Users’ guides to the medical literature vi how to use an用户指南的医学文献第六如何使用.pptVIP

EBM --- Journal Reading Users’ Guides to the Medical LiteratureⅥ. How to Use an Overview Systematic overviews of the medical literature that summarize scientific evidence are prevalent. These overviews address questions of treatment,causation,diagnosis or prognosis. SO: how to distinguish a good overview from the bad one and for using the result? Key questions: 1. Are the results of the overview valid? 2. What are the result? 3. Will they be helpful in my patient care I. Are the results of the study valid? Primary guides: Did the overview address a focused clinical question? Were the criteria used to select articles for inclusion appropriate? B. Secondary guides: Is it unlikely that important, relevant studies were missed? Was the validity of the included studies appraised? Were assessments of studies reproducible? Were the results similar from study to study? Are the results of the overview valid? Primary guides: 1.did the overview address a focused clinical question? Most questions are formulated in terms of a simple relationship between: 2. Were the criteria used to select  articles for inclusion appropriate? to determine if the investigator reviewed the appropriate research, we have to know the criteria they use to select research. This include: specify the patient, exposures outcomes of the interest, and methodological standard s used to select studies. Difference in the patients, exposures and outcomes can lead to different result among overviews that appear to address the same clinical question. the authors will cite studies the support their own prior conclusion. So, the bias in choosing articles to cite happened. Thus, the standards used to select studies should similar to the primary validity criteria we have described for original reports of research.(table below) Guides for selecting articles that are most likely to provide valid results Secondary guides 1.Is it unlikely that important relevant studies were missed? Aut