(精编)UpToDate数据库使用说明.pptVIP

UpToDate 循证医学数据库内容说明以及使用操作 鄭如雅 ccheng@ 大纲 什么是UpToDate UpToDate主要特点 Evidence Grading 证据等级 检索UpToDate 问题与讨论 2 什么是UpToDate? 3 填补空白 4 UpToDate的主要特点 5 使用UpToDate的医院 United States 美国 Johns Hopkins Hospital Mayo Foundation UCLC Medical Center Massachusetts General Hospital University of California, San Francisco Medical Center Australia 澳大利亚 Queensland Health Northern Sydney Health Royal Perth Hospital 6 亚洲使用UpToDate的医院 Singapore General Hospital National University Hospital, Singapore National Taiwan University Hospital Chang Gung Memorial Hospital Seoul National University Hospital, Korea Yonsei University Medical Center, Korea University of Malaya Medical Center, Malaysia Penang Adventist Hospital, Malaysia King Chulalongkorn Memorial Hospital, Thailand Angkor Hospital for Children, Cambodia 7 UpToDate的主要特点 8 Evidence Grading 循据等级 In 2001, we began a collaboration with Gordon Guyatt, a world leader in EBM, and his colleagues in the international GRADE collaborative to implement a grading system for recommendations UpToDate grades specific treatment and screening recommendations 9 Evidence Grading 循据等级 10 RECOMMENDATION GRADES 医嘱的强度 Grade 1 Strong Recommendation Benefits clearly outweigh the risks and burdens (or vice versa) for most, if not all, patients “We recommend…” Grade 2 Weaker Recommendation Benefits and risks closely balanced and/or uncertain “We suggest…” EVIDENCE GRADES 证据的品质 Grade A High Quality Evidence Consistent evidence from randomized trials, or overwhelming evidence of some other form Grade B Moderate Quality Evidence Evidence from randomized trials with important limitations, or very strong evidence of some other form Grade C Low Quality Evidence Evidence from observational studies, unsystematic clinical observations, or from randomized trials with serious flaws Specialties Adult and Pediatric Emergency Medicine 急诊 Adult Primary Care Internal Medicine 一般内科 Allergy and Immunology 过敏免疫 Cardiovascular Medicine 心脏内科 Endocrinology