Vážení návštěvníci stránek MediQuali.cz,

V následujícím výběru si Vám dovolujeme předložit stránku vytvořenou School of Health and Related Research(ScHARR), University of Sheffield, Velká Británie (odkaz na ni je pod písmenem S). Považujeme ji za jednu z nejlepších přehledů celosvětových aktivit zaměřených na využití lékařských postupů založených na průkazných vědeckých studiích (evidence based). Množství a rozmanitost odkazů je dokladem významu, který je přikládán tvorbě a šíření současných vědeckých medicínských poznatků mezi nejširší odbornou i laickou veřejnost. Stránku předkládáme v plné původní verzi bez jakýchkoliv úprav. Věříme, že Vám poslouží jako výchozí bod pro hledání odpovědi na otázky, které jsou předmětem Vašeho zájmu. Specifické dotazy ohledně evidence based lékařských postupů prosím adresujte na MUDr. Aleš Bourek, Výkonný tajemník Národní rady pro medicínské standardy České republiky, bourek@med.muni.cz

Netting the Evidence
A ScHARR Introduction to Evidence Based Practice on the Internet

http://www.shef.ac.uk/uni/academic/R-Z/scharr/ir/netting.html


A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z

A


ACP Journal Club
ACP Journal Club's general purpose is to select from the biomedical literature those articles reporting studies and reviews that warrant immediate attention by physicians attempting to keep pace with important advances in internal medicine. These articles are summarized in "value added" abstracts and commented on by clinical experts. A UK mirror site exists at the Centre for Evidence Based Medicine. http://www.acponline.org/journals/acpjc/jcmenu.htm

Arcus Statistical Package
This downloadable statistics package can be placed on a local machine and then used to calculate odds ratios, relative risk and other clinical measures such as Numbers Needed to Treat. It includes exact confidence intervals for all of these which is very rare. The package also includes calculation of pooled odds ratios using the Mantel-Haenszel or Woolf method. It is made available by Dr Iain Buchan, formerly of the Departments of Medicine and Primary Care, University of Liverpool. Arcus Biomedical for Windows is about to be launched. Details of the beta site can be obtained from Iain Buchan, now at Institute of Public Health, University of Cambridge. http://www.camcode.com

Aggressive Research Intelligence Facility (ARIF)
"Advancing the use of evidence on the effects of health care in the West Midlands": ARIF is a specialist unit of three people based at the University of Birmingham, set up to help health care workers access and interpret research evidence in response to particular problems. They are a collaboration between the Department of Public Health & Epidemiology, the Department of General Practice and the Health Services Management Centre at the University and are funded for three years from 1st July 1995 by the Research and Development Department of the NHS Executive, West Midlands. The first objective of ARIF is to provide timely access to, and advice on, existing reviews of research. http://www.hsrc.org.uk/links/arif/arifhome.htm

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Bandolier
Bandolier is a journal produced monthly by the Oxford Anglia NHS Region in the UK. It contains bullet points of evidence-based medicine, hence its title. Access to Bandolier on the Internet is free of charge, but it may run several months behind the printed version. Subscription to the printed version of Bandolier costs stlg30 per year (UK) and stlg60 overseas. http://www.jr2.ox.ac.uk:80/Bandolier

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Centre for Evidence Based Child Health
The newly opened Centre for Evidence-Based Child Health is part of a national network of centres for evidence-based health care. The overall aim of the Centre is to increase the provision of effective and efficient child health care through an educational programme for health professionals. Introductory seminars, short courses, MSc modules, workshops for groups in the workplace and training secondments are beng offered to paediatricians, nurses, general practitioners, healthcare purchasers and others involved in child health. http://www.ich.bpmf.ac.uk/ebm/ebm.htm

Centre for Evidence Based Dentistry
The main objective of the Centre, based at the Institute of Health Sciences in Oxford is to promote the teaching, learning, practice, and evaluation of Evidence-Based Dentistry throughout the United Kingdom. http://www.bhaoral.demon.co.uk/

Centre for Evidence-Based Medicine
The World Wide Web page of the Centre for Evidence-Based Medicine, established in Oxford as the first of several centres around the country whose aim broadly is to promote evidence-based health care and provide support and resources to anyone who wants to make use of them. The Centre's web site contains the EBM Toolbox with numerous aids to the practice and teaching of EBHC, including: pre-test probabilities, Likelihood Ratios, SpPins and SnNouts, Numbers Needed To Treat and other measures of effectiveness for diagnostic tests, therapy and prognosis; teaching materials for public health, primary care, hospital medicine, child health, neonatology, mental health, surgery, obstetrics and gynaecology; a glossary of terms; hints, tips and worksheets on asking clinical questions, searching and critical appraisal; slide presentations on the background to EBM; and much more! http://cebm.jr2.ox.ac.uk/

Centre for Evidence-based Mental Health
A rudimentary web site for the new Centre for Evidence-based Mental Health, recently established in Oxford c/o John Geddes, Senior Clinical Research Fellow, Centre for Evidence-based Mental Health Department of Psychiatry, University of Oxford, OX3 7JX. Tel: +44 1865 226480, Fax +44 1865 793101 http://www.psychiatry.ox.ac.uk/cebmh.htm

Centre for Reviews and Dissemination
The NHS Centre for Reviews and Dissemination (CRD) is a facility commissioned by the NHS Research and Development Division to produce and disseminate reviews concerning the effectiveness and cost-effectiveness of healthcare interventions. The aim is to identify and review the results of good quality health research and to disseminate actively the findings to key decision makers in the NHS and to consumers of health care services. In this way health care professionals and managers can ensure their practice reflects the best available research evidence. The reviews will cover: the effectiveness of care for particular conditions; the effectiveness of health technologies; evidence on efficient methods of organising and delivering particular types of health care. The CRD has made its public databases accessible over the internet and via dialup access. The first is a database of structured abstracts of good quality systematic reviews (DARE) which comment on the methodological features of published reviews and summarise the author's conclusions and any implications for health practice. The abstracts represent the end product of a detailed sifting and quality appraisal process. There is also an economic evaluations database (NEED). The telnet address is nhscrd.york.ac.uk (the user ID and Password are both crduser). http://www.york.ac.uk/inst/crd/welcome.htm

Clinical Practice Guidelines Infobase
The clinical practice guidelines in this Canadian Medical Association collection were produced or endorsed by a national, provincial or territorial medical or health organization, professional society, government agency or expert panel. This new product is being developed in three stages. During the first stage, CMA is providing access to guidelines previously published in the Canadian Medical Association Journal (CMAJ); the guidelines to which CMAJ does not hold copyright are listed and the full text will be added when the developers have granted permission. Other guidelines will be added as they become available. http://www.cma.ca/cpgs/index.html

Cochrane Collaboration
The Cochrane Collaboration (http://hiru.mcmaster.ca/COCHRANE/DEFAULT.HTM) facilitates the creation, review, maintenance and dissemination of systematic overviews of the effects of health care. This is the home page for this international Collaboration and provides access to information on all its activities, to the Handbook (see next entry) as well as password- protected access to the Reviews. Also see:

The Cochrane Collaboration has made available the titles and abstracts of its reviews together with the titles of all protocols for proposed reviews. These are available either through the Australasian Cochrane Centre - CDSR Review titles or through a Cochrane Database of Systematic Reviews commercial site in Australia. Synapse Publications Inc make much of the Cochrane Library available on a subscription basis

CCEPP - Cochrane Collaboration on Effective Professional Practice
Information about the group plus links to health-related sites and information about discussion groups (including the use of economic evaluation in systematic reviews).

Cochrane Collaboration Handbook
The Cochrane Collaboration's handbook is its main working document and currently has six parts. The first section of the Handbook describes the background, aims and organisation of the Collaboration. The second, third and fourth sections are for those considering establishing review groups, field co-ordination or Cochrane centres; the fifth and sixth sections provide practical guidance (and software) for developing and maintaining registers of RCTs and Cochrane Reviews. http://hiru.mcmaster.ca/cochrane/handbook/default.htm

Core Library for Evidence Based Practice


This Virtual Library has been put togetherby assembling links to full text documents on all aspects of Evidence Based Practice. Further suggestions are most welcome:

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Core List for Evidence Based Practice


This is a list of books, reports and journals suggested as a starting point for a library or clinical audit/effectiveness unit. This list is aimed at British health libraries and, therefore, necessarily, has a UK bias.http://www.shef.ac.uk/uni/academic/R-Z/scharr/ir/corelist

Critical Appraisal Skills Programme
CASP is a UK project that aims to help health service decision makers develop skills in the critical appraisal of evidence about effectiveness, in order to promote the delivery of evidence-based health care. At the heart of CASP's work is a cascade of half day workshops. These introduce participants to the key skills needed to find and make sense of evidence to support health service decisions. CASP introduces people to the ideas of evidence-based medicine and, through critical appraisal of systematic reviews, also introduces people to the related ideas of the Cochrane Collaboration. http://www.ihs.ox.ac.uk/casp/home_page.html

Critically Appraised Topics (CATs)


Critically appraised topics (CATs) are short, typically one page, digests that summarise the evidence for clinicians. A Canadian site can be found at Critically Appraised Topics - SORAHSN while further details may be found at the Centre for Evidence Based Medicinehttp://cebm.jr2.ox.ac.uk/docs/catbank.html

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Development and Evaluation Committee Reports
These reports have been prepared as part of the Development and Evaluation Service funded by the Research and Development Directorate South and West. They are intended to provide rapid, accurate and usable information on health technology effectiveness to purchasers, clinicians, managers and researchers in the South and West. An archive of the DEC Reports is also available at the Bristol site. http://www.soton.ac.uk/~dec/

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EBM Searching Tutorial
For those interested in searching skills in an Evidence Based Medicine environment, this is an interactive tutorial guiding the user through steps in query formulation and searching. http://jeffline.tju.edu/CWIS/OAC/informatics/activities/ebm_info.html

EBM Toolbox
Not to be confused with the Centre for Evidence Based Medicine's resource of the same name, this is a Canadian based collection of resources to support EBM. It includes appraisal checklists, methodological filters and other User Guide-associated resources. http://www.med.ualberta.ca/ebm/

Effectiveness Matters
Effectiveness Matters provides updates on the effectiveness of important health interventions for practioners and decision makers in the NHS. Topics covered to date include Aspirin and Myocardial Infarction, Helicobacter Pylori and Peptic Ulcer, Influenza Vaccination and Older People and Screening for Prostate Cancer. Screening for Prostate Cancer is accompanied by a patient information leaflet Screening for Prostate Cancer: The Evidence. Information for Men Considering or Asking for PSA tests. Effectiveness Matters is a free publication available on subscription. To subscribe to Effectiveness Matters or to order CRD Reports, contact CRD Publications (Tel.) 01904 433648. http://www.york.ac.uk/inst/crd/dissem.htm#em

Evidence Based Drug Therapy


A number of sites look at the pharmacological implications of evidence based practice. The following seem to be equivalent to the UK's Medicines Resource Centre [no Internet address]:

Evidence Based Health Discussion List


Evidence based health (EBH) is the application of critical appraisal to problems in health care. This list is for teachers and practitioners in health related fields; to announce meetings and courses; stimulate discussion; air controversies and aid the implementation of EBH. To subscribe send an e-mail with the message join evidence-based-health to mailbase@mailbase.ac.uk

Evidence Based Healthcare Links Pages

A number of sites have set up pages of links to Evidence Based Resources. These are good starting points for listings to update these pages.

Cambridge University Public Health http://fester.his.path.cam.ac.uk/phealth/phweb.html

Centre for Evidence Based Medicine http://cebm.jr2.ox.ac.uk/docs/otherebmgen.html

Health Promotion Research Internet Network http://www.ki.se/phs/hprin/main.htm

McMaster University, Canada http://hiru.hirunet.mcmaster.ca/ebm/

New York Academy of Medicine http://library.nyam.org/library/eblinks.html

Ottawa General Hospital (Resources for Evidence-based Medicine and Evidence-based Practice) http://www.ogh.on.ca/library/evidence.htm

Oxford Clinical Information WWW Pages http://users.ox.ac.uk/~clnguide/world.htm

Project Connect [North Thames] http://www.nthames- health.tpmde.ac.uk/ntrl/connect/ebh.htm

Ruralnet : Evidence Based Medicine Data Sources http://ruralnet.marshall.edu/ebm/

South and West Health Care Libraries http://www.soton.ac.uk/~swhclu/ebm.htm

Evidence Based Health Policy and Management
The principal purpose of the Journal of Evidence-Based Health Policy and Management is to provide managers with the best evidence available about the financing, organisation and delivery of health care.The policy and procedures of the journal are described in detail
http://www.ihs.ox.ac.uk/jebhpm/index.html

Evidence Based Medicine
The purpose of Evidence-Based Medicine is to alert clinicians to important advances in internal medicine, general and family practice, surgery, psychiatry, paediatrics, and obstetrics and gynaecology by selecting from the biomedical literature those original and review articles whose results are most likely to be both true and useful. These articles are summarised in value-added abstracts and commented on by clinical experts. A guest site is also hosted at the Centre for Evidence Based Medicine. http://www.acponline.org/journals/ebm/ebmmenu.htm

Evidence Based Medicine Resource List

This site maintained by Chris Cox at the Library at the University of Hertfordshire has useful references and links to other resources. Although lacking the comprehensiveness of the ScHARR Guide to Evidence Based Practice this site more than makes up for this with its consciseness and clarity. Probably the best single compilation page on EBM on the Web.
http://www.herts.ac.uk/lrc/subjects/health/ebm.htm

Evidence Based Mental Health
This sister journal to Evidence Based Medicine is due to be published Jan/Feb 1998 by the BMJ Publishing Group.http://www.psychiatry.ox.ac.uk/cebmh/cover.htm

Evidence Based Purchasing
Evidence-Based Purchasing is a bi-monthly digest of evidence about effective care and is intended to support the commissioning role. It is a selection of material received, commissioned, or found in journals by South and West R&D Directorate.
http://www.epi.bris.ac.uk/rd/publicat/ebpurch/index.htm

Evidence Based Pathology
This site, developing at the University of Nottingham, is currently a gateway to resources on EBM. However it is likely to develop into a valuable resource in its own right. http://www.ccc.nottingham.ac.uk/~mpzjlowe/evpath.html

Evidence Based Topics

A list of EBM topics organised alphabetically by Medical subject heading with hypertext links to the relevant WWW page. Amongst the sources covered are Bandolier, some of the EBM journal clubs on the internet, the AHCPR and US and Canadian Preventative Task Force Guidelines. Now you can follow up your MEDLINE search by looking at the appropriate MeSH heading in this very useful list. http://www.ohsu.edu/bicc-informatics/ebm/ebm_topics.htm

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Framework for Appropriate Care Throughout Sheffield (FACTS) Project

This is a city-wide project based in Sheffield aimed at implementing change in primary care. Initial efforts have been aimed at getting aspirin to heart disease patients in Sheffield. The full text of a report, Lessons from FACTS, detailing the methods of the project together with broader implications for evidence-based change management is available from their Web site .
http://www.shef.ac.uk/uni/projects/facts/

Filtering the literature


Most of these sites give guidance on how to filter the higher quality evidence from Medline. The majority of them utilise the research conducted by McMaster University.

Finding the Evidence


A quick check to see if there is any evidence in your chosen topic area could involve the following steps:-

  1. PubMED
  2. Cochrane Library Reviews and Protocols
  3. Database of Abstracts of Reviews of the Evidence (DARE)
  4. MedFinder Smart Medical Web Search
  5. Cliniweb
  6. IDEA Database of Evidence Based Topics
  7. ScHARR-Lock's Guide to the Evidence

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A Gathering of Evidence [Newsletter]
A Gathering of Evidence is published periodically by Group Health Northwest. It summarises clinical articles based on rigourous research from major biomedical journals. Abstracts of articles are prepared to provide practitioners with the information they need to review the type of study, the population studied, the methods used, and the key results of the study. Commentary by a physician affiliated with Group Health Northwest accompanies the abstract, as well as suggested evidence-based medicine resources.The same organisation produces what it claims are evidence based guidelines. Topics covered to date include Use of x-rays to evaluate ankle and foot injuries in adults (The Ottawa Ankle Rules), Measuring Prostate Specific Antigen (PSA) to screen for prostate cancer, Neuroanatomic Imaging in Patients with Acute Low Back Pain, Surgery in Patients with herniated Lumbar Disc and the Use of Antenatal Corticosteroids in Pregnant Women at Risk of Preterm Delivery
Guide to Clinical Preventive Services (2nd edition)
This full text resource is the 1996 edition which reviews evidence for many types of screening procedures. This supersedes the 1989 version which is also available on the World Wide Web.
http://text.nlm.nih.gov

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Health Reviews for Primary Care Providers
A listing of documents about primary care medicine and medical practice, available through the World Wide Web. Some links are to the documents themselves. Others are to article reviews, plus links to the articles' abstracts, when available.The documents were selected to serve the information needs of primary care practitioners.
http://www.mcphu.edu/libraries/resources/reviews/revw_ind.htm

Guidelines

A number of sites provide examples of guidelines or descriptions of guideline development methodologies. A selection of these is listed below:

Health Technology Assessment Reports
This resource at the Wessex Institute for Research and Development contains abstracts for the completed reviews from the National Health Service Health Technology Assessment Programme.
http://vessey.wiphm.soton.ac.uk/hta/htapubs.html

Health Technology Assessment Resources

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Institute for Clinical Evaluative Sciences
The Institute for Clinical Evaluative Sciences in Ontario (ICES) is a non-profit research organization dedicated to conducting research that contributes to the effectiveness, quality and efficiency of health care in the province of Ontario. It produces the newsletter informed for physicians. http://www.ices.on.ca/

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Journal Club on the Web
This web site is an experiment in implementing an on-line, interactive general medical "journal club" which periodically summarizes and critiques articles from the recent medical literature and collects and posts readers' comments.The articles are primarily in the field of adult internal medicine, and mainly from the NEJM, Annals of Internal Medicine, JAMA and the Lancet. http://www.journalclub.org/

Journal of Family Practice Journal Club Web Page
The JFP Journal Club is a feature of the Journal of Family Practice which each month reviews 7-10 important articles from the primary care literature. The goal is to identify articles which have the potential to change the way you practice, critically appraise them, and make specific recommendations for clinical practice (called POEM's, for Patient Oriented Evidence That Matters). The editors review some 80 clinical journals every month covering the most important findings for family physicians in the medical literature on a timely basis.
http://www.phymac.med.wayne.edu/jfp/jclub.htm

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Literature searching


There are a number of sites that provide printed assistance on all stages of the EBM searching process. These include:

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MD Digests
This feature of the Physician's Page of the Silverplatter information resource includes clinical questions answered from a recent article of literature and supported by a selective bibliography.
http://php2.silverplatter.com/physicians/digest.htm

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The National Library of Medicine's Health Services/Technology Assessment Text (HSTAT)
This WWW resource contains the following collections AHCPR Supported Guidelines, AHCPR Technology Assessments and Reviews, ATIS (HIV/AIDS Technical Information), NIH Warren G. Magnuson Clinical Research Studies, NIH Consensus Development Program, PHS Guide to Clinical Preventive Services (1989) and SAMHSA/CSAT Treatment Improvement Protocol (TIP). http://text.nlm.nih.gov/ftrs/gateway

Numbers Needed to Treat and Likelihood Ratios.
This resource provides form-fill calculators for computing Numbers Needed to Treat and Likelihood Ratios, Sensitivity and Specificity and the Bayesian Analysis Model. http://hiru.hirunet.mcmaster.ca/ebm/userguid/2_tools.htm and http://hiru.hirunet.mcmaster.ca/ebm/userguid/3_tools.htm

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Office of Technology Assessment
Although the remit of the U.S. based Office of Technology Assessment is much broader than just healthcare they do produce a number of useful reports; including the report "Identifying Health Technologies that Work". The full text of their reports is available from this site. http://www.wws.princeton.edu:80/~ota

Oxford & Anglia Mental Health Web (OXAMWEB) To help support evidence-based practice, the Directorate of Research and Development for the Anglia and Oxford Region has provided resources for Internet connection in librariesin the Region and for the development of OXAMWEB. To be included in OXAMWEB, articles must fulfil the following minimum criteria written in English, free to view, easy to understand and clearly presented, likely to be relevant and helpful to site users/ patients/ professionals. An important part of the material, marked with an EB (evidence-based) logo, also fulfils the more stringent criteria of Evidence Based Medicine. http://strauss.ihs.ox.ac.uk/oxamweb.html

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Primary Care Sharing the Evidence Project (PRISE) The PRISE (Primary Care Sharing the Evidence) project is part of the libraries and librarian development programme managed by the Health Care Libraries Unit and supported by the Anglia and Oxford R&D Directorate. PRISE is a two year project which aims to provide timely access to high quality evidence for GP's and other practice-based professionals. The project focuses on twelve Primary Health care sites, including one dental practice and two GP practices in each of the four counties of the former Oxford Health Authority Region.http://libsun1.jr2.ox.ac.uk/prise/

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R&D Strategy pages
Most of these pages deal with the mechanics of the strategy but many practitioners will be interested in research per se and will want to keep up to date with the NHS strategy. There are now several home pages. They include a Department of Health R&D Strategy Home Page http://www.open.gov.uk/doh/rdd1.htm

All the Regional Offices have committed to having a Regional home page. So far there are six -

RAND Corporation
RAND is a US-based nonprofit institution that aims to improve public policy through research and analysis. RAND aims to carry out high-quality, objective research addressing problems of domestic policy including health care. RAND has been studying health care issues for more than thirty years. Today, RAND conducts one of the largest private, nonprofit programs of health policy research and analysis in the world. They publish numerous reports and other documents in areas of health care technology assessment.
http://www.rand.org/

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Screening and Diagnostic Tests (Cochrane Collaboration)
The Cochrane Collaboration Methods Working Group on Screening and Diagnostic Tests has placed its recommendations on how to search for, appraise and pool results of studies of diagnostic accuracy on the Web. The document includes a methodological bibliography.
http://wwwsom.fmc.flinders.edu.au/FUSA/COCHRANE/cochrane/sadtdoc1.htm

School of Health and Related Research(ScHARR), University of Sheffield
School of Health And Related Research (ScHARR) This health services research department within the University of Sheffield is involved in finding the evidence (expertise in literature searching); appraising the evidence (critical appraisal training) and producing the evidence (systematic reviews). The Information Resources Section of ScHARR produces a bibliography and resource guide entitled "The ScHARR Guide to Evidence Based Practice". A Microsoft Word Version 6 copy of this publication is available to download here. If your browser has this helper application it will start up and load the file, if the helper application is not available you can save the file for later use. File is 361472 bytes.. Printed copies are available for Ł10.00 (inclusive of Postage & Packing) from ScHARR Information Resources. [Cheques payable to the University of Sheffield]. Address:-

University of Sheffield, Regent Court, 30 Regent Street, SHEFFIELD, S1 4DA.

Type of resource : Organisation, Information Service, Training Course Provider, WWW resource list, WWW site
http://www.shef.ac.uk/uni/academic/R-Z/scharr/index.html
ScHARR-Lock’s Guide to the Evidence
This is a guide to printed sources of evidence arranged by Medical Subject Heading (MeSH). It focuses on grey literature from UK academic and quasi-governmental sources and aims to complement Michael Zack’s list of Evidence-based Topics (See above). Type of resource : WWW resource list. http://www.shef.ac.uk/uni/academic/R-Z/scharr/ir/scebm.html

Scottish Health Purchasing Information Centre (SHPIC)
SHPIC was set up by the NHS Management Executive to carry out effectiveness and cost benefit studies on health service interventions, and to produce concise reports for purchasers. The full text of their current publications is available from this site. http://www.nahat.net/shpic/

Scottish Intercollegiate Guidelines Network (SIGN)
The Scottish Intercollegiate Guidelines Network (SIGN) develops and publishes evidence-based clinical practice guidelines for use by the health service in Scotland. Full text of many of their guidelines is avaialable from their site. You will however require an Acrobat Reader.
http://pc47.cee.hw.ac.uk/sign/home.htm

South and West R&D Briefing Papers
The Briefing Papers Series commissioned by the R&D directorate offers brief but authorative discussions on the effectiveness of health interventions. http://www.epi.bris.ac.uk/rd/publicat/briefing/index.htm

Study Design


A number of sites provide good introductions to study design. These include:

Systematic Literature Review Training Module This module at the University of Leeds has been designed to provide a basic introduction to the systematic literature review process. It follows the NHS CRD Guidelines for systematic reviews and includes a self assessment questionnaire for evaluating learning outcomes.

Systematic Reviews Training Unit
The Systematic Reviews Training Unit (SRTU) has been set up with funding for the first three years from North and South Thames Regional Research and Development Programmes. The Unit is a joint initiative of the Institute of Child Health, the Royal Free Hospital School of Medicine and University College London. The Unit is supported by Collaborative Reviews Group, whose members are drawn from a variety of disciplines including child health, care of the elderly, cardiovascular disease, primary care, genito-urinary medicine and public health medicine. Staff of the Unit work closely with members of the Collaborative Reviews Group, providing training and in the development of systematic review methodology. The main aims of the Unit are to train health professionals in the conduct of systematic reviews. This will enable trainees to:
develop the skills required to formulate answerable questions about the effectiveness of health care practice and policy and conduct systemtic reviews of research evidence to address these questions; acquire an understanding of methods for effective dissemination and promotion of the implementation of review findings.
http://www.ich.bpmf.ac.uk/ebm/srtu.htm

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UK Clearing House on Health Outcomes,including an Outcomes Database of Structured Abstracts
The UK Clearing House on Health Outcomes is based within the Nuffield Institute for Health, at the University of Leeds. The Clearing House aims: to develop approaches to outcomes assessment within routine health care practice; to encourage a shift from process to outcome measures and the use of patient centred and clinically relevant outcomes criteria; to support the use of process information and existing data sources where it is not yet feasible to measure outcomes directly; to raise awareness about key issues in health outcome measurement; to promote the role of health outcomes within decision making in health care commissioning and provision. They have two databases available on the WWW; the other being an Outcomes Activities Database containing a wide range of outcomes related projects. This forms the basis for networking people working in similar areas or using similar measures. http://www.leeds.ac.uk/nuffield/infoservices/UKCH/home.html Other outcomes sites of potential interest include:-

Unit for Evidence Based Practice and Policy (UEBPP)
The UEBPP is a 'virtual' subunit of the Joint Department of Primary Care and Population Sciences (PCPS) of the merged medical schools of University College London and the Royal Free Hospital. Their web page is maintained by Dr Trisha Greenhalgh, and describes the work of a number of key staff at PCPS who undertake work in evidence-based health.http://www.ucl.ac.uk/primcare-popsci/uebpp/uebpp.htm

Users' Guides to the Health Care Literature

The Evidence Based Medicine Working Group, a group of clinicians at McMaster and colleagues across North America, have created a set of guides, published in the Journal of the American Medical Association (JAMA). The Users' Guide series aim to assist clinicians to keep up to date in their clinical discipline and to find the best way to manage a particular clinical problem. The User's Guides put much emphasis on integrative studies, including systematic overviews, practice guidelines, decision analysis, and economic analysis. They introduce strategies for efficiently searching the medical literature. Full-text of some of the Guides is available. http://hiru.hirunet.mcmaster.ca/ebm/userguid/default.htm
A complete list of the published guides, together with their full bibliographic references is available. http://www.shef.ac.uk/~scharr/ir/userg.html

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Wessex Institute for Health Research and Development
The Wessex Institute aims to provide the highest quality research and intelligence, education and training and innovation and development services. It aims to help the NHS to secure the strongest possible knowledge base for improving the health of the population. http://www.soton.ac.uk/~wi/index.html

WISDOM Project
WISDOM is a pilot project based at the University of Sheffield and funded by the National Health Service Executive to create an on-line environment, using the Internet to train primary care professionals in informatics. At the heart of the project is a discussion group: this web site supports the group and offers information resources and background to the project. Evidence Based Practice is one of the focus areas for the project (Practice because it targets all members of the Primary Health Care Team). Several tutorials, originally distributed by e-mail but now deposited in the project archive, cover aspects of evidence based practice. http://www.shef.ac.uk/uni/projects/wrp/index.html. Tutorials to date cover:

Workshop on How to Teach Evidence Based Medicine

McMaster University Department of Clinical Epidemiology and Biostatistics have assembled sets of readings dealing with evidence-based medicine and critical appraisal issues in therapy, diagnosis, prognosis, harm, overviews and economic analysis. Some materials, complete with checklists and cribsheets is available on the Internet, and may be downloaded to support Critical Appraisal skills programmes locally. http://hiru.hirunet.mcmaster.ca/ebm/workshop/


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This resource list is produced by Andrew Booth BA Dip Lib ALA at the School of Health and Related Research (ScHARR), University of Sheffield. Additional related bookmarks can be found in my personal hotlist
Date last amended: 04/09/1997

If you have any comments or suggestions for this list please mail me at Andrew Booth

 

Miscellaneous EBM sites yet to be appraised

Behavioural Sciences at Nottingham University

Biostatistics Papers and Technical Reports

CBO Health Care Outcomes Programme ECCHO

CenterWatch Clinical Trials Listing Service

Centre for Health Research & Evaluation World Wide Web Page

Cochrane Collaboration (Netherlands)

Cochrane Database of Systematic Reviews

CONQUEST 1.0

Directory of /internet/ftp/Default/EBM/WORKSHOP/THERAPY

DOKDI EBM

Dr Felix's Cyber Resources for Audit Page

EBM & Medline (CX)

EBM Skills

Evidence Based Medicine (Australia)

Evidence Based Medicine - Norway

Evidence Based Medicine - Zacks Site

http://www.suffolk-maag.ac.uk/evidence/index.html

Evidence-based health care resources

Evidence-Based Medicine - Legal

Explanation - Evidence Based Living

http://www.epi.bris.ac.uk/rd/publicat/ebpurch/subjind.htm

http://www.nthames-health.tpmde.ac.uk/chain.htm

http://www.nthames-health.tpmde.ac.uk/ntrl/chain.htm

http://www.scarbvts.demon.co.uk/ebm.htm

Journal Club on the Web

MD Answers

Scientific Evidence for Homeopathic Medicine


Society for Medical Decision Making