Lecture 55 - Epidemiology 7 (PCP)

Question 1

what are the ways EBM help practicing veterinarians

Answer 1

1. improve confidence in decision making
2. work through information overload
3. develop a structured approach using reliable evidence-based methods
4. demonstrate quality improvement

Question 2

Evidence-based veterinary medicine

Answer 2

structured and explicit method that helps us make decisions in clinical practice and other areas of the veterinary scope

Question 3

What are the 5 steps of the EBVM cycle

Answer 3

1. Ask
2. Acquire
3. Appraise
4. Apply
5. Assess

Question 4

describe the ask step

Answer 4

defining an answerable clinical question that is of interest

Question 5

describe the acquire step

Answer 5

finding out if evidence exists to answer the question and acquiring that evidence

Question 6

describe the appraise step

Answer 6

assessing the quality of relevant evidence found

Question 7

describe the apply step

Answer 7

implement evidence into clinical practice when appropriate

Question 8

describe the assess step

Answer 8

evaluate the impact of the implementation and changes in clinical practice

Question 9

what are the 3 realms that makes up EBVM decision-making

Answer 9

1. best evidence
2. clinical expertise
3. owner and animal circumstances

Question 10

what are the challenges with application of EBVM

Answer 10

1. time
2. access to journals/databases
3. client access to ‘evidence’
4. lack of evidence

Question 11

what is PICO

Answer 11

P = patient, population, problem
I = intervention (thing of interest or factor/exposure)
C = Comparator (comparison or control)
O = outcome

Question 12

STROBE statement

Answer 12

improve the quality of reporting observational studies

Question 13

PRISMA

Answer 13

• evidence-based minimum set of items for reporting in systematic reviews and meta-analyses
• evaluate effects of intervention