Document Detail


How to perform a literature search.
MedLine Citation:
PMID:  18280516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Evidence based clinical practice seeks to integrate the current best evidence from clinical research with physician clinical expertise and patient individual preferences. We outline a stepwise approach to an effective and efficient search of electronic databases and introduce the reader to resources most relevant to the practicing urologist. MATERIALS AND METHODS: The need for additional research evidence is introduced in the context of a urological clinical scenario. This information need is translated into a focused clinical question using the PICOT (population, intervention, comparison, outcome and type of study) format. This PICOT format provides key words for a literature search of pre-appraised evidence and original research studies that address the clinical scenario. RESULTS: Available online resources can be broadly categorized into databases that focus on primary research studies, ie randomized, controlled trials, cohort studies, case-control or case series, such as MEDLINE and those that focus on secondary research that provides synthesis or synopsis of primary studies. Examples of such sources of pre-appraised evidence that are becoming increasingly relevant to urologists include BMJ Clinical Evidence, ACP Journal Club, The Cochrane Library and the National Guideline Clearinghouse. CONCLUSIONS: The ability to search the medical literature in a time efficient manner represents an important part of an evidence based practice that is relevant to all urologists. The use of electronic databases of pre-appraised evidence can greatly expedite the search for high quality evidence, which is then integrated with urologist clinical skills and patient individual circumstances.
Authors:
Tracey L Krupski; Philipp Dahm; Susan F Fesperman; Connie M Schardt
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Publication Detail:
Type:  Journal Article     Date:  2008-02-20
Journal Detail:
Title:  The Journal of urology     Volume:  179     ISSN:  1527-3792     ISO Abbreviation:  J. Urol.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-17     Completed Date:  2008-03-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1264-70     Citation Subset:  AIM; IM    
Affiliation:
Duke University Medical Center, Durham, North Carolina 27609, USA. krups001@mc.duke.edu
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MeSH Terms
Descriptor/Qualifier:
Databases as Topic*
Evidence-Based Medicine
Humans
Internet
MEDLINE
Periodicals as Topic
Review Literature as Topic*
Urology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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