Evidence map›Paper›PMID 15857491›Full record

ArticleJournal of general internal medicine2005

Teaching evidence-based medicine skills can change practice in a community hospital.

Sharon E Straus, Chris Ball, Nick Balcombe, Jonathon Sheldon, Finlay A McAlister

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. The effect of scientific evidence on conservation practitioners' management decisions.Conservation biology : the journal of the Society for Conservation Biology · 2015
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  19. Education and implementing evidence-based nursing practice for diabetic patients.Iranian journal of nursing and midwifery research · 2013
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sharon E StrausDepartment of Medicine, University of Toronto, University Health Network, Toronto, Ontario, Canada. sharon.straus@utoronto.ca
Chris Ball
Nick Balcombe
Jonathon Sheldon
Finlay A McAlister

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSeveral studies have evaluated whether evidence-based medicine (EBM) training courses can improve skills such as literature searching and critical appraisal but to date, few data exist on whether teaching EBM skills and providing evidence-based resources result in change in behavior or clinical outcomes. This study was conducted to evaluate whether a multifaceted EBM intervention consisting of teaching EBM skills and provision of electronic evidence resources changed clinical practice.

designBefore/after study.

settingThe medical inpatient units at a district general hospital.

participantsThirty-five attending physicians and 12 medicine residents.

interventionA multicomponent EBM intervention was provided including an EBM training course of seven 1-hour sessions, an EBM syllabus and textbook, and provision of evidence-based resources on the hospital network. MEASUREMENTS AND MAIN

resultsThe primary outcome of the study was the quality of evidence in support of therapies initiated for the primary diagnoses in 483 consecutive patients admitted during the month before and the month after the intervention. Patients admitted after implementation of the EBM intervention were significantly more likely to receive therapies proven to be beneficial in randomized controlled trials (62% vs 49%; P= .016). Of these trial-proven therapies, those offered after the EBM intervention were significantly more likely to be based on high-quality randomized controlled trials (95% vs 87%; P= .023).

conclusionsA multifaceted intervention designed to teach and support EBM significantly improved evidence-based practice patterns in a district general hospital.

Indexed as

Hospitals, CommunityPractice Patterns, Physicians'AgedEvidence-Based MedicineFemaleHumansInternal MedicineInternship and ResidencyMaleMiddle AgedQuality of Health CareUnited Kingdom

Identifiers

PMID15857491
PMCPMC1490095

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.