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Index
Title Page Copyright Dedication Foreword to the first edition by Professor Sir David Weatherall Preface to the first edition: do you need to read this book? Preface to the fifth edition Acknowledgements Chapter 1: Why read papers at all?
Does ‘evidence-based medicine’ simply mean ‘reading papers in medical journals’? Why do people sometimes groan when you mention evidence-based medicine? Before you start: formulate the problem References
Chapter 2: Searching the literature
What are you looking for? Levels upon levels of evidence Synthesised sources: systems, summaries and syntheses Pre-appraised sources: synopses of systematic reviews and primary studies Specialised resources Primary studies—tackling the jungle One-stop shopping: federated search engines Asking for help and asking around Online tutorials for effective searching References
Chapter 3: Getting your bearings: what is this paper about?
The science of ‘trashing’ papers Three preliminary questions to get your bearings Randomised controlled trials Cohort studies Case–control studies Cross-sectional surveys Case reports The traditional hierarchy of evidence A note on ethical considerations References
Chapter 4: Assessing methodological quality
Was the study original? Whom is the study about? Was the design of the study sensible? Was systematic bias avoided or minimised? Was assessment ‘blind’? Were preliminary statistical questions addressed? Summing up References
Chapter 5: Statistics for the non-statistician
How can non-statisticians evaluate statistical tests? Have the authors set the scene correctly? Paired data, tails and outliers Correlation, regression and causation Probability and confidence The bottom line Summary References
Chapter 6: Papers that report trials of drug treatments and other simple interventions
‘Evidence’ and marketing Making decisions about therapy Surrogate endpoints What information to expect in a paper describing a randomised controlled trial: the CONSORT statement Getting worthwhile evidence out of a pharmaceutical representative References
Chapter 7: Papers that report trials of complex interventions
Complex interventions Ten questions to ask about a paper describing a complex intervention References
Chapter 8: Papers that report diagnostic or screening tests
Ten men in the dock Validating diagnostic tests against a gold standard Ten questions to ask about a paper that claims to validate a diagnostic or screening test Likelihood ratios Clinical prediction rules References
Chapter 9: Papers that summarise other papers (systematic reviews and meta-analyses)
When is a review systematic? Evaluating systematic reviews Meta-analysis for the non-statistician Explaining heterogeneity New approaches to systematic review References
Chapter 10: Papers that tell you what to do (guidelines)
The great guidelines debate How can we help ensure that evidence-based guidelines are followed? Ten questions to ask about a clinical guideline References
Chapter 11: Papers that tell you what things cost (economic analyses)
What is economic analysis? Measuring costs and benefits of health interventions References
Chapter 12: Papers that go beyond numbers (qualitative research)
What is qualitative research? Evaluating papers that describe qualitative research References
Chapter 13: Papers that report questionnaire research
The rise and rise of questionnaire research Ten questions to ask about a paper describing a questionnaire study References
Chapter 14: Papers that report quality improvement case studies
What are quality improvement studies—and how should we research them? Ten questions to ask about a paper describing a quality improvement initiative References
Chapter 15: Getting evidence into practice
Why are health professionals slow to adopt evidence-based practice? How much avoidable suffering is caused by failing to implement evidence? How can we influence health professionals' behaviour to promote evidence-based practice? What does an ‘evidence-based organisation’ look like? How can we help organisations develop the appropriate structures, systems and values to support evidence-based practice? References
Chapter 16: Applying evidence with patients
The patient perspective PROMs Shared decision-making Option grids n of 1 trials and other individualised approaches References
Chapter 17: Criticisms of evidence-based medicine
What's wrong with EBM when it's done badly? What's wrong with EBM when it's done well? Why is ‘evidence-based policymaking’ so hard to achieve? References
Appendix 1: Checklists for finding, appraising and implementing evidence
Is my practice evidence-based?—a context-sensitive checklist for individual clinical encounters (see Chapter 1) Checklist for searching (see Chapter 2) Checklist to determine what a paper is about (see Chapter 3) Checklist for the methods section of a paper (see Chapter 4) Checklist for the statistical aspects of a paper (see Chapter 5) Checklist for material provided by a pharmaceutical company representative (see Chapter 6) Checklist for a paper describing a study of a complex intervention (see Chapter 7) Checklist for a paper that claims to validate a diagnostic or screening test (see Chapter 8) Checklist for a systematic review or meta-analysis (see Chapter 9) Checklist for a set of clinical guidelines (see Chapter 10) Checklist for an economic analysis (see Chapter 11) Checklist for a qualitative research paper (see Chapter 12) Checklist for a paper describing questionnaire research (see Chapter 13) Checklist for a paper describing a quality improvement study (see Chapter 14) Checklist for health care organisations working towards an evidence-based culture for clinical and purchasing decisions (see Chapter 15)
Appendix 2: Assessing the effects of an intervention
Acknowledgement
Index
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