| Critical appraisal in clinical practice: sometimes irrelevant, occasionally invalid. | |
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MedLine Citation:
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PMID: 11691894 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A core activity of evidence-based practice is the search for and appraisal of evidence on specific clinical issues. Clinicians vary in their competence in this process; we therefore developed a 16-item checklist for quality of content (relevance and validity) and presentation (useability, attribution, currency and contact details). This was applied to a set of 55 consecutive appraisals conducted by clinicians and posted at a web-based medical journal club site. Questions were well formulated in 51/55 (92%) of the appraisals. However, 22% of appraisals missed the most relevant articles to answer the clinical question. Validity of articles was well appraised, with methodological information and data accurately extracted in 84% and accurate conversion to clinically meaningful summary statistics in 87%. The appraisals were presented in a useable way with appropriate and clear bottom-lines stated in 95%. The weakest link in production of good-quality critical appraisals was identification of relevant articles. This should be a focus for evidence-based medicine and critical appraisal skills. |
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Authors:
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A Coomarasamy; P Latthe; S Papaioannou; M Publicover; H Gee; K S Khan |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Journal of the Royal Society of Medicine Volume: 94 ISSN: 0141-0768 ISO Abbreviation: J R Soc Med Publication Date: 2001 Nov |
Date Detail:
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Created Date: 2001-11-05 Completed Date: 2002-02-26 Revised Date: 2013-06-09 |
Medline Journal Info:
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Nlm Unique ID: 7802879 Medline TA: J R Soc Med Country: England |
Other Details:
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Languages: eng Pagination: 573-7 Citation Subset: IM |
Affiliation:
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Education Resource Centre, Birmingham Women's Hospital, Metchley Park Road, Birmingham B15 2TG, UK. arricoomar@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Evidence-Based Medicine
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standards* Humans Information Storage and Retrieval / standards* Internet / standards* Professional Competence Quality Assurance, Health Care* Reproducibility of Results |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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