McMaster Evidence-Based Clinical Practice Workshop Resources – Systematic review module
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McMaster Evidence-Based Clinical Practice Workshop – Systematic review module.
Key Concepts addressed:- 1-1 Treatments can harm
- 1-2 Anecdotes are unreliable evidence
- 1-3 Association is not the same as causation
- 1-4 Common practice is not always evidence-based
- 1-5 Newer is not necessarily better
- 1-6 Expert opinion is not always right
- 1-7 Beware of conflicting interests
- 1-8 More is not necessarily better
- 1-12 Dramatic treatment effects are rare
- 2-1 Comparisons are needed to identify treatment effects
- 2-2 Comparison groups should be similar
- 2-3 Peoples' outcomes should be analyzed in their original groups
- 2-4 Comparison groups should be treated equally
- 2-5 People should not know which treatment they get
- 2-6 Peoples' outcomes should be assessed similarly
- 2-7 All should be followed up
- 2-8 Consider all of the relevant fair comparisons
- 2-9 Reviews of fair comparisons should be systematic
- 2-11 All fair comparisons and outcomes should be reported
- 2-12 Subgroup analyses may be misleading
- 2-13 Relative measures of effects can be misleading
- 2-14 Average measures of effects can be misleading
- 2-16 Confidence intervals should be reported
- 2-17 Don’t confuse “statistical significance” with “importance”
- 2-18 Don’t confuse “no evidence” with “no effect”
- 3-1 Do the outcomes measured matter to you?
- 3-2 Are you very different from the people studied?
- 3-3 Are the treatments practical in your setting?
- 3-5 How certain is the evidence?
- 3-6 Do the advantages outweigh the disadvantages?
Details
This is the Systematic review module resources provided to the attendees at the McMaster Evidence-Based Clinical Practice Workshop.
This contains:
- Clinical problem: an outline of the module objectives and a specialty-specific clinical scenario describing a patient problem relevant to the module (Internal Medicine, Family Medicine, Emergency Medicine, Paediatrics, and Surgery).
- Clinical article: one or more speciality-specific clinical papers pertinent to the problem posed in the scenario (Internal Medicine, Family Medicine, Emergency Medicine, Paediatrics, and Surgery).
- Worksheet: Critical appraisal worksheet for organizing ideas as readers work through articles.
This package is one of several other packages included in the McMaster Evidence-Based Clinical Practice Workshop such as Therapy, Diagnosis, and Prognosis.