research ebm Flashcards
COMPONENTS OF THE EBM CYCLE
A. Asking the Question B. Searching the Literature C. Appraising the Evidence D. Integrating the Data E. Making a Decision
PICOM components
Population to be studied
Intervention or exposure = Independent variable
Comparisons to be made (control)
Outcome of interest = Dependent variable Methodologic (study design)
Research question
PICOM
PIO
“To evaluate, to judge the value/worth”
APPRAISING THE EVIDENCE
COMPONENTS OF CRITICAL APPRAISAL
VALIDITY / LACK OF BIAS
SIZE & PRECISION OF EFFECT
APPLICABILITY & IMPACT
Will the results help me in caring for my patients?
APPLICABILITY & IMPACT
What are the results?
SIZE & PRECISION OF EFFECT
Is the study valid?
VALIDITY / LACK OF BIAS
W/ SYSTEMATIC ERROR
= BIASED
NOT VALID
Accuracy
Validity
Reliability
Precision
INTEGRATIVE STUDY DESIGNS
REVIEWS
OVERVIEWS
META-ANALYSIS
GUIDELINE DEVELOPMENT
results of trials are combined statistically
META-ANALYSIS
The PRIME requirement of any study
Validity
= W/ RANDOM ERROR
= LOW SAMPLE SIZE
Precision
any 2 articles (or more)
REVIEW
Lack of significant bias
Validity
PHRASE THE QUESTION PRECISELY, IDENTIFYING CONCEPTS P, I, O and M.
STEP 1 IN CONDUCTING AN EFFICIENT LITERATURE SEARCH
actual recommendations on management are made
GUIDELINES
“Repeatability”
Precision
EXPAND AND INTERSECT THE CONCEPTS SEQUENTIALLY AS NEEDED
STEP 3 IN CONDUCTING AN EFFICIENT LITERATURE SEARCH
comprehensive, systematic and objective search of the literature based on a research question
OVERVIEW
CHOOSE THE SEARCH METHOD.
STEP 2 IN CONDUCTING AN EFFICIENT LITERATURE SEARCH
Consistency
Precision
EXAMINE YIELD FOR MISHITS AND MISSES AND MODIFY SEARCH IF NECESSARY.
STEP 4 IN CONDUCTING AN EFFICIENT LITERATURE SEARCH
Two search methods
FREE TEXT SEARCHES
MeSH
Which is which: free text or MeSH
SHORTER; MORE SYSTEMATIC
NEW TERMS AVAILABLE
SHORTER; MORE SYSTEMATIC :MeSH adv
NEW TERMS AVAILABLE : free text adv
Which is which: free text or MeSH
LONG STRATEGY; SUBJECT TO USER ERROR
NEW TERMS UNLISTED; SUBJECT TO CLERICAL ERROR
LONG STRATEGY; SUBJECT TO USER ERROR
Free text: disadvantaged
NEW TERMS UNLISTED; SUBJECT TO CLERICAL ERROR
MeSH: disadvantaged