Evidence-Based Medicine: A Framework for Clinical Practice / Edition 1

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Overview

This book is a clinically oriented introduction to the new, emerging field of evidence-based medicine.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: John K. Larson, MD (Rush University Medical Center)
Description: This is an extremely well-organized, concise introduction to evidence-based medicine by faculty, residents, and fellows at the University of California, San Francisco. It is a softcover, deceptively thin textbook, too large to slip into a lab coat pocket.
Purpose: It presents the essential components of evidence-based medicine with ample illustrations of practical application of each component to real clinical practice.
Audience: The targeted audience includes healthcare providers at all levels of experience including medical and nursing students, residents, and veteran practitioners. While the clinical examples are drawn largely from internal medicine, the material is applicable to any specialty. It will also find its way into the hands of well-informed policy makers and anyone else who critically evaluates medical literature.
Features: It is divided into three sections. The first section is concerned with medical decision-making techniques and includes discussions of topics such as refining probability, the five steps of decision analysis, treatment and testing thresholds, and cost-effectiveness analysis. The second section addresses the process of accessing medical information with a particularly practical introduction to MEDLINE. The third section contains three chapters on the critical assessment of the validity of medical information. There is a very brief appendix consisting of life-expectancy tables and a thorough index. Inside the back cover is a plastic bookmark with an outline of the information available in Section Three. There are numerous illustrations, flowcharts, and tables to clarify important points. All chapters are consistent in tone, quality, and format with the frequent use of clear content outlines and bold type to emphasize major points.
Assessment: This is an extremely successful attempt to introduce the essential elements of evidence-based medicine to the healthcare professional. In spite of potentially dry subject matter, it is eminently readable and applicable to actual clinical practice. It should also serve to persuade even the most jaded skeptic that evidence-based medicine is not a passing fad, but rather the next step in the logical evolution of scientific medical practice.
John K. Larson
This is an extremely well-organized, concise introduction to evidence-based medicine by faculty, residents, and fellows at the University of California, San Francisco. It is a softcover, deceptively thin textbook, too large to slip into a lab coat pocket. It presents the essential components of evidence-based medicine with ample illustrations of practical application of each component to real clinical practice. The targeted audience includes healthcare providers at all levels of experience including medical and nursing students, residents, and veteran practitioners. While the clinical examples are drawn largely from internal medicine, the material is applicable to any specialty. It will also find its way into the hands of well-informed policy makers and anyone else who critically evaluates medical literature. It is divided into three sections. The first section is concerned with medical decision-making techniques and includes discussions of topics such as refining probability, the five steps of decision analysis, treatment and testing thresholds, and cost-effectiveness analysis. The second section addresses the process of accessing medical information with a particularly practical introduction to MEDLINE. The third section contains three chapters on the critical assessment of the validity of medical information. There is a very brief appendix consisting of life-expectancy tables and a thorough index. Inside the back cover is a plastic bookmark with an outline of the information available in Section Three. There are numerous illustrations, flowcharts, and tables to clarify important points. All chapters are consistent in tone, quality, and format with the frequent use of clearcontent outlines and bold type to emphasize major points. This is an extremely successful attempt to introduce the essential elements of evidence-based medicine to the healthcare professional. In spite of potentially dry subject matter, it is eminently readable and applicable to actual clinical practice. It should also serve to persuade even the most jaded skeptic that evidence-based medicine is not a passing fad, but rather the next step in the logical evolution of scientific medical practice.

5 Stars! from Doody
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Product Details

  • ISBN-13: 9780838524763
  • Publisher: McGraw-Hill Professional Publishing
  • Publication date: 5/22/1998
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 263
  • Product dimensions: 7.00 (w) x 10.00 (h) x 0.54 (d)

Meet the Author

McGraw-Hill authors represent the leading experts in their fields and are dedicated to improving the lives, careers, and interests of readers worldwide

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Table of Contents

Contributors
Foreword
Preface
Introduction 1
Sect. 1 Medical Decision-Making Techniques 9
1 Refining Probability: An Introduction to the Use of Diagnostic Tests 11
2 Decision Analysis 35
3 Treatment & Testing Thresholds 59
4 Cost-Effectiveness Analysis 83
Sect. 2 Accessing Medical Information 101
5 Searching MEDLINE 103
6 Searching the Internet 129
7 Keeping Up With the Medical Literature 145
Sect. 3 Assessing the Validity of Medical Information 151
8 Guide for Assessing the Validity of a Study 153
9 Application of the Study Guide 183
10 Evaluating Integrative Literature 221
App Life Table 247
Index 251
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