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Resources for Evidence-Based Medicine

Systematic Reviews - Meta-Analysis - Practice Guidelines
 

According to the Accreditation Council for Continuing Medical Education (ACCME), one of the major ways to avoid conflict of interest is to present recommendations from Evidence-Based reviews. Page 5 of a recently revised guideline states:
Rather than having a person with a conflict on interest present personal recommendations or personally select the evidence to be presented, we limit the role of the person to reporting recommendations based on formal structured reviews of the literature with the inclusion and exclusion criteria stated (known as 'Evidence-based education'). For example, the individual could present summaries from the systematic reviews of the Cochrane Collaboration.
 
Finding Systematic Reviews using PubMed
PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi
Click on "Clinical Queries," on the left-hand sidebar

Before you begin entering your terms, look on the left sidebar for the term "Clinical Queries" that is listed under "PubMed Services." Clicking there will take you to the PubMed Clinical Queries page. Go to the "Find Systematic Reviews" section. Then use the search box to enter your search, using the methods suggested below.

Separate your subject terms with "AND" or "OR"
Break your search question into its important topics, and enter them separated by Boolean operators (AND, OR, NOT, in capital letters)
Use "AND" if you want all of your terms included in the articles
Use "OR" if both terms are acceptable
Other Limits?
Once your search results are returned, you might want to apply other limits. Click on the "Limits" tab underneath the search box. Use the pull-down menus to select limits. Suggested limits include:
Language: limiting to English
Age: e.g., children or the elderly
 
Finding Meta-Analyses using PubMed
PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi
Conduct Search
Break your search question into its important topics, and enter them separated by Boolean operators (AND, OR, NOT, in capital letters)
Use "AND" if you want all of your terms included in the articles
Use "OR" if both terms are acceptable
Use "Publication Types" Limit
Click on the "Limits" tab underneath the search box. On the "Limits" page, pull down the "Publication Types" menu, and choose "Meta-Analysis."
Other Limits?
Once your search results are returned, you might want to apply other limits. Click on the "Limits" tab underneath the search box. Use the pull-down menus to select limits. Suggested limits include:
Language: limiting to English
Age: e.g., children or the elderly
 
Finding Practice Guidelines
National Guideline Clearinghouse

http://www.guideline.gov

Guidelines from American as well as international organizations, both public and private, are included, and are searchable by disease or condition, by treatment or intervention, and by organization. The national Guideline Clearinghouse is sponsored by the U.S. Dept. of Health and Human Services, and created in partnership with the Agency for Healthcare Research and Quality (AHRQ), the AMA, and the American Association of Health Plans (AHIP)

Specific Organizations
Many medical associations publish their practice guidelines in their journals and/or on their Web site; for example:
The American Academy of Pediatrics "Clinical Practice Guidelines"
The American Academy of Family Physicians Clinical Recommendations
The American Psychiatric Association Practice Guidelines
Medical University of South Carolina LIBRARY

Laura Cousineau
Public Services and Education
MUSC Library
Last Update: November 05, 2007
http://cme.musc.edu/resources/evidence_based.php