO
• Litrature search review throughout database
• Built your own citation database
Evidence Baced Medicine
• The use of methods of medical treatment and clinical decision-
making which have been rigorously tested by properly controlled
research.
• In Lay terms it means : How to answer Medical Question with
Medical Appropriate terms.
Define The Right Question
• Lay terms question: Can typhoid properly cured after taking
antibiotics.?

• Medical terms question : What is the cure rate of thypoid patients

after given antibiotics ?
Medical Terms will consist of :
•P : Population
•I : Intervention group / risk group
•C : Comparison group (if available)
•O : Outcomes
Database used in EBM
• Embase
• Ovid
• Proquest
• Google scholar
• Pubmed
• EBSCO
• Cochrane Search
Search using pubmed :
• Open MESH term on Google:
• Insert keyword accoding to PICO description
• Add to search builder and click search pubmed
• Repeat the same order all PICO
• Incooporate the reference using advance button and add citation
using AND order.
• Exampe : Citation 1 “MESH” AND Citation 2 “MESH”
• Using other filter to maximize search
• Copy the search strategy keywords to other database