Lecture 1 Flashcards

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1
Q

What are Clinical Evaluative Sciences?

A
  • Biostatistics
  • Epidemiology
  • Behavioral Science
  • Health Economics
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2
Q

The purpose of this course is to make you a life-long learner capable of understanding the dental literature, and a practitioner who can objectively and scientifically apply evidence to evaluate and improve your practice

A

Goal of course

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3
Q

An approach to oral health care that requires the integration clinically relevant scientific evidence, relating to the patient’s oral and medical condition and history, with the dentist’s clinical expertise and the patient’s treatment needs and preferences

A

Evidence-Based Dentistry

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4
Q

Approach to practice and to making clinical decisions.

A

Patient-centered approach

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5
Q

3 components of Evidence based Dentistry

A
  1. The best available scientific evidence.
  2. A dentist’s clinical skill and judgment.
  3. Patient’s needs and preferences
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6
Q

Systematic approach to practicing good dentistry

A

EBD

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7
Q

Outcomes of EBD

A
  • evaluation of science underlying clinical care
  • quality of decision making
  • reduction in variations in clinical practice
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8
Q

The application of the current best evidence in making decisions about the care of individual patients

A

Evidence-based practice

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9
Q

EBD steps

A
  1. Formulate
  2. Find
  3. Review
  4. Integrate
  5. Evaluate
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10
Q

____A clinically relevant question

A

Formulate

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11
Q

____ The best available evidence

A

Find

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12
Q

____ The evidence for its validity and applicability, strengths & weeknesses

A

Review

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13
Q

_____ the best research evidence with your clinical expertise and patient’s needs, desires, and values

A

Integrate

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14
Q

_____ your efforts and seek ways to improve (self-evaluate)

A

Evaluate

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15
Q

Anatomy of well formulated question

A

Population of Patient type
Intervention or Exposure
Comparison
Outsome

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16
Q

Persons for whom an answer is sought

A

Population or patient

17
Q

Treatment or exposure related to the clinical condition of interest

A

Intervention or exposure

18
Q

Alternative treatment or control condition

A

Comparison

19
Q

Measure (s) used to assess effects

A

Outcome

20
Q

What are the best levels of evidence?

A

Systematic reviews and RCT

21
Q

Lowest levels of evidence

A

Case reports and expert opinions

22
Q
  • randomized controlled clinical trials
  • non- randomized controlled trials, crossover studies
  • cohort studies, case-control studies, cross-sectional studies
  • case studies,
  • the consensus opinion of experts
A

Where best evidence is obtained from

23
Q

Is a comprehensive search for all relevant studies on a specific topic and those identified are then appraised and synthesized according to predetermined and explicit criteria

A

Systematic Literature Review

24
Q

Synthesizes the best evidences and provides the basis for clinical practice guidelines.

A

Systematic Literature Review

25
Q

Steps to follow a systematic literature review

A
  • Identify questions to be examined.
  • Determine the inclusion/exclusion criteria.
  • Create a search strategy.
  • Create criteria for study quality.
  • Development of conclusions.
26
Q

The body of writing in books, journals, reports and other sources that make the sum of knowledge.

A

Dental Literature

27
Q

Most familiar source of information for students

A

Textbooks

28
Q

Basic source of current information

A

Journals

29
Q

What should a well written title maintain?

A

Informative, concise & attract interest

30
Q

Should tell why the study was done, what was done, found and concluded

A

Abstract

31
Q

States the problem and current state of knowledge

A

Introduction

32
Q

Should be presented wit sufficient detail that the reader could repeat the investigation

A

Materials and methods

33
Q

Presents the data in an organized manner

A

Results

34
Q

contains the logical arguments linking the results to the work of other investigators.

A

Discussion

35
Q

Presents the authors conclusions base on the evidence provided and taking into account potential limitations

A

Conclusion