Week 2

Question 1

3 factors of evidence based medicine

Answer 1

• Research
• Patient preference/ circumstance
• Physicians judgement an expertise

Question 2

Push vs pull resources

Answer 2

Push: research articles sent to you because you subscribe to the journal
Pull: something you look up

Question 3

What is pre-appraised research?

-examples

Answer 3

• Synopsis of multiple reviews that are relevant to certain subject but not looked at by expert panel
• synopses and systematic reviews

Question 4

What are summaries and guidlines

Answer 4

-Synopsis of multiple reviews that are relevant to certain subject and looked at by expert panel

Question 5

What is the best way to evaluate evidence?

Answer 5

systematic reviews

Question 6

Guidelines

• variability
• use

Answer 6

• high, very few have same recommendation
• important to look for guidelines that best fit patients needs, try looking at top 3 guidelines for certain subject to ensure you can justify to the patient

Question 7

Women health initiative

Answer 7

• Very important study that looked at 168,808 women ages 50-79 to look at different disease
• realized that estrogen was cont cardiovascular protective, did not have any benefit in osteoporosis, and caused increase risk of cancer and stroke/cardiovascular events in smoker

Question 8

Why should you not use estrogen to help with menopausal symptoms in patient that smokes?

Answer 8

-increased chance of clotting