Studying a Study and Testing a Test: How to Read the Medical Evidence / Edition 5

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Overview

In today's rapidly changing world of clinical practice, old assumptions quickly fall under the weight of new evidence. But to make effective clinical decisions, you must face a deluge of data published in the health research literature.

With this best-selling text as your guide, you'll discover a concise, stepwise program that will help you evaluate clinical studies, identify flaws in study design, interpret statistics, and apply evidence from clinical research to your practice.

Sharpen your analytical skills with these insightful features...

  • Step-by-step approach ideal for both students and practitioners guides you through the health research literature, showing you the ingredients that go into a meaningful study, clues to potential study flaws, and ways to apply solid evidence in clinical practice.
  • Uniform framework uses a simple six-point framework based on the mnemonic M.A.A.R.I.E. You will learn to evaluate studies in terms of Methods, Assignment, Assessment, Results, Interpretation, and Extrapolation.
  • Hypothetical illustrations demonstrate the limitations of today's published studies.
  • Unique learning aids—including question checklists, scenarios illustrating study design, and flaw-catching exercises—help you reinforce key facts and retain what you've learned.

NEW to the Fifth Edition...

  • New "Guide to the Guidelines" section helps you make sense of established and emerging clinical guidelines, and helps you understand the role of these guidelines in practice.
  • Current information on outcomes includes discussions of safety and of the effects of interactions on outcomes.
  • More graphic presentation of statistics helps make complex concepts easy to grasp and apply using a flowchart of statistics.
  • StudyingaStudy.com Website is an integral feature of this edition providing interactive materials for all sections of the book. The Website provides practice using the M.A.A.R.I.E. framework, interactive flaw-catching and Selecting a Statistics exercises, self-testing questions-answers and exercises using abstracts from real articles.
  • Courses and Journal Clubs can now use Studying a Study and Testing a Test with the help of a special section of the Website.

Clear the path to a new understanding of evidence-based medicine...and integrate today's best evidence into tomorrow's practice. Order your copy of Studying a Study and Testing a Test, Fifth Edition today!

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Editorial Reviews

Doody's Review Service
Reviewer: Ross M. Mullner, PhD, MPH (University of Illinois at Chicago)
Description: This book provides the reader with a rigorous analytic framework for reading and evaluating medical and public health journal articles. This fifth edition has an associated Web site which provides additional examples of how to read journal articles.
Purpose: The M.A.A.R.I.E. analytical framework to read and evaluate journal articles is presented. M.A.A.R.I.E. is an acronym for method, assignment, assessment, results, interpretation, and extrapolation. This framework is used to evaluate case-control studies, cohort studies, and randomized clinical trials as well as other types of studies such as meta-analysis and clinical guidelines.
Audience: Students, residents, and practitioners of medicine and public health are the intended audience. The author is well qualified to write the work. Dr. Riegelman is a physician and professor of epidemiology-biostatistics, medicine, and health policy, and was the founding dean of the School of Public Health at George Washington University.
Features: The book's 44 chapters are grouped into six sections. The scope of this book is wide. It covers evaluating various types of medical studies, medical tests, the costs of care, clinical guidelines, and statistical methods and models. The six chapters on evaluating clinical guidelines are particularly interesting and are of great value to both the informed and uninformed reader.
Assessment: This is a thoughtful, well-written, well-organized, and very valuable guide to reading and evaluating the medical and public health literature. I recommend it highly.
From The Critics
Reviewer: Ross M. Mullner, PhD, MPH(University of Illinois at Chicago)
Description: This book provides the reader with a rigorous analytic framework for reading and evaluating medical and public health journal articles. This fifth edition has an associated Web site which provides additional examples of how to read journal articles.
Purpose: The M.A.A.R.I.E. analytical framework to read and evaluate journal articles is presented. M.A.A.R.I.E. is an acronym for method, assignment, assessment, results, interpretation, and extrapolation. This framework is used to evaluate case-control studies, cohort studies, and randomized clinical trials as well as other types of studies such as meta-analysis and clinical guidelines.
Audience: Students, residents, and practitioners of medicine and public health are the intended audience. The author is well qualified to write the work. Dr. Riegelman is a physician and professor of epidemiology-biostatistics, medicine, and health policy, and was the founding dean of the School of Public Health at George Washington University.
Features: The book's 44 chapters are grouped into six sections. The scope of this book is wide. It covers evaluating various types of medical studies, medical tests, the costs of care, clinical guidelines, and statistical methods and models. The six chapters on evaluating clinical guidelines are particularly interesting and are of great value to both the informed and uninformed reader.
Assessment: This is a thoughtful, well-written, well-organized, and very valuable guide to reading and evaluating the medical and public health literature. I recommend it highly.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780781745765
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 10/11/2004
  • Series: Core Handbook Series in Pediatrics
  • Edition description: Fifth Edition
  • Edition number: 5
  • Pages: 328
  • Product dimensions: 6.96 (w) x 10.00 (h) x 0.74 (d)

Table of Contents

Preface : putting progress into practice
1 Introduction and flaw-catching exercise 1
Sect. I Studying a study
2 Types of studies and the M.A.A.R.I.E. framework 7
3 Method 16
4 Assignment 20
5 Assessment 25
6 Results 32
7 Interpretation 50
8 Extrapolation 58
9 Randomized clinical trials 67
10 Database research : nonconcurrent cohort studies 89
11 Meta-analysis 99
12 Questions to ask and flaw-catching exercises 116
Sect. II Testing a test
13 Method 137
14 Assignment 143
15 Assessment 149
16 Results 157
17 Interpretation 164
18 Extrapolation 172
19 Screening 175
20 Questions to ask and flaw-catching exercises 184
Sect. III Rating a rate
21 Method and assignment 193
22 Assessment 200
23 Results 204
24 Interpretation and extrapolation 211
25 Life expectancy 220
26 Questions to ask and flaw-catching exercises 227
Sect. IV Considering costs and evaluating effectiveness
27 Introduction and method 235
28 Assignment 246
29 Assessment 251
30 Results 260
31 Interpretation 269
32 Extrapolation 276
33 Questions to ask an flaw-catching exercises 280
Sect. V A guide to the guidelines
34 Method 293
35 Assignment 297
36 Assessment 300
37 Results 302
38 Interpretation 308
39 Extrapolation and questions to ask 317
Sect. VI Selecting a statistic
40 Basic principles 323
41 Univariable analysis 334
42 Bivariable analysis 341
43 Multivariable analysis 350
44 Selecting a statistic flowcharts 362
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