Types of literature, study designs and EBP Flashcards

1
Q

What are 2 strengths of primary literature?

A

Cutting edge research

Could be the only source of information on a new drug or rare diseass

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2
Q

What are 3 limitations of primary literature?

A

Possible flaws in the study methodology
Critical appraisal necessary
New information means it may take time before it’s widely accepted in the medical community

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3
Q

What are 3 strengths of secondary literature?

A
  • Many primary sources consulted to write one article on a topic
  • Collect many, sometimes all primary research studies on a given topic via a literature search
  • Saves time
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4
Q

What are 2 limitations of secondary literature?

A
  • Need to examine sources included

- Search strategy description and process may be weak

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5
Q

What are 3 strengths of tertiary literature?

A
  • Quick access to primary and secondary literature
  • Good for background information
  • Easy to use
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6
Q

What are 3 limitations of tertiary literature?

A
  • Chapter length restriction may limit in-depth discussion
  • May not be the most current information
  • Hard to identify if the authors looked at the right sources and if the included literature has been appraised
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7
Q

What is generally the order that you should consult literature in? (primary, secondary, tertiary)

A
  • Generally, tertiary, secondary, primary

- Unless you’re looking for information on a new and emerging topic or one that has conflicting evidence

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8
Q

What are cohort studies?

A

Observational studies that starts with patients with an exposure and follows them forward in time,.

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9
Q

What are some limitations of cohort studies?

A

No randomization, risk of bias is higher, can demonstrate associations not causation

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10
Q

What are case control studies?

A

Observational studies– patients with and without a condition are compared to identify which past exposures may have contributed to the condition.

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11
Q

What is a limitation with case control studies?

A

Quality issue with self-reported data

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12
Q

What are case series/case reports?

A

A small collection of reports on the diagnosis, treatment, and follow up of a few individual patients or one patient.

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13
Q

What is one benefit and one limitation of case reports?

A

Good: can highlight side effects of a new drug
Bad: Low statistical significance due to small sample size

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14
Q

What are editorials, opinions and animal research?

A

Published commentary based on clinician experience

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15
Q

What are limitations of editorials, opinions and animal research?

A

Greater risk of bias or selective reporting

Findings from animal research cannot always be applied to humans

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16
Q

What is the 5 A’s model of evidence based practice?

A
  1. Ask a focused clinical question
  2. Acquire evidence
  3. Critically appraise the evidence
  4. Apply the evidence in practice
  5. Assess your performance