Evidence Based Medicine EBM

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EMB Definition below from <a class="external" href="http://en.wikipedia.org/wiki/Evidence-based_medicine" rel="nofollow" target="_blank">wikipedia</a>
  • EBM is an attempt to more uniformly apply the standards of evidence gained from the scientific method, to certain aspects of medical practice. Specifically, EBM seeks to apply judgements about the inductive quality of evidence, to those aspects of medicine which depend on rational assessments of risks and benefits of treatments (including lack of treatment).
  • According to the <a class="external" href="http://www.cebm.net/index.aspx?o=1914" rel="nofollow" target="_blank">Centre for Evidence-Based Medicine</a>, "Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients."
  • Good doctors and health professionals use both individual clinical expertise and the best available external evidence, and neither alone is enough. Without clinical expertise, practice risks becoming tyrannised by evidence, for even excellent external evidence may be inapplicable to or inappropriate for an individual patient. Without current best evidence, practice risks becoming rapidly out of date, to the detriment of patients.
  • Evidence-based medicine is not restricted to randomised trials and meta-analyses. It involves tracking down the best external evidence with which to answer our clinical questions.
  • EBM recognizes that many aspects of medical care depend on individual factors such as quality and value-of-life judgements, which are only partially subject to scientific methods.

The following is a series of links to website to search for evidence based medicine.


<a class="external" href="http://www.cochrane.org.au/library/" rel="nofollow" target="_blank">Cochrane Collaboration</a>
  • The Cochrane Collaboration is an international not for profit and independent organization, dedicated to making up to date, accurate information about the effects of healthcare readily available worldwide
  • It produces and disseminates systematic reviews of healthcare interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions.
  • The Cochrane Collaboration was founded in 1993 and named after the British epidemiologist, Archie Cochrane.
  • <a class="external" href="http://www.cochrane.org/reviews/clibintro.htm" rel="nofollow" target="_blank">Cochrane reviews and The Cochrane Library - an introduction</a>
  • Cochrane <a class="external" href="http://www.cochrane.org/index.htm" rel="nofollow" target="_blank">Search page</a>
  • <a class="external" href="http://thecochranelibrary.com/" rel="nofollow" target="_blank">The Cochrane Library</a>
  • <a class="external" href="http://www.nicsl.com.au/cochrane/guide_whatiscl.asp" rel="nofollow" target="_blank">NICS Guide to the Cochrane Library</a>
  • <a class="external" href="http://www.cochrane.org/reviews/top50/top50.htm" rel="nofollow" target="_blank">Most popular 50 Cochrane reviews</a>
<a class="external" href="http://www.tripdatabase.com/index.html" rel="nofollow" target="_blank">TRIP (Turning research into practice)</a>
  • Useful search tool based on clinical questions
  • The evolution of the TRIP Database has been guided by the desire to answer real clinical questions using the principles of evidence based medicine

NHS Specialist libraries
Clinical and non clinical resources within specialty themes
<a class="external" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed" rel="nofollow" target="_blank">PUBMED</a>
  • general pubmed journal search

<a class="external" href="http://www.ncbi.nlm.nih.gov/entrez/query/static/clinical.shtml" rel="nofollow" target="_blank">Pubmed Clinical Queries</a> <a class="external" href="http://www.ncbi.nlm.nih.gov/entrez/query/static/clinical.shtml" rel="nofollow" target="_blank">
</a>
  • Performs a specialist querie using built in flters

[Foundation for Medical Education & Research]

  • The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organisation established in 2002. It is supported by the Department of Health of the Canton of Geneva, the Department of Social Affairs of the City of Geneva, the Faculty of Medicine, Geneva University, and the Geneva Medical Association, and works in close collaboration with the World Health Organization (WHO).
  • Comprehensive os/gynae reproductive medicine database
  • GFMER is a WHO Collaborating Centre in Education and Research in Human Reproduction.
  • <a class="external" href="http://www.gfmer.ch/Guidelines/Obstetrics_gynecology_guidelines.php" rel="nofollow" target="_blank">Obstetric gynacology guidelines</a>

<a class="external" href="http://www.cebm.net/" rel="nofollow" target="_blank">Centre for Evidence Based Medicine</a>
Our broad aim is to develop, teach and promote evidence-based health care and provide support and resources to doctors and health care professionals to help maintain the highest standards of medicine.The Centre for Evidence-Based Medicine's aim is to improve patient care by developing and promoting evidence-based health care, and to provide support and resources to anyone who wants to practice or teach EBM
Netting the Evidence <a class="external" href="http://www.medicine.ox.ac.uk/bandolier/" rel="nofollow" target="_blank">Bandolier</a>
  • Bandolieris designed to find information about evidence of effectiveness (or lack of it), and put the results forward as simple bullet points of those things that worked and those that did not
  • Information comes from systematic reviews, meta-analyses, randomised trials, and from high quality observational studies.
  • Each month PubMed and the Cochrane Library are searched for systematic reviews and meta-analyses published in the recent past

  • <a class="external" href="http://www.cebm.utoronto.ca/" rel="nofollow" target="_blank">Centre for Evidence-Based Medicine</a>, Mount Sinai, Toronto, including packages on practising EBM

  • <a class="external" href="http://www.cche.net/" rel="nofollow" target="_blank">Centres for Health Evidence</a>, in Canada, where they have loads of EBH resources, including critical appraisal worksheets and the JAMA Guides


  • <a class="external" href="http://eppi.ioe.ac.uk/" rel="nofollow" target="_blank">Evidence for Policy and Practice Information</a> (EPPI) Centre, based at the Institute of Education in London, focusing on health and education policy makers

  • <a class="external" href="http://www.medepi.net/meta/" rel="nofollow" target="_blank">Berkeley Systematic Reviews Group</a>, with training and guidelines on how to conduct systematic reviews

  • <a class="external" href="http://hiru.mcmaster.ca/" rel="nofollow" target="_blank">HIRU - The Health Informatics Research Unit</a>, at McMaster University's Department of Clinical Epidemiology and Biostatistics in Canada, featuring a large inventory of evidence based resources and an on-line database.

  • <a class="external" href="http://www.york.ac.uk/inst/crd/" rel="nofollow" target="_blank">The NHS Centre for Reviews and Dissemination at York</a> The Centre for Reviews and Dissemination is a department of the University of York and is part of the National Institute for Health Research. CRD undertakes high quality systematic reviews that evaluate the effects of health and social care interventions and the delivery and organisation of health care.

Other links


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