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2016-03-05 发布于广东
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evidence based medicine - university of alberta.ppt

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evidence based medicine - university of alberta

EVIDENCE BASED MEDICINEA new approach to clinical care and research PROGRAM OUTLINE But first, a test… EVIDENCE BASED MEDICINEA new approach to clinical care and research “What is Evidence Based Medicine?” The basic steps of EBM The Clinical Question Find the Best Evidence“The Literary Search” Find the Best Evidence“The Literary Search” INCIDENCE PREVALENCE INCIDENCE PREVALENCE PREVALENCE INCIDENCE RECALCULATED PREVALENCE MISCELLANEOUS STUFF EBM IN DEVELOPING COUNTRIES EBM in Medical Education EVIDENCE BASED MEDICINEA new approach to clinical care and research EVIDENCE BASED MEDICINEA new approach to clinical care and research 4 6 10 8 12 14 16% NUMBER OF STUDIES PERCENTAGE OF PATIENTS WITH DIARRHEA IDENTIFY STATISTICALLY SIGNIFICANT RESULTS The Bell Curve Most COMMON result = 4 6 10 8 12 14 16% MODE NUMBER OF STUDIES PERCENTAGE OF PATIENTS WITH DIARRHEA The CENTER of distribution = 4% 6 8 12 14 16% MEDIAN NUMBER OF STUDIES PERCENTAGE OF PATIENTS WITH DIARRHEA 10 MODE (most COMMON result) = 10% MEDIAN (the CENTER of distribution) = 10% NUMBER OF STUDIES PERCENTAGE OF PATIENTS WITH DIARRHEA DETERMINE RESULTS OF STUDY 4 6 10 8 12 14 16% “10% of patients will develop diarrhea while taking Antibiotic A.” NUMBER OF STUDIES PERCENTAGE OF PATIENTS WITH DIARRHEA 10 4 6 8 12 14 16% CONCLUSION 4 6 8 12 14 16 NUMBER OF STUDIES PERCENTAGE OF PATIENTS WITH DIARRHEA Wait… What about the other 15 study groups? You can’t just ignore them! 10 Or can you? 4 6 8 12 14 16 PERCENTAGE OF PATIENTS WITH DIARRHEA Wait… What about the other 15 study groups? You can’t just ignore them! 10 Or can you? 15 groups x 50 per group = 750 patients (75%!) 4 6 8 12 14 16 PERCENTAGE OF PATIENTS WITH DIARRHEA Wait… What about the other 15 study groups? You can’t just ignore them! 10 Or can you? Studies must account for ALL patients 4 6 8 12 14 16 NUMBER OF STUDIES PERCENTAGE OF PATIENTS WITH DIARRHEA Wait… What about the other 15 study groups? You can’t just ignore them! 10 Or can you? R