ArticleJournal of the Medical Library Association : JMLA2004
Evidence-based databases versus primary medical literature: an in-house investigation on their optimal use.
Article in Journal of the Medical Library Association : JMLA, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- A mixed-methods analysis of a library-based hand-held intervention with rural clinicians.Health information and libraries journal · 2014Trial
- Randomized trial for answers to clinical questions: evaluating a pre-appraised versus a MEDLINE search protocol.Journal of the Medical Library Association : JMLA · 2006Trial
- Clinical questions in primary care: Where to find the answers - a cross-sectional study.PloS one · 2022Article
- Net improvement of correct answers to therapy questions after pubmed searches: pre/post comparison.Journal of medical Internet research · 2013Article
- Access of primary and secondary literature by health personnel in an academic health center: implications for open access.Journal of the Medical Library Association : JMLA · 2013Article
- Features of effective medical knowledge resources to support point of care learning: a focus group study.PloS one · 2013Article
- Public access and use of health research: an exploratory study of the National Institutes of Health (NIH) Public Access Policy using interviews and surveys of health personnel.Journal of medical Internet research · 2011Article
- Developing and using a rubric for evaluating evidence-based medicine point-of-care tools.Journal of the Medical Library Association : JMLA · 2011Article
- Type of evidence behind point-of-care clinical information products: a bibliometric analysis.Journal of medical Internet research · 2011Article
- Problem-oriented drug information: physicians' expectations and impact on clinical practice.European journal of clinical pharmacology · 2009Article
- Answers to questions posed during daily patient care are more likely to be answered by UpToDate than PubMed.Journal of medical Internet research · 2008Article
- Exploring clinician adoption of a novel evidence request feature in an electronic medical record system.Journal of the Medical Library Association : JMLA · 2008Article
- Factors associated with medical knowledge acquisition during internal medicine residency.Journal of general internal medicine · 2007Article
- A comparison of primary care information content in UpToDate and the National Guideline Clearinghouse.Journal of the Medical Library Association : JMLA · 2007Article
- Voice capture of medical residents' clinical information needs during an inpatient rotation.Journal of the American Medical Informatics Association : JAMIAArticle
- Retrieval of diagnostic and treatment studies for clinical use through PubMed and PubMed's Clinical Queries filters.Journal of the American Medical Informatics Association : JAMIAArticle
- Evolution of a mature clinical informationist model.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveThe objective is to investigate the effectiveness of evidence-based medicine (EBM) resources in providing evidence for complex clinical questions versus general care management questions to identify situations for their optimal use.
methodsIn this investigation, forty complex clinical questions were randomly selected from an in-house archival database of questions received by librarians during clinical rounds. An additional forty questions were selected from a list of general care management questions received by the library from Pathways teams. To measure the effectiveness of resources in answering the questions, a team of librarians was asked to search UpToDate, the Cochrane Database of Systematic Reviews, and HealthGate Clinical Guidelines (formerly, EBM Solutions). The team then established consensus on whether a question was fully or partially answered by one of the above-mentioned EBM resources and was instructed to record the instances in which the primary literature needed to be used to answer the question completely.
resultsThe study found that the EBM resources completely answered 20.0% of the 40 complex clinical questions and 47.5% of the 40 general care management questions, partially answered 40.0% of the complex clinical questions and 22.5% of the general care management questions, and did not answer 40.0% of the complex clinical questions and 30.0% of the general care management questions.
conclusionThe pervasive use of EBM resources in answering clinical questions is making it imperative for information specialists to develop an expertise on their appropriate use. By exploring their use in answering complex clinical questions and general care management questions, this paper underlines the strengths and weakness of EBM resources and provides information specialists with some basic knowledge about how these resources can be combined with the primary literature to strengthen their effectiveness.
Indexed as
Identifiers
15494755PMC521511What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.