Vyhledávání

Strategie vyhledávání důkazů v medicíně

Medicína založená na důkazech znamená propojení nejlepších dostupných vědeckých důkazů z klinického výzkumu s odborností lékaře a s informovanou volbou pacienta.
(Upraveno na podkladě: Sackett DL, Straus SE, Richardson WS, et al. Evidence-based medicine: how to practice and teach EBM. 2nd ed. Edinburgh: Churchill Livingstone, 2000.)



Pyramida informačních zdrojů


Filtrované zdroje
Systematické přehledy a metaanalýzy
Souhrny systematických přehledů Cochranovy databáze
Consists of detailed, structured topic reviews of hundreds of articles. Teams of experts complete comprehensive literature reviews, evaluate the literature, and present summaries of the findings of the best studies. Published by the International Cochrane Collaboration.
Databáze abstraktů přehledů o účinnosti (DARE)
Full-text database containing structured abstracts of systematic reviews from a variety of medical journals. DARE is produced by the National Health Services' Centre for Reviews and Dissemination (NHS CRD) at the University of York. DARE records cover topics such as diagnosis, prevention, rehabilitation, screening, and treatment.

Další podobné zdroje: Dokumenty typu Health Technology Assessments/ HTA (USA):http://www.ahrq.gov/research/findings/ta/index.html; HealthServices/Technology Assessment Texts (HSTAT, USA):http://www.ncbi.nlm.nih.gov/books/NBK16710EPC Reports(USA): http://www.ahrq.gov/research/findings/evidence-based-reports/index.html,http://www.ahrq.gov/research/findings/evidence-based-reports/a-z/index.htmlNICE TA (UK):http://www.nice.org.uk/guidance/ta,http://www.nice.org.uk/guidance/mt,http://guidance.nice.org.uk/Type/DT
Systematické přehledy v databázi MEDLINE/Pubmed
Alternativně přes hlavní stránku rozhraní Pubmed:http//www.pubmed.gov - zde kliknout na odkaz "Clinical Queries"
Kriticky posouzená témata (CATs)
NICE Evidence 
PEDro Physiotherapy Evidence Database (PEDro)
BestBets The Best Evidence Topic (BET) Report: A modified CAT for summarising the available evidence in emergency medicine.
DUETs Database of Uncertainties about the Effects of Treatments (DUETs)

Další podobné zdroje: BMJ Uncertainties Pagehttp://www.bmj.com/bmj-series/uncertainties-pagePriorities in Treatment Uncertainties Research (James Lind Alliance):http://www.lindalliance.org/top-tens.asp
Kriticky posouzené jednotlivé články
ACCESSSS
Je nutná registrace (zdarma).
BMJ Evidence Updates
Quality articles from over 120 clinical journals are selected by research staff, and then rated for clinical relevance and interest by an international group of physicians. Includes a searchable database of the best evidence from the medical literature and an email alerting system. From BMJ Publishing Group and McMaster University's Health Information Research Unit.
Je nutná registrace (zdarma).
ObesityPLUS
Pubmed Health

Další podobné zdroje: Bandolier is an independent journal about evidence-based healthcare published in the UK. It includes "information about evidence of effectiveness (or lack of it), and put[s] the results forward as simple bullet points of those things that worked and those that did not: a bandolier with bullets. Information comes from systematic reviews, meta-analyses, randomised trials, and from high quality observational studies."


Nefiltrované zdroje
in MEDLINE and other databases to achieve the highest possible level of evidence.
MEDLINE/PubMed
To limit your PubMed search to the best evidence-producing studies: Click on "clinical queries" (on the left side of the screen). This specialized search is intended for clinicians and has built-in search "filters." Four study categories--therapy, diagnosis, etiology, prognosis--are provided, and you may indicate whether you wish your search to be more sensitive (i.e., include most relevant articles but probably including some less relevant ones) or more specific (i.e., including mostly relevant articles but probably omit a few).
TOXLINE
Toxicant and Disease Database
Ebsco a Proquest
Poznamka: Vzdalene pristup prostrednictvim Mestske knihovny v Praze (www.mlp.cz)


Základní/výchozí zdroje, názory expertů
Hodnověrnost důkazu v této skupině zdrojů může kolísat od subjektivního názoru autority až po důkazy s vysokou mírou spolehlivosti.
Lékařský slovník nakl. Maxdorf
Encyklopedie SÚKL
LabTests Online
MedlinePlus
PatientPlus
WebMd Health Topics

Webové stránky na téma EBM
Centre for Evidence-Based Medicine (Oxford University)
The Centre promotes evidence-based health care and provide support and resources to anyone who wants to make use of them. Includes the EBM Toolbox, an assortment of materials which are very useful for practitioners of EBM, and EBM Teaching Materials, including PowerPoint presentations.
Centre for Evidence-Based Medicine (Toronto)
Includes many resources for practicing and teaching EBM