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Evidence-Based Medicine

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Informatics in Primary Care

Part of the book series: Health Informatics ((HI))

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Abstract

A 59-year-old man presents to your office with a 4 week history of intermittent substernal chest discomfort with exertion, without radiation and relieved by rest. Each of several episodes lasted no more than 5 minutes. He has been in good general health, had no history of prior chest pain, hypertension, diabetes, or serious illness. He is a nonsmoker and takes no medications. Family history reveals that his father died at age 73, probably of myocardial infarction.

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References

  1. Heidenreich PA, McDonald KM, Hastie T, et al. Meta-analysis of trials comparing beta-blockers, calcium antagonists, and nitrates for stable angina. JAMA 1999;281:1927–1936.

    Article  PubMed  CAS  Google Scholar 

  2. Wennberg J. Dealing with medical practice variations: a proposal for action. Health Aff Millwood 1984;3(2):6–32.

    Article  PubMed  CAS  Google Scholar 

  3. Kuhn TS. The Structure of Scientific Revolutions. Chicago, University of Chicago Press, 1970.

    Google Scholar 

  4. Evidence-Based Working Group. Evidence-based medicine: A new approach to teaching the practice of medicine. JAMA 1992;268:2420–2425.

    Article  Google Scholar 

  5. Rosenberg W, Donald A. Evidence-based medicine: an approach to clinical problem-solving. BMJ 1995;310:1122–1126.

    Article  PubMed  CAS  Google Scholar 

  6. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence-based medicine: What it is and what it isn’t. BMJ 1996;312:71–72.

    Article  PubMed  CAS  Google Scholar 

  7. Haynes RB, Sackett DL, Gray JA, Cook DJ, Guyatt GH. Transferring evidence from research into practice. 1. The role of clinical care research evidence in clinical decisions. ACP J Club 1996;125:A14–A16.

    PubMed  CAS  Google Scholar 

  8. Slawson DC, Shaughnessy AF, Bennett JH. Becoming a medical information master: Feeling good about not knowing everything. J Fam Pract 1994;38: 505–513.

    PubMed  CAS  Google Scholar 

  9. Shaughnessy AF, Slawson DC, Bennett JH. Becoming an information master: A guidebook to the medical information jungle. J Fam Pract 1994;39:489–499.

    PubMed  CAS  Google Scholar 

  10. Ebell M. Information at the point of care: Answering clinical questions. J Am Board Fam Pract 1999;12:225–235.

    PubMed  CAS  Google Scholar 

  11. Wolf FM. Lessons to be learned from evidence-based medicine: Practice and promise of evidence-based medicine and evidence-based education. Medical Teacher 2000; 22(3):251–259.

    Article  Google Scholar 

  12. TRIP (Translating Research into Practice) homepage. http://www.tripdatabase.com/

    Google Scholar 

  13. Tabar L, Fagerberg CJ, Gad A, et al. Reduction in mortality from breast cancer after mass screening with mammography. Randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet 1985;1:829–832.

    Article  PubMed  CAS  Google Scholar 

  14. Fahey T, Griffiths S, Peters TJ. Evidence-based purchasing: Understanding results of clinical trials and systematic reviews. BMJ 1995;311:1056–1060.

    Article  PubMed  CAS  Google Scholar 

  15. Wolf FM. Using evidence of effectiveness from randomized trials and metaanalyses to make health care decisions: How information is framed may affect judgments. (Abstract). Med Decis Making 1996; 16:464.

    Google Scholar 

  16. Wolf FM. Interpreting results of RCTs and meta-analyses: implications for providers, consumers, and policy makers. (Abstract) Proceedings of the 5th International Cochrane Colloquium, Amsterdam, The Netherlands, October 1997, p. 240.

    Google Scholar 

  17. Wolf FM. Summarizing evidence for clinical use. In: Geyman JP, Deyo RA, Ramsey SD, eds. Evidence-based Clinical Practice: Concepts and Approaches. Woburn, MA: Butterworth-Heinemann, 2000, pp. 133–143.

    Google Scholar 

  18. Geyman JP. Evidence-based medicine in primary care: An overview. J Am Board Fam Pract 1998;11:46–56.

    PubMed  CAS  Google Scholar 

  19. Sackett DL. Evidence-based medicine: How to practice and teach EBM. 2nd ed. New York: Churchill Livingstone, 1997, pp. 2–16.

    Google Scholar 

  20. US Preventive Services Task Force Staff. The guide to clinical preventive services: Report of the United States Preventive Services Task Force. 2nd ed. Philadelphia: Williams & Wilkins, 1996, pp. 861–862.

    Google Scholar 

  21. Gill P, Dowell AC, Neal RD, Smith N, Heywood P, Wilson AE. Evidence-based general practice: A retrospective study of interventions in one training practice. BMJ 1996;312:819–821.

    Article  PubMed  CAS  Google Scholar 

  22. Ellis J, Mulligan I, Rowe J, Sackett DL. Inpatient general medicine is evidence based. Lancet 1995;346:407–410.

    Article  PubMed  CAS  Google Scholar 

  23. Covell DG, Uman GC, Manning PR. Information needs in office practice: Are they being met? Ann Intern Med 1985:103:596–599.

    Article  PubMed  CAS  Google Scholar 

  24. Edwards AK, Russell IT, Stott NC. Signal versus noise in the evidence base for medicine: An alternative to hierarchies of evidence? Fam Pract 1998;15(4): 319–322.

    Article  PubMed  CAS  Google Scholar 

  25. Is anyone using computerized records? Fam Pract Management 1977;4(4):96.

    Google Scholar 

  26. Hersh WR, Hickam DH. How well do physicians use electronic information retrieval systems? A framework for investigation and systematic review. JAMA 1998;280:1347–1352.

    Article  PubMed  CAS  Google Scholar 

  27. Graber MA, Bergus GR, York C. Using the World Wide Web to answer clinical questions: How efficient are different methods of information retrieval? J Fam Pract 1999;48:520–524.

    PubMed  CAS  Google Scholar 

  28. Ebell MH, Barry HC, Slawson DC, Shaughnessy AF. Finding POEMs in the medical literature. J Fam Pract 1999;48:350–355.

    PubMed  CAS  Google Scholar 

  29. Cates C. An evidence-based approach to reducing antibiotic use in children with acute otitis media: Controlled before and after study. BMJ 1999;318: 715–716.

    Article  PubMed  CAS  Google Scholar 

  30. Shaughnessy AF, Slawson DC. Are we providing doctors with the training and tools for lifelong learning? BMJ 1999;319:1280.

    Article  PubMed  CAS  Google Scholar 

  31. Oxman AD, Sackett DL, Guyatt G. Users’ guides to the medical literature: I. How to get started. JAMA 1993;270:2093–2095.

    Article  PubMed  CAS  Google Scholar 

  32. Glass, G.V. Primary, secondary and meta-analysis of research. Educational Research 1976;5:3–8.

    Google Scholar 

  33. Chambers I, Altman DG. Systematic Reviews. London, BMJ Publishing Group, 1995.

    Google Scholar 

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Geyman, J.P., Wolf, F.M. (2002). Evidence-Based Medicine. In: Norris, T.E., Fuller, S.S., Goldberg, H.I., Tarczy-Hornoch, P. (eds) Informatics in Primary Care. Health Informatics. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-0069-4_6

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  • DOI: https://doi.org/10.1007/978-1-4613-0069-4_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-95333-5

  • Online ISBN: 978-1-4613-0069-4

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