Evidence-based Medicine On the Same Page™

The EBM Information Quest: Is it true? Is it useful? Is it usable?™

Delfini Co-founders: Michael E Stuart MD, President & Medical Director . Sheri Ann Strite, Managing Director & Principal

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About PMID Numbers:
We frequently utilize a PMID number in place of a citation. Where PMID numbers are available, enter that number into the PubMed search box to retrieve that citation and listing.

 

Evidence-based Information & Decision Aid Examples for Health Care Professionals & Patients—Putting Everyone on the Same Page

Patient-centered Resources: Online Resources for Patients, Clinicians & Others

 

At Online Doctor-Patient Resources

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Important
Not all clinical recommendations from other sources have been reviewed for validity and ours may or may not be uptodate, so selections below should be viewed as representing examples of approaches and formats for communications, etc. Feel free to contact us for details. Read our Health Care Information Source Cautions at Notices.

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BMJ BestHealth
Available through licensure only: This site is meeting a huge information need by providing relevant, valid information to patients and to clinicians. It includes information on various conditions and treatments, operations, a section on decision support and a section on the latest health news.  This is exactly what we've been professing—patients and healthcare professionals should be on the same evidence-based page.

Direct Link—http://besthealth.bmj.com/x/index.html

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Cochrane Informed Health Online

A group called Informed Health Online based in Melbourne, Australia provides evidence-based information for patients, clinicians and others. It is a non-profit foundation found at http://www.informedhealthonline.org

This is a nice website for consumers because it summarizes systematic reviews from Cochrane (abstracts of Cochrane Reviews are available without charge). The nice thing about this site is that you can get to the abstracts of Cochrane Reviews and the consumer summaries from one website and it is free.

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Consumer Reports "Best Buy Drugs"

The mission of the Consumer Reports Best Buy Drugs project is to provide consumers and their doctors with information to help guide prescription drug choices–based on effectiveness, a drug's track record, safety and price.

This appears to be a good source of information since it is based on the work of the Oregon Health & Science University Evidence-based Practice Center which uses a rigorous approach to evaluating science.

http://www.bestbuydrugs.org

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Delfini Rx Messaging Scripts

Delfini Messaging Scripts™: See Samples for evidence-based messages for patients on specific clinical topics.

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DIPEx

Illness information for patients, including patients talking about their experiences with illness, can be found at this site. Many of the modules are produced by professionals involved with the Cochrane Collaboration. The site provides patients with information by condition, but also through interviews with patients that you can hear directly online. It also provides information about other resources available to patients.

http://www.healthtalkonline.org/

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Medline Plus for Patients MEDLINEplus

Medline Plus provides extensive, “authoritative” information from National Library of Medicine, the National Institutes of Health and other trusted sources on over 650 diseases and conditions. Included are a medical encyclopedia and a medical dictionary, extensive information on prescription and nonprescription drugs, health information from the media, and links to thousands of clinical trials. There is no advertising on the site, nor does MEDLINEplus endorse any company or product. Although the site uses criteria, it should be noted that there is no critical appraisal of the information for validity.

Key criteria for information and links include:

  • Quality, authority and accuracy of content (again, caution because there is no critical appraisal of the information for validity).
    • The source of the content is established, respected and dependable. A list of advisory board members or consultants is published on the site.
    • The information provided is appropriate to the audience level, well-organized and easy to use.
    • Information is from primary resources (i.e., textual material, abstracts, web pages).
    • Lists of links are evaluated/reviewed/quality-filtered.
  • The primary purpose of the web page is educational.
  • Information is current or an update date is included.
  • Registration is not required to view the information on the site.

http://www.medlineplus.gov

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New Zealand Guidelines Group Risk Calculator for Primary Prevention of Cardiovascular Disease

03/18/09: Here is the New Zealand Guidelines Group risk calculator for primary prevention of cardiovascular disease. Typically, a cardiac risk calculator provides an estimate (either 5 or 10 years) of an individual's risk of experiencing an adverse cardiac event based on specific risk factors. For example, the New Zealand risk tables provide a 5-year assessment based on an individual’s sex, diabetic status, smoking history and age. It also provides an estimate of benefit (CVD events prevented per 100 people) treated with blood pressure agents, aspirin and lipid-lowering agents for 5 years based on risk level.

Avoid ones that present data for 10 years — they are extrapolated from 5-year evidence and, therefore, are not valid. This is the real thing. You can find it through our weblinks at New Zealand Guidelines Group or Cardiovascular Disease Primary Prevention Risk Calculator.

http://www.nzgg.org.nz/guidelines/0035/CVD_Risk_Chart.pdf

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