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Evidence-Based Practice

Summary EBM Course Malang


Patients w/
problems

Formulate
Apply evidence clinical answers

Critical Search the


appraisal evidence
Formulate clinical question
• P : patient/problem/population
• I : intervention/index test/indicators
• C : comparison
• O : outcome
Type of question & best study design
Type of question Type of study
Therapy Information about Systematic reviews/ Meta-
treatments (effectiveness) analysis/ RCT
Diagnosis Information about Systematic reviews/ Meta-
diagnostic test (sensitivity, analysis/ cross sectional
accuracy) study
Prognosis Information about course Systematic reviews/ Meta-
of disease over time, analysis/cohort/survival
expected complications study
Etiology/Harm Information about causes RCT/cohort/case-control
of disease/ contributing study
factors of disease
Define keywords
• Combine w/ Boolean operators
(AND/OR/NOT)
• Controlled vocabulary or text words
• Limits, truncation, proximity
Resources of EBP
Syste
ms

Summaries :
DynaMed, UpToDate,
NICE Clinical Guideline

Synopes of syntheses : Cochrane


Summaries

Syntheses : Cochrane Systematic Reviews

Synopses of single studies : ACP Journal Club

Studies : PubMed/MEDLINE,EMBASE
Critical Appraisal

V = Validity : design, sample, sample size, eligibility,


criteria(inclusion, exclusion), sampling method,
randomization method, intervention, measurements,
method of analysis

I = Importance : Characteristics of subjects, drop out, analysis,


p-value, confidence interval

A = Applicability : characteristics, local setting

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