PubMed Medline Using My NCBI to Filter Searches to Find the Evidence My NCBI allows users to save searches or groups of citations, and sort results for tabbed browsing so that any search is automatically filtered into evidence related clusters.

[recommended, PDF]

MEDLINE (from Ovid) Search for clinical trials or systematic reviews in biomedical journals. MEDLINE includes 16 million journal citations. Use the Limit menu labeled "Clinical Queries" to access high quality clinical trials on specific clinical topics.
Also includes International Pharmaceutical Abstracts, Journals@Ovid, PsycInfo

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Point of Care Clinical Resources

ACP PIER ( via STAT!Ref) Authoritative, evidence-based guidance for clinical care. Evidence is graded based on the type of research study and the quality of the evidence. more info

[ full text]

ACP PIER (via ACP) Use your ACP member number to register for and use the website.

AHRQ EPC Evidence Reports Evidence Based Practice Centers review all
relevant scientific literature on clinical, behavioral, and organization and
financing topics to produce evidence reports and technology assessments.
These reports are used for informing and developing coverage decisions,
quality measures, educational materials and tools, guidelines, and research
agendas. Over 150 reports on conditions and complementary medicine are
available. About 25 additional topics are currently in process.

Archimedes (Archives of Diseases in Childhood) Archives of Diseases in Childhood now provides a collection of evidence based appraisals using the "Best Bets" model.
The blog allows readers to pose questions and comment on pediatric evidence based practice issues.

[new]

ATTRACT ATTRACT is a rapid response service providing evidence based answers to clinical questions posed by primary care providers in the UK. New questions appear on the main page, or users may browse by medical subjects or search by keyword for a topic.

[new]

Bandolier Bulleted, easy to read reports on evidence of effects (or the lack of evidence). There is a 4-6 month delay between the print publication and articles going online. Subscribe to print for the most up to date information.

Clinical Evidence Summarizes the current state of knowledge and uncertainty about the prevention and treatment of clinical conditions, based on thorough searches and appraisal of the literature. It is neither a textbook of medicine nor a set of guidelines. It describes the best available evidence from systematic reviews, RCTs and observational studies where appropriate, and if there is no good evidence it says so.

[Limited to 2 concurrent users.]

Evidence Based On Call Critical appraisal databank. An article is critically appraised by two authors, both appraisals are peer-reviewed, then graded for quality by an editor.

Evidence Watch Evidence Watch is an alert service providing evidence based analysis for new developments reported in the news or medical journals. The author is a European medical researcher.

FirstConsult This clinical resource grades recommendations based on the quality of the evidence available. Available for PDAs.

[ full text]

FPIN Clinical Inquiries

FPIN Clinical Inquiries: American Family Physician (via Google) Type yourtopic into the Google search box to narrow the results.

[ full text]

FPIN Clinical Inquiries: Journal of Family Practice & American Family Physician (via PubMed) Use this search filter to retrieve POEMs ("Patient Oriented Evidence that Matters") created by the members of the FPIN. Type yourtopic and into the search box to narrow the results.

[ full text]

Journal of Family Practice POEMS Use the InfoPOEMs Archive link on the left of the opening screen, then click all check boxes and enter your topic.

Micromedex Healthcare Series Comprehensive disease and drug information resource including major drug references and annotations written by PharmDs. Available for PDAs.

[ full text]

Natural Medicines Comprehensive Database This resource is considered the scientific gold standard for evidence-based information on herbs and supplements. Products are graded on their effectiveness based on an evidence based analysis of the literature. PDA version is available, but is not included with our subscription.

POEMS at Essential Evidence Plus POEM stands for Patient Oriented Evidence that Matters.
Trials on all subjects are summarized and appraised and labeled with Oxford Centre Levels of Evidence (look for LOE= notation).
Click on Daily POEMs to view the POEMs collection or search for a topic and find POEMs included with other resources.

UpToDate Comprehensive and concise point of care clinical information resource written by physician authors. Articles now grade the evidence A-B-C For an example, search "lipid lowering drugs", click on "Intensity of lipid lowering therapy in secondary prevention of coronary heart disease", then view the "Summary and Recommendations" section. PDA version is available, but is not included with our subscription.

[ full text, Available on campus only]

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Databases of Evidence And Search Engines

ACP Journal Club [ACP] Evidence based evaluative summaries of articles taken from 100 clinical journals, written by MDs and others, with comments from MDs.

[ full text]

Cochrane Library Premier evidence based medicine resource composed of - the Database of Systematic Reviews containing systematic reviews and meta-analyses conducted by Cochrane Study Groups, - the Database of Reviews of Effects including systematic reviews and meta-analyses from non-Cochrane sources, many with structured abstracts with comments on the reviews and full text of the review is available via the Online Journals A to Z list, - Central Register of Controlled Trials indexes many trials not included in MEDLINE, - HTA and NHS EED include evidence based reviews of technology and economic issues.

[ full text]

Cochrane Library Tutorial

Cochrane Library [Handbook]

[PDF]

Cochrane Library [Users Guide]

[PDF]

Current Controlled Trials Current Controlled Trials allows users to search, register and share information about randomized controlled trials.

Dynamed

[ full text, new]

Evidence Database for Social Care of the Aged The Evidence Database is regularly updated by an advisory panel that filters, reviews, and catalogs articles published in professional journals both in the U.S. and abroad.

Google Use Google Scholar with caution: Google Scholar is not a comprehensive source for evidence based searching. Great for quickly locating relevant websites on widely varied topics.

Google Coop: Netting the Evidence Andrew Booth, a pioneer in evidence based information practice at the University of Sheffield, created one of the first list of evidence based health care resources on the Internet. He's taken this one step further with a Google Coop site that limits your Google search to over 100 authoritative, evidence based websites. Type a condition and diagnostic method or treatment into the search box to quickly find resources with an evidence based approach.

[new]

Health Services/Technology Assessment Texts (HSTAT) The Health Services/Technology Assessment Texts (HSTAT) is a free resource from the Agency for Healthcare Research and Quality, AHRQ, providing full-text documents that support health care decision making.

National Institutes of Child Health and Human Development (NICHD) Cochrane Neonatal Resource for systematic reviews of child health topics.

NHS Centre for Reviews Resource for systematic reviews of health economics and technology assessment. Also maintains the DARE database included in Cochrane.

OTseeker Critically appraised and rated abstracts of systematic reviews and randomised controlled trials relevant to occupational therapy, design to provide evaluations of validity and interpretability.

PEDro - Physiotherapy Evidence Database MORE INFO

PrimeAnswers Locate high quality, evidence based medical literature using this metasearch engine. Some resources in the results list may require subscriptions that the Health Sciences Library does not provide, but many of our resources are included in the results.

SUMSearch Identify sources of evidence based information using this metasearch engine.

TRIP Database Locate high quality, evidence based medical literature using this metasearch engine.

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Databases of Guidelines for EBM

Clinical Practice Guidelines from the CMA Infobase These guidelines are produced or endorsed in Canada by a national, provincial/territorial or regional medical or health organization, professional society, government agency or expert panel.

Guidelines International Network (G-I-N) Links to worldwide sources of guidelines. Organized by health topic.

National Guideline Clearinghouse A U.S. public resource for evidence-based clinical practice guidelines. A display tool allows side by side comparison of guidelines.

NHS National Institute for Clinical Excellence (NICE) British evidence based guidance on technology use, clinical care, and interventional procedures.

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EBM Resources

BestBets BETs were developed in the Emergency Department of Manchester Royal Infirmary, UK, to provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature.

Canadian Centres for Health Evidence Based in Alberta, this centre provides resources and support for evidence based practice.

Centre for Evidence-Based Medicine (Oxford) Major website for learning about, practicing, and teaching EBM. The Toolbox provides valuable resources for learning and practice.

Centre for Evidence-Based Medicine (Toronto) In addition to learning resources, this site provides focused syllabi for specialties and a glossary.

[Palm OS, Pocket PC (selected)]

Cochrane Collaboration This international non-profit and independent organization is dedicated to making up-to-date, accurate information about the effects of healthcare readily available worldwide through systematic review of medical research.

Core Library for Evidence Based Practice This resource provides a directory of a wide variety of evidence based learning and practice materials available on the world wide web.

Evidence Based Medicine Tool Kit A collection of tools for identifying, assessing and applying relevant evidence for better health care decision-making.

Evidence-based medicine : an InfoGuide The University of Western Austrailia's links to online evidence based resources.

Introduction to Evidence-based Medicine (UNC Chapel Hill and Duke University) This self-paced tutorial is intended for any health care practitioner or student who needs a basic introduction to the principles of Evidence-Based Medicine.

National Library for Health (NLH) The UK NHS provides this guide for evidence based decision-making.

Netting the Evidence A ScHARR Introduction Designed to facilitate evidence-based healthcare by providing support and access to helpful organisations and useful learning resources, such as an evidence-based virtual library, software and journals. The resources can be browsed by type or the site can be searched by keyword.

Obtaining Evidence-Based Medical Information Instruction on effectively retrieving and interpreting evidence based information from resources such as Medline, Cochrane, ACP Journal Club, Clinical Evidence, Essential Evidence Plus (formerly InfoRetriever), and other web based resources. Created by the Librarians at the University of Virginia Health Science Library.

Student's Guide to the Medical Literature A guide suitable for anyone new to evidence based medicine, written by a former UCHSC medical student for other students.

SUNY Health Sciences Evidence Based Medicine Course Easy to use tutorial outlining evidence based medicine. Excellent review for those seeking a quick refresher course on the basics.

The Peds CCM Evidence-Based Journal Club Resource materials and appraisals of pediatrics articles.

Tips for Learning EBM from CMAJ This series is devoted to helping clinicians understand and apply the
basic principles of EBM. The series also targets teachers of EBM
principles, and offers tips for teaching key concepts. Be sure to
advance to page 2 to see all of the articles in the series. Teachers
should click on the "Online Appendix" links for teaching advice.

Users' Guides Interactive Excellent self-paced learning modules based on the JAMA Users' Guides to the Medical Literature series, featuring interactive activities designed to reinforce learning.

[ full text]

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Critical Appraisal Resources

AGREE instrument for appraising guidelines Use a worksheet to organize your critical appraisal of the literature.

[PDF]

Appraising the Evidence Step by step guide to appraisal with examples from the major categories of clinical studies.

Birmingham Critical Appraisal Skills Programme (CASP ) Online learning resources and supporting materials for developing critical appraisal skills..

CAT Crawler A metasearch engine for website repositories of CATs.

CatMaker Download a wizard that guides you through a critical appraisal, then calculates appropriate EBM values.

Grade Working Group A cooperative effort to discuss and create standards for grading the evidence. The group "aim is to develop a common, sensible approach to grading quality of evidence and strength of recommendations."

How to read a paper (BMJ) Guidance from a series of BMJ articles.

Journal Club on the Web Weblog of short appraisals of articles appearing in the popular media.

The Peds CCM Evidence-Based Journal Club Resource materials and appraisals of pediatrics articles.

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History of EBM

Chronology of the Cochrane Collaboration Understand the development of the Cochrane Collaboration and its significance to evidence based health care.

Controlled Trials from History at the James Lind Library Great source of historical examples of RCTs, perfect for presentations on evidence based health care.

Impact of Cochrane Evidence A catalogue of resources that publish and disseminate evidence derived from The Cochrane Library.

What is the Cochrane Collaboration? This video explains the aims of the Cochrane Library and organization of the Cochrane Collaboration.

[new]

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EBM for Health Care Consumers

Understanding Evidence-based Healthcare: A Foundation for Action This web course has been created by the United States Cochrane Center as part of a project undertaken by Consumers United for Evidence-based Healthcare (CUE), and is designed to help consumer advocates understand the fundamentals of evidence-based healthcare concepts and skills. Course registration will be offered every month. Participants will have three months to complete the course and must commit to completing all evaluations.

[recommended, new]

Ask NOAH About: Evidence-Based Medicine Learn more about evidence based medicine at a site designed for health care consumers.

Behind the Medical Headlines Behind the Medical Headlines was created by physicians in Scotland to provide authoritative and independent expert commentaries on topical medical matters reported in the international media.

Best Treatments Clinical evidence for patients, from the BMJ's Clinical Evidence resource. US users must subscribe through Consumer Reports Medical Guide.

Cochrane Collaboration Consumer Network Understand the role consumer advocates can play in the Cochrane Collaboration.

Consumer Reports Best Buy Drugs Consumer Reports takes an evidence-based practice approach to prescription drugs, providing analysis on the most effective treatment and at what cost. Click on the "Drug Reports" link to see all reports.

DISCERN Use a quality filtering tool to determine the validity and reliability of health information.

Disease Mongering This website is devoted to the study of the techniques of 'disease-mongering', in particular the expansion of the boundaries of disorders, the medicalisation of normal life events and the portrayal of risk factors as diseases is prevalent in the medical marketing world.

Doctor Evidence This fee based service provides evidence based information packets tailored to your medical profile and preferences to assist with diagnosis and treatment decision-making. The site also provides referral to specialists for treatment.

eMedicine World Medical Library Free, up-to-date, evidence-based information. Searches can be restricted to a consumer option for information from online textbooks and a growing collection of consumer treatment guidelines.

Health News Review Rates and reviews the accuracy, balance, and completeness of health reports in the news. Includes information on evidence concepts such as absolute vs. relative risk percentages, and the number needed to treat.

Hitting the Headlines The York University Centre for Reviews and Dissemination in the UK scans the headlines for health stories, then creates an evidence based summary in plain language for health care consumers. Use the search box to locate summaries on specific topics. Results are sorted in reverse chronological order, from most recent to oldest.

[new]

Patient Decision Aids (Ontario Health Research Institute) Tested, evidence based guides to help patients make tough health care decisions.

Summaries for Patients: Annals of Internal Medicine Search the ACP web site using keywords, for example:
summaries for patients and common cold

The Why? Files Created by the National Institute for Science Education to analyze current science topics as reported in the media. Browse the archives or use the search form to find a topic.

THOMAS Legislation Database U.S. federal legislative search engine.

USA.gov Gateway to U.S. federal, state, county, and municipal websites. Use the advanced search form for best results.

Visual Rx Chris Cate's evidence based medicine tool creates visual displays to communicate risk information to patients using 100 happy or sad faces in green, yellow, and red. Visual Rx is designed to calculate Numbers Needed to Treat (NNT) from the pooled results of a Meta-analysis and produce a graphical display of the result.

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Pharma Resources for EBM

[ full text]

Cochrane Library Tutorial

Cochrane Library [Handbook]

[PDF]

Cochrane Library [Users Guide]

[PDF]

IPA (International Pharmaceutical Abstracts) (from Ovid) Information on drug therapy, toxicity, and pharmacy practice as well as legislation, regulation, technology, utilization, biopharmaceutics, information processing, education, economics, and ethics as related to pharmaceutical science and practice. Also includes EBM Reviews: ACP Journal Club, EBM Reviews: Cochrane Library, International Pharmaceutical Abstracts, Journals@Ovid, PsycInfo

[Limited to one concurrent user.]

Micromedex Healthcare Series Comprehensive disease and drug information resource including major drug references and annotations written by PharmDs. Available for PDAs.

[ full text]

THOMAS Legislation Database Search for "Fair Access to Clinical Trials", A BILL To amend the Public Health Service Act to expand the scope of information required for the data bank on clinical trials of drugs, and for other purposes.Search for the title of the bill to view this legislation proposed in the House and Senate.

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PDA Resources for EBM

AvantGo Have content from any webpage delivered to your PDA and updated regularly using AvantGo. Select from a list of content sources or create a personal channel to receive content from your favorite website. To use, register, then go to "My Account" and click on "Create a Personal Channel"

Centre for Evidence-Based Medicine (Toronto) Provides downloads for logbooks, caculators, and tables.

[Palm OS, Pocket PC (selected)]

Clinical Evidence (CogniQ) The same content as the popular Clinical Evidence online and print reference guides, but in PDA format.

[Palm OS, Pocket PC, Purchase Required, Desktop Software Required]

Clinical Practice Guidelines for Handheld Computers (National Guideline Clearinghouse) When you select a guideline at the National Guideline Clearinghouse website, click on "Palm Download" to obtain the PDA version.

[Practice Guidelines]

EBM Calculator EBM Calculator designed to calculate relevant statistics for Diagnostic studies, Prospective Studies, Case Control Studies, and Randomized Control Trials (RCT). Click on the "Handheld Resources" link.

[Palm OS, Pocket PC]

EBM Tables Access NNT tables, LRs, and SnNouts/SpPins for major medical topics.

[Palm OS, Desktop Software Required]

Evidence Based Pearls (EBP) Provides you with the latest evidence to address common primary care conditions. Well referenced, updated quarterly, over 400 pearls, plus it allows you to record and store your own pearls. (Search for Evidence Based Pearls at this website)

[Palm OS, Purchase Required, Desktop Software Required]

FirstConsult This clinical resource grades recommendations based on the quality of the evidence available. Available for PDAs.

[ full text]

HandheldMed Mobile Channels Select from a variety of handheld, evidence based resources to download to your PDA. (Search for the keyword evidence at this website)

[Palm OS, Pocket PC, Purchase Required, Desktop Software Required]

JournalToGo Keep current on medical literature and healthcare news by having selected medical journal abstracts and healthcare news articles delivered to your handheld device. Palm, Pocket PC. Desktop Software Required.

MD EBM This program includes ebm formulas and step
by step guides through diagnosis and therapy articles.

[Palm OS, Desktop Software Required]

PubMed for Handhelds Use a "PICO" form to search wirelessly on your handheld.

Skyscape Select from a variety of handheld, evidence based resources to download to your PDA.

Student's Guide to the Medical Literature (PDA Version) Use an AvantGo personal channel to store this useful guide to evidence based searching and term definitions on your PDA.

[Palm OS, Pocket PC, Desktop Software Required]

Unbound Medicine Select from a variety of handheld, evidence based resources to download to your PDA.

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EBM Calculators

Clinical Significance Calculator (University of British Columbia) Fill in the 2x2 table and instantly calculate ARR, RRR, Odds Ratio, and Number Needed to Treat.

EBM Toolbox (Centre for Evidence-Based Excel based spreadsheets for Confidence Intervals and Likelihood Ratios. Browse down the page and click on "Statistical Tools"

MedCalc 3000 MedCalc 3000 encompasses a wide array of pertinent medical formulae, clinical criteria sets and decision tree analysis tools used everyday by clinicians, medical educators, nurses and health care students of all types. Includes EBM calculators.

Online Clinical Calculator Clinical calculators, including a Bayesian calculator.

Stats Calculator (University of Toronto) Web based calculators for diagnotic tests, prospective studies, case control studies, and RCTs. Requires a Java plugin, available for download at the website.

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Teaching EBM

Evidence Based Medicine Teaching Materials This resource list includes courses, teaching tools, presentation materials, and a link to a systematic review of the effectiveness of teaching critical appraisal skills.

Medical Myths This resource lists medical myths and the source of the "truth", an evidence based resource or article(s). Great for example topics and to enliven introductions to EBM.

Syllabi For Practising EBM These syllabi, taken from the bookEvidence-Based Medicine: How to practice and teach EBM, include scenarios and teaching materials for a fourteen different fields, including general practice, geriatrics, physiotherapy, nursing, child health, complementary medicine, gastroenterology, or purchasing.

Ask A Librarian

HSL
Latest News

Evidence Based Health Care Resources

Contents

Introduction

Medline for Evidence Based Medicine

Point of Care Clinical Resources

Databases of Evidence And Search Engines

Databases of Guidelines for EBM

EBM Resources

Critical Appraisal Resources

History of EBM

EBM for Health Care Consumers

Pharma Resources for EBM

PDA Resources for EBM

EBM Calculators

Teaching EBM

Ask A Librarian

HSL Latest News

Evidence Based Health Care Resources

Contents

Introduction

Medline for Evidence Based Medicine

Point of Care Clinical Resources

Databases of Evidence And Search Engines

Databases of Guidelines for EBM

EBM Resources

Critical Appraisal Resources

History of EBM

EBM for Health Care Consumers

Pharma Resources for EBM

PDA Resources for EBM

EBM Calculators

Teaching EBM

HSL
Latest News