1
Q
3 factors of evidence based medicine
A
- Research
- Patient preference/ circumstance
- Physicians judgement an expertise
2
Q
Push vs pull resources
A
Push: research articles sent to you because you subscribe to the journal
Pull: something you look up
3
Q
What is pre-appraised research?
-examples
A
- Synopsis of multiple reviews that are relevant to certain subject but not looked at by expert panel
- synopses and systematic reviews
4
Q
What are summaries and guidlines
A
-Synopsis of multiple reviews that are relevant to certain subject and looked at by expert panel
5
Q
What is the best way to evaluate evidence?
A
systematic reviews
6
Q
Guidelines
- variability
- use
A
- high, very few have same recommendation
- important to look for guidelines that best fit patients needs, try looking at top 3 guidelines for certain subject to ensure you can justify to the patient
7
Q
Women health initiative
A
- Very important study that looked at 168,808 women ages 50-79 to look at different disease
- realized that estrogen was cont cardiovascular protective, did not have any benefit in osteoporosis, and caused increase risk of cancer and stroke/cardiovascular events in smoker
8
Q
Why should you not use estrogen to help with menopausal symptoms in patient that smokes?
A
-increased chance of clotting
