2006, Number 4
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Rev Mex Urol 2006; 66 (4)
Medical journals and the methodology of its writings. Medical scientific knowledge
Sosa MMC, Pablos HJL, Martínez SMC
Language: Spanish
References: 39
Page: 205-212
PDF size: 185.34 Kb.
ABSTRACT
The purpose of this article is to show relevant aspects about the relationship between medical knowledge and its application in clinical practice. Among the many medical knowledge classifications, two are selected: one regarding the level of knowledge and another about the clinician’s consciousness of his medical knowledge. Next, to be able to search an answer to a medical problem, a “web-formulated-clinical-question” must be designed, and its characteristics are stated. We present some studies carried out to determine the clinician’s knowledge requirements and how they are updated with books, courses, and medical journals. In particular, we present the physician’s preferences for different types of articles and how they evaluated them. Next, the paradigm of the evidence based medicine (EBM) is briefly explained, as well as the changes it introduces in the practice of medicine, the evidence hierarchy from articles from peer reviewed journal evolution, and the steps a physician must follow to practice it.
Finally, some problems regarding knowledge translation from theory and medical practice are mentioned.
REFERENCES
Straus SE, Richardson WS, Glasziou P, Haynes RB. Evidence-based medicine. How to practice and teach EBM. 3a ed. Edinburgh: Elsevier Churchill Livingstone 2005.
Richardson WS. Ask, and ye shall retrieve [EBM note]. Evidence-Based Medicine 1998;3:100–1. En: Straus SE, Richardson WS, Glasziou P, Haynes RB. Evidence-based medicine. How to practice and teach EBM. 3a ed. Edinburgh: Elsevier Churchill Livingstone 2005.
Oxman AD, Sackett DL, Guyatt GH, for the Evidence-Based Medicine Working Group. Users’ guides to the medical literature. I. How to get started. JAMA. 1993; 270:2093-5.
Richardson WS, Wilson MC, Nishikawa J, Hayward RSA. The well-built clinical question: a key to evidence- based decisions [editorial]. ACP J Club. 1995; 123:A12-A13.
Wyatt JC. 1. Clinical questions and information needs. J R Soc Med. 2000;93(4):168-71.
Sackett DL, Straus SE. Finding and applying evidence during clinical rounds: the “evidence cart”. JAMA. 1998;280:1336-8.
McKibbon A, Hunt D, Richardson S, Hayward R, Wilson M, Jaeschke R, Haynes B, Wyer P, Craig J, Guyatt G. 1A1. Finding the evidence. En: Guyatt GH, Rennie D [eds] for the Evidence-Based Medicine Working Group. User’s guide to the medical literature: Essentials of evidence-based clinical practice. Chicago USA: AMA Press:2002 (5th printing);13-47.
Covell DG, Uman GC, Manning PR. Information needs in office practice: are they being met? Ann Intern Med. 1985;103:596-9.
Osheroff JA, Forsythe DE, Buchanan BG, Bankowitz RA, Blumenfeld BH, Miller RA. Physicians’ information needs: analysis of questions posed during clinical teaching. Ann Intern Med. 1991;114:576-81.
Barrie AR, Ward AM. Questioning behaviour in general practice: a pragmatic study. BMJ. 1997;315:1515.
Ely JW, Osheroff JA, Ebell MH, Bergus GR, Levy BT, Chambliss ML, Evans ER. Analysis of questions asked by family doctors regarding patient care. BMJ. 1999;319:358-361.
Smith R. What clinical information do doctors need? BMJ. 1996;313:1062-8.
Shaughnessy AF, Slawson DC, Bennett JH. Becoming an information master: a guidebook to the medical information jungle. J Fam Pract. 1994;39:489-99.
Wyatt JC, Anagnostelis B. 2. Reference material: books and multimedia packages. J R Soc Med. 2000; 93(5):244-6.
Haynes RB, Sackett RB, Gray JMA, Cook DC, Guyatt GH. Transferring evidence from research into practice. I: the role of clinical care research evidence in clinical decisions. ACP Journal Club. Nov- Dec 1996; 125:A-14-15.
Wyatt JC. Use and sources of medical knowledge. Lancet. 1991;338:1368-73.
Stinson ER, Mueller DA. Survey of health professionals’ information habits and needs. JAMA. 1980;243: 140-3.
Colglazier ML. The causal relationship between clinical activity and journal use in a hospital library as analyzed by multiple regression. Bull Med Libr. 1996;84(4):569-71.
Roland CG, Kirkpatrick RA. Time lapse between hypothesis and publication in the medical sciences. N Engl J Med. 1975;292:1273-6.
Williamson JW, German PS, Weiss R, Skinner EA, Bowes III F. Health science information management and continuing education of physicians. A survey of U.S. primary care practitioners and their opinion leaders. Ann Int Med. 1989;110:151-60.
Sievert ME, McKinin EJ, Johnson ED, Reid JC, Mitchell JA. Beyond relevance -characteristics of key papers for clinicians: an exploratory study in an academic setting. Bull Med Libr Assoc. 1996;84(3):351-8.
Kuller AB, Wessel CB, Ginn DS, Martin TP. Quality filtering of the clinical literature by librarians and physicians. Bull Med Libr Assoc. 1993;81(1):38-53.
Kuhn TS. The structure of scientific revolutions. Chilcago, Ill: University of Chicago Press;1970.
Evidence-Based Medicine Working Group. Evidence-Based Medicine: A new approach to teaching the practice of medicine. JAMA. 1992;268(17):2420-5.
Egger M, Davey Smith G, Altman DG. Systematic reviews in health care: meta-analysis in context. 2a ed. Londres: BMJ Publishing Group;2001.
Oxman AD, Guyatt GH. The science of reviewing research. Ann N Y Acad Sci. 1993;703:125-34.
Oxman AD, Thomson MA, Davis D, Haynes RB. No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. Can Med Assoc J. 1995;153:1423-43.
Davis D, Evans M, Jadad A, Perrier L, D, Ryan D, Sibbald G, Straus S, Rappolt S, Wowk M, Zwarenstein M. The case for knowledge translation: shortening the journey from evidence to effect. BMJ. 2003;327:33-5.
Haynes RB, Sackett DL, Guyatt G, Tugwell P [eds]. Clinical epidemiology: How to do clinical practice research. Philadelphia: Lippincott Williams & Wilkins; 3rd Bk&C ed.
Wyatt JC. 5. Reading journals and monitoring the published work. J R Soc Med. 2000;93(8):423-7.
Levine M, Walter S, Haines T, Holbrook A, Moyer V. Users’ guides to the medical literature. IV. How to use an article about harm. JAMA. 1994;271(20):1615-9.
Guyatt GH, Rennie D [eds] for the Evidence-Based Medicine Working Group. User’s guide to the medical literature: Essentials of evidence-based clinical practice. Chicago USA: AMA Press:2002 (5th printing).
Guyatt GH, Keller JL, Jaeschke R, Rosenbloom D, Adachi J, Newhouse MT. The n-of-1 randomized controlled trial: clinical usefulness. Our three-year experience. Ann Intern Med. 1990;112:293-9.
Bero L, Rennie D. The Cochrane collaboration: Preparing, maintaining and disseminating systematic reviews of the effects of health care. JAMA. 1995; 274(24):1935-8
Effective practice and organization of care group. The Cochrane Library, Issue 1, Update Software, Oxford 2004. En: Straus SE, Richardson WS, Glasziou P, Haynes RB. Evidence-based medicine. How to practice and teach EBM. 3a ed. Edinburgh: Elsevier Churchill Livingstone 2005. 36. Canadian Institutes of Health Research. Knowledge translation framework. (accessed 26 August, 2002). En: Straus SE, Richardson WS, Glasziou P, Haynes RB. Evidence-based medicine. How to practice and teach EBM. 3a ed. Edinburgh: Elsevier Churchill Livingstone 2005.
Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet 2003;362:1225-30. En: Davis D, Evans M, Jadad A, Perrier L, D, Ryan D, Sibbald G, Straus S, Rappolt S, Wowk M, Zwarenstein M. The case for knowledge translation: shortening the journey from evidence to effect. BMJ. 2003;327:33-5.
Choi BCK. Understanding the basic principles of knowledge translation. J Epidemiol Comm Health. 2005; 59(2):93. 2003;327:33-5.
Froese R, Pauly D [eds]. FishBase. Glossary searched term: metadatabase. http://www.fishbase.org/ Glossary/Glossary.cfm?TermEnglish=metadatabase (acces-sed 2 Mar 2004). En: Choi BCK. Understanding the basic principles of knowledge translation. J Epidemiol Comm Health. 2005;59(2):93. 2003;327:33-5.
Hemmings J, Wilkinson J. What is a public health observatory? J Epidemiol Community Health. 2003; 57:324-6.