EBCR Flashcards
What a case report telling us about (4)
- Unusual presentations of common cases
- Inconclusive results
- Grey areas in indications for treatment
Management challenges, or - Near misses case management.
Why Evidence-based Case Report?
- Explanation of clinical profile, What (Diagnosis)
- Explanation of illness, Why (Etiology)
- Prediction, future course (Prognostic)
- Treatment, decision and execution (prognostic & decition analysis skill)
Ways to Seek answers (2)
- Asks expert colleagues
- To go to the literature for good quality studies
EBM Practice (5 steps)
Patient with problem - Formulate answerable clinical questions - search the evidence - crtical appraisal - apply the evidence
Define the clinical question in four part
Patient, Intervention, Comparison, Outcome (PICO)
Syarat EBCR
Max 1200 kata, max 24 referensi, max 4 ilustrasi, summary box (max 5 kalimat singkat)
Sebutkan isi dari EBCR (7)
- Clinical case (clinical scenario/case)
- Clinical question (introduction, justification)
- Methods (search strategy, critical appraisal)
- Results (search result, appraisal result, VIA, study result)
- Discussion (strong & weak, recommedation)
- Conclussion (answer question about patient
- References
3 questions for critical aprraisal
Valid (methods and results)
Important (clinical judgement)
Applied
Validity of Study (3)
- Selection (selection bias)
- Information bias
- Confounding
RAMMbo? (4)
- Recruitment
- Allocation
- Manitenance
- Measurement (blinded? Objective?)
Type of Clinical Questions (2)
- By Content (Dx, Th/, Etiology, Prognosis)
2. By Format (Background, foreground)
What is PICO/T Concept?
- P (population/disease)
6 levels of evidence
SR, RCT, Cohort, case control studies, case series & report, editorials/expert opinions