Evidence-Based Medicine (EBM) Resources*

Evidence-based medicine is the "conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients" (Sackett, DL. BMJ. 1996 Jan 13;312(7023):71-2).

"the intergration of best research evidence with clinical expertise and patient values." (Sackett David L., et al, Evidence-based medicine : how to practice and teach EBM . New York : Churchill Livingstone, 2000. p. 1)


TRIP (Turning Research Into Practice) Database Plus

Simultaneously searches evidence-based sources of systematic reviews, practice guidelines, and critically-appraised topics and articles -- including most of those listed above and many more. Also searches MEDLINE’s Clinical Queries, medical image databases, e-textbooks, and patient information leaflets.

TRIP Database allows free searches.


Filtered Resources

Essential Evidence Plus (formerly Inforetriever with InfoPOEMS)

The only database system of filtered, synopsized, evidence-based information, this integrated search engine allows you to simultaneously search, via keyword, multiple databases:

* EBM Guidelines
* Daily POEMs
* Cochrane Abstracts
* Selected Practice Guidelines
* Decision Support Calculators
* H&P Calculators
* Diagnostic Test Calculators
* Derm Expert
* E/M Coding
* ICD-9 Lookup Tool
Available via workstation or downladable to PDA.

 

Systematic Reviews / Meta-Analyses

The Cochrane Database of Systematic Reviews

Consists of detailed, structured topic reviews of hundreds of articles. Teams of experts complete comprehensive literature reviews, evaluate the literature, and present summaries of the findings of the best studies. Published by the International Cochrane Collaboration.

Part of the Cochrane Library

The Database of Abstracts of Reviews of Effect (DARE)

Full-text database containing structured abstracts of systematic reviews from a variety of medical journals. DARE is produced by the National Health Services' Centre for Reviews and Dissemination (NHS CRD) at the University of York. DARE records cover topics such as diagnosis, prevention, rehabilitation, screening, and treatment.

Part of the Cochrane Library

Systematic Reviews are also searchable in MEDLINE:

  • PubMed: You may limit your retrieval in PubMed/MEDLINE by using the Limits feature setting the retrieval to the subset SYSTEMATIC REVIEWS

Critically-Appraised Topics

Clinical Evidence

Summarizes the current state of knowledge about the prevention and treatment of clinical conditions, based on thorough searches and appraisal of the literature. It describes the best available evidence from systematic reviews, RCTs, and observational studies where appropriate, and if there is no good evidence it says so.

National Guideline Clearinghouse

A comprehensive database of evidence-based clinical practice guidelines and related documents produced by the Agency for Health Care Research and Quality, in partnership with the American Medical Association and the American Association of Health Plans. Updated weekly.

 

InfoPOEMS (via Essential Evidence Plus)

Clinical awareness system that highlights important new evidence via DailyPOEMs™ ("Patient-Oriented Evidence that Matters"), synopses of new, valid evidence relevant to patient care originating from critical appraisal of studies published in more than 100 journals.

There is a PDA version of this product.

ACP's PIER

Evidence-based clinical guidance designed for rapid access to clinical information at the point of care. PIER is peer-reviewed, updated continually and includes recommendations based on all levels of medical evidence. Recommendations also include strength-of-recommendation ratings based on the quality of the underlying evidence. From the American College of Physicians.

There is a PDA version of this product.

Critically-Appraised Individual Articles

The ACP Journal Club

The editors of this journal screen the top 100+ clinical journals and identify studies that are methodologically sound and clinically relevant. An enhanced abstract, with conclusions clearly stated, and a commentary are provided for each selected article. Published by the American College of Physicians-American Society of Internal Medicine.

Bandolier

Bandolier is an independent journal about evidence-based healthcare published in the UK. It includes “information about evidence of effectiveness (or lack of it), and put[s] the results forward as simple bullet points of those things that worked and those that did not: a bandolier with bullets. Information comes from systematic reviews, meta-analyses, randomised trials, and from high quality observational studies.”

bmjupdates

Quality articles from over 110 clinical journals are selected by research staff, and then rated for clinical relevance and interest by an international group of physicians. Includes a searchable database of the best evidence from the medical literature and an email alerting system. From BMJ Publishing Group and McMaster University's Health Information Research Unit.


Unfiltered Resources

PubMed

To limit your PubMed search to the best evidence-producing studies: Click on "clinical queries" (on the left side of the screen). This specialized search is intended for clinicians and has built-in search "filters." Four study categories--therapy, diagnosis, etiology, prognosis--are provided, and you may indicate whether you wish your search to be more sensitive (i.e., include most relevant articles but probably including some less relevant ones) or more specific (i.e., including mostly relevant articles but probably omit a few).

PsycINFO

International coverage of the professional and academic literature in psychology, medicine, psychiatry, nursing, sociology, education, pharmacology, physiology, linguistics, and other areas.

To limit your PsycINFO search to the best evidence-producing studies: Click on the ‘Limits’ icon to use ‘Clinical Queries’ or limit to ‘methodology’ types.


Background Information/Expert Opinion

eBooks

Over 200 full-text electronic books available from the MSU Libraries.

Here are two exceptional general medicine resources:

Harrison's Online

ACP Medicine


Evidence-Based Medicine Information Sites

Centre for Evidence-Based Medicine (Oxford University)

The Centre promotes evidence-based health care and provide support and resources to anyone who wants to make use of them. Includes the EBM Toolbox, an assortment of materials which are very useful for practitioners of EBM, and EBM Teaching Materials, including PowerPoint presentations.

Centre for Evidence-Based Medicine (Toronto)

Includes many resources for practicing and teaching EBM.

Evidence-Based Medicine

A selective list of additional EBM websites developed and maintained by Duke University Medical Center Library.

Netting the Evidence

From the School of Health and Related Research (ScHARR) at the University of Sheffield, UK. Includes a comprehensive list of EBM databases, journals, articles, and other information sources.

Users' Guides to the Medical Literature

The definitive tome for those who want more, A Manual for Evidence-Based Clinical Practice presents the sophisticated concepts of evidence-based medicine (EBM) in unique ways that can be used to determine diagnosis, decide optimal therapy, and predict prognosis. It also offers in-depth expansion of methodology, statistics, and cost issues that emerge in medical research.


Evidence-Based Medicine Tutorials

Introduction to Evidence-Based Medicine

From Duke University Medical Center Library and University of North Carolina at Chapel Hill Health Sciences Library.

SUNY Health Sciences Evidence-Based Medicine Course

 


* EBM Pyramid and EBM Page Generator, copyright 2006 Trustees of Dartmouth College and Yale University. All Rights Reserved.
Produced by Jan Glover, David Izzo, Karen Odato and Lei Wang. Links to Michigan State University Libraries accessible resources by John Coffey