Tools Summary



EBP Tools Summary

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Source. University of Washington Health Sciences Libraries (n.d.). Evidence-Based Practice Tools Summary. Retrieved July 1, 2005, from the World Wide Web:

Level 1. Cochrane and Campbell Systematic Reviews

Cochrane Library | Free search



The Cochrane Collaboration. Oxford: Update Software; 1996-. Updated quarterly.

• Cochrane Database of Systematic Reviews (CDSR)

o 'Gold Standard' for high-quality systematic reviews

o Full-text included in Cochrane Library

o CDSR includes complete reviews and protocols (reviews that are still in progress).

o Cochrane Systematic Review abstracts are in PubMed but there is no link to full-text of the review

• Database of Abstracts of Reviews of Effectiveness (DARE)

o Prepared by the National Health Service Centre for Reviews and Dissemination, University of York, England.

o Complements the CDSR by offering a selection of quality assessed reviews in those subjects where there is currently no Cochrane review.

o Brief critical appraisals of previously published reviews of the effects of health care.

o Structured abstracts, not full-text

o DARE not indexed in PubMed, but original research articles may be

o Also available at no charge on the web from University of York |

Campbell Collaboration (C2): The Campbell Collaboration Library and Database | Free search



• Summaries and electronic brochures of reviews and reports of trials on social, behavioral and educational interventions.

• The C2 library includes:

o Registers of Randomized Control Trials: C2-SPECTR and C2-PROT

o Register of C2 Systematic Reviews of Interventions and Policy Evaluation (C2-RIPE)

o Centre for Reviews and Dissemination: Database of Abstracts of Reviews of Effects (DARE)

Evidence Based Medicine Reviews through Ovid | Fee-based



• Combines 4 of the most trusted EBM resources (including DARE and Cochrane) into a single, fully-searchable database.

Level 2. Other Systematic Reviews and Meta-analyses

PubMed MEDLINE - Systematic Reviews | Free



• Access: Free search; part of PubMed's Clinical Queries (linked in PubMed Services section, left navigation bar)

• Columbia U. access for more full-text links

• Identifies systematic reviews and other similar types of studies found in biomedical journals included in PubMed database.

• No evaluation of comparative quality of different reviews on a topic.

• Abstracts supplied by authors/journals. No separate evaluation of quality of research.

• Identify systematic reviews in the biomedical area - gathers together much larger collection than other evidence-based practice resources.

Centre for Reviews and Dissemination (CRD) | Free



• Maintains the following database:

o DARE

o NHS Economic Evaluation Database (NHS EED)

o Health Technology Assessment (HTA) Database

Level 3 & 4. Evidence Guidelines/Summaries

AHRQ National Guideline Clearinghouse | Free



• Structured abstracts (summaries) about the guideline and its development

• Links to full-text guidelines, where available, and/or ordering information for print copies

• Palm-based PDA Downloads of the Complete NGC Summary for all guidelines represented in the database.

• A Guideline Comparison utility that gives users the ability to generate side-by-side comparisons for any combination of two or more guidelines

• Unique guideline comparisons called Guideline Syntheses prepared by NGC staff, compare guidelines covering similar topics, highlighting areas of similarity and difference. NGC Guideline Syntheses often provide a comparison of guidelines developed in different countries, providing insight into commonalities and differences in international health practices.

• An electronic forum, NGC-L for exchanging information on clinical practice guidelines, their development, implementation and use

• An Annotated Bibliography database where users can search for citations for publications and resources about guidelines, including guideline development and methodology, structure, evaluation, and implementation

BMJ Clinical Evidence | Fee-based



• Compendium of evidence on the effects of clinical interventions.

• Summarizes the current state of knowledge, including knowns and unknowns, based on thorough search.

• Categorizes interventions as beneficial, likely beneficial, no known benefit, harmful

Other Resources:

• Cancer Care Ontario Program in Evidence-Based Care - Information for Practitioners | Free



• CDC Recommends | Free

• CMA Infobase: Clinical Practice Guidelines | Free

• New York State Office of Mental Health (OMH): Creating an Environment of Quality Through Evidence-Based Practices | Free

• Cancer Care Ontario Program in Evidence-Based Care - Information for Practitioners | Free



• CMA Infobase: Clinical Practice Guidelines | Free

• FPIN Clinical Inquiries included in Journal of Family Practice | Fee-based

Level 5. RCTs, Case Cohorts, Control Studies

PubMed | Free



• note: Filtered by publication type, but not quality

• Clinical Queries - Uses preconfigured search strategies to retrieve research-based citations on clinical topics in the areas of therapy, diagnosis, etiology, or diagnosis.

• Use Limits to search by specific publication type (e.g. meta-analysis, randomized controlled trial, review). Searches one publication type at a time.

Cochrane Library | Free search



The Cochrane Collaboration. Oxford: Update Software; 1996-. Updated quarterly.

• Cochrane Central Register of Controlled Trials Register (CENTRAL)

o Bibliography of controlled trials as part of an international effort to hand search the world's journals.

o Includes reports published in conference proceedings and in many other sources not in MEDLINE or other bibliographic databases.

Other Resources:

• Education Resources Information Center (ERIC) | Free



• Social Work Abstract | Fee-based



• PsycInfo | Fee-based



Level 6. Clinical Research Critiques

Reviews of patient care relevant studies.

ACP Journal Club | Fee-based



• American College of Physicians - American Society of Internal Medicine (ACP-ASIM)

• Internal medicine focus

• Abstracts to journal articles selected according to explicit criteria from major peer-reviewed medical journals

• Available in print.

POEMS (Patient Oriented Evidence that Matters) | Fee-based



• Structured abstracts by Journal of Family Practice editors

• Reviews over 90 journals monthly; identifies eight articles to abstract

• Focus on the patient

• Subset available in Journal of Family Practice

• All POEMS included in InfoPOEMs

Level 7. Other Reviews of the Literature

Natural Medicines Comprehensive Database | Fee-based



• Subject-specific database of evidence-based information.

• Compiled by publishers of Pharmacist's Letter and Prescriber's Letter

• Herbal medicines, and dietary supplements used in the western world

• Assesses available evidence; check references for quality of source

Level 8. Case Reports, Case Series, Other Articles, Practice Guidelines, etc.

PubMed | Free search



• Use Limits to search by specific publication type. Searches one publication type at a time.

National Guideline Clearinghouse | Free



• Produced by AHCPR, in partnership with AMA and AAHP. Available at no charge

• Updated weekly with new and changed guidelines.

• Comprehensive database of evidence-based clinical practice guidelines and related documents. Voluntary participation.

Level 9 Clinical Reference Texts

PrimeAnswers | Free



Care Provider Toolkit | Free



Meta-Search Engines

PrimeEvidence in PrimeAnswers | Partly fee-based



Evidence to clinicians at point of care. Focus on adult primary care.

Small database (around 500) of evidence-based articles on specific topics from a limited number of difficult-to-access sources

TRIP+ (Turning Research Into Practice) | Fee-based



Meta-search from UK

Enhanced version, Trip Database Plus, available by subscription

Searches over 55 sites of evidence-based information

Includes links to peer-reviewed journals and other publications

SUMSearch | Free



Produced by University of Texas Health Sciences Center, San Antonio

Simultaneously searches few free-access sources - PubMed Cochrane Systematic Reviews (within PubMed), National Guideline Clearinghouse and Merck Index

Results grouped by reviews, practice guidelines, systematic reviews and research-based articles

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