临床医学知识库医务工作者的利器zhai - 北京康健世讯科技有限公司.ppt

SUMMARY AND RECOMMENDATIONS Studies have reached conflicting results about whether saw palmetto is effective for the treatment of BPH; the longest and most rigorous placebo-controlled trial to date did not find any benefit. While awaiting additional data, we suggest not treating men with saw palmetto for BPH symptoms (Grade 2B). (See Benign prostatic hypertrophy above). Saw palmetto appears to be well tolerated; serious side effects appear to be rare. (See Safety above). No randomized trials have been completed that evaluate the long-term (beyond 12 months) efficacy and safety of saw palmetto or its comparability to alpha-antagonists and ability to prevent complications of BPH. (See Clinical trials/Indications above). Variability in the quality and purity of available products limits the ability of the clinician to provide sound advice to the patient. If patients do choose to take saw palmetto, we suggest recommending a product similar to that used in published clinical trials that showed positive results (show table 1) or that meets specific quality criteria (show table 2). (See Brand above). 顏色標示僅供參考 使用主题工具 点击“反馈”给编辑发送信息或问题 点击“发送Email”与同行或患者分享该主题 点击“是”或“否”来告诉我们是否回答了您的问题 主题贡献者、综述日替和Medline摘要 点击参考文献号来浏览“Medline摘要” 浏览“主题最新更新日期” 点击 “贡献者”来浏览头衔和所属机构 浏览和使用图表 点击此处来浏览“图表” 浏览相关主题 点击此处来浏览“相关主题” 进入药物数据库和药物相互作用 点击“药物相互作用”来进入程序 点击“药物名称”来显示一个药物数据库中的主题 药物数据库 针对每个搜索获得CME/CE(学分) 点击“CME”来浏览你的学分 浏览/打印你的证书 随后的屏显指引你递交学分 了解最新更新 1. 点击“最新更新” 2. 选择专业领域 3. 在“专业”中浏览最新更新 患者信息 点击“患者信息”，通过专业来浏览 在一个主题内点击“患者信息” 迄今网站规模 1992年，Dr. Burton D. Rose 和 Dr. Joseph Rush两人最初建立该网站 后成立UpToDate医学公司 4400多名临床医生的成果 8800多主题综述 385000用户 700000多名患者参与 UpToDate的用户 针对UpToDate的研究 很多专业文献对UpToDate做了 详细研究，证明它的作用 研究证明UpToDate的价值 Clinical knowledge declines over time 临床知识随时间衰退 Clinical questions are common but most are not answered 临床问题多，但回答的少 UpToDate permits clinical questions to be answered UpToDate可以回答临床问题 UpToDate is used more than other electronic clinical resources UpToDate比其他电子临床资源使用更广泛 UpToDate