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· 분류 : 외국도서 > 의학 > 연구
· ISBN : 9781119484745
· 쪽수 : 288쪽
· 출판일 : 2019-04-19
목차
Foreword to the first edition by Professor Sir David Weatherall
Preface to the sixth edition
Preface to the first edition
Acknowledgements
Chapter 1 Why read papers at all?
Does ‘evidence-based medicine’ simply mean ‘reading papers in medical journals’?
Why do people sometimes groan when you mention evidence-based healthcare?
Before you start: formulate the problem
Exercises based on this chapter
References
Chapter 2 Searching the literature
What are you looking for?
Levels upon levels of evidence
Synthesised sources: systems, summaries and syntheses
Pre-appraised sources: synopses of systematic reviews and primary studies
Specialised resources
Primary studies – tackling the jungle
One-stop shopping: federated search engines
Asking for help and asking around
Online tutorials for effective searching
Exercises based on this chapter
References
Chapter 3 Getting your bearings: what is this paper about?
The science of ‘trashing’ papers
Three preliminary questions to get your bearings
Randomised controlled trials
Cohort studies
Case–control studies
Cross-sectional surveys
Case reports
The traditional hierarchy of evidence
Exercises based on this chapter
References
Chapter 4 Assessing methodological quality
Was the study original?
Whom is the study about?
Was the design of the study sensible?
Was bias avoided or minimised?
Was assessment ‘blind’?
Were preliminary statistical questions addressed?
A note on ethical considerations
Summing up
Exercises based on this chapter
References
Chapter 5 Statistics for the non-statistician
How can non-statisticians evaluate statistical tests?
Have the authors set the scene correctly?
Paired data, tails and outliers
Correlation, regression and causation
Probability and confidence
The bottom line
Summary
Exercises based on this chapter
References
Chapter 6 Papers that report trials of drug treatments and other simple interventions
‘Evidence’ and marketing
Making decisions about therapy
Surrogate endpoints
What information to expect in a paper describing a randomised controlled trial: the CONSORT statement
Getting worthwhile evidence from pharmaceutical representatives
Exercises based on this chapter
References
Chapter 7 Papers that report trials of complex interventions
Complex interventions
Ten questions to ask about a paper describing a complex intervention
Exercises based on this chapter
References
Chapter 8 Papers that report diagnostic or screening tests
Ten men in the dock
Validating diagnostic tests against a gold standard
Ten questions to ask about a paper that claims to validate a diagnostic or screening test
Likelihood ratios
Clinical prediction rules
Exercises based on this chapter
References
Chapter 9 Papers that summarise other papers (systematic reviews and meta-analyses)
When is a review systematic?
Evaluating systematic reviews
Meta-analysis for the non-statistician
Explaining heterogeneity
New approaches to systematic review
Exercises based on this chapter
References
Chapter 10 Papers that tell you what to do (guidelines)
The great guidelines debate
Ten questions to ask about a clinical guideline
Exercises based on this chapter
References
Chapter 11 Papers that tell you what things cost (economic analyses)
What is an economic analysis?
Measuring the costs and benefits of health interventions
A note of choosing wisely
Ten questions to ask about an economic analysis
Conclusions
Exercises based on this chapter
References
Chapter 12 Papers that go beyond numbers (qualitative research)
What is qualitative research?
Ten questions to ask about a qualitative research paper
Exercises based on this chapter
References
Chapter 13 Papers that report questionnaire research
The rise and rise of questionnaire research
Ten questions to ask about a paper describing a questionnaire study
Conclusions
Exercises based on this chapter
References
Chapter 14 Papers that report quality improvement case studies
What are quality improvement studies, and how should we research them?
Ten questions to ask about a paper describing a quality improvement initiative
Exercises based on this chapter
References
Chapter 15 Papers that describe genetic association studies
The three eras of human genetic studies (so far)
What is a genome-wide association study (GWAS)?
Clinical applications of GWAS
Direct-to-consumer genetic testing
Mendelian randomisation studies
Epigenetics – a space to watch
Ten questions to ask about a genetic association study
Conclusions
Exercises based on this chapter
References
Chapter 16 Applying evidence with patients
The patient perspective
Patient-reported outcome measures (PROMs)
Shared decision-making
Option grids
N of 1 trials and other individualised approaches
Exercises based on this chapter
References
Chapter 17 Criticisms of evidence-based healthcare
What’s wrong with EBHC when it’s done badly?
What’s wrong with EBHC when it’s done well?
Why is ‘evidence-based policymaking’ so hard to achieve?
Exercises based on this chapter
References
Appendix 1 Checklists for finding, appraising and implementing evidence
Appendix 2 Assessing the effects of an intervention
Index














