"evidence matters when it comes to health: a new tool of
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Cover Slide
Evidence Matters!KU-03 2003, Quebec, Canada
Ofer Allan Avital M.D., Anne Bourbonnais RN, MSc (cand)
Founders, Evidence [email protected]
Our Scientific Advisors
Stuart Macleod M.D. - former dean of medicine at McMaster university
Mo Watanabe, M.D. – former dean of medicine, University of Calgary, EBM Expert
Dr. Lewis Slotin – Former Director, MRCDr. Al Shrier – Chair of McGill Physiology
DeptAngela Lambrou, MSLIS, Librarian, McGill ULouise Bourbonnais, MSLIS, Librarian,
IUGM
Outline
Presentation Outline
- The Problems With Evidence
- Current Resources
- Example of a Clinical Question
- Accolades, Awards & Activities
- How to Access
- Evidence Matters
Example of a Clinical Question
A Clinician or Manager Asks:For a 35 year old woman with breast cancer
(with bone metastases), what are the therapies available with:
Goal: Include multiple types of research designs, organized by level of evidence
- Highest remission rates at five years?
- Lowest nausea rates during therapy?
- Least hair loss?
- Outcomes above and lowest costs?
Outline
Presentation Outline
- The Problems With Evidence
- Current Resources
- Example of a Clinical Question
- Accolades, Awards & Activities
- How To Access
- Evidence Matters
The Problem With Finding Evidence
Outline
Challenges - Philosophical
- Leave room for experience, judgment
- Evidence can sometimes be rigid
- Evidence should inform, not dictate
The Problem With Finding Evidence
Outline
Challenges - Practical
- Evidence can be slow/hard to synthesize
- Varying levels of evidence
- Evidence can be slow/hard to amass
- Timeliness of synthesized resources vary
- No standardization of outcomes
- Contradictory findings
The Problem With Finding Evidence
Outline
Presentation Outline
- The Problem With Finding Evidence
- Current Resources
- Example of a Clinical Question
- Accolades, Awards & Activities
- How To Access
- Evidence Matters
Spectrum of Professional Literature
Research Resources
- Medline/Pubmed
Find
- Index Medicus
- Library Collections
- Evidence Matters
Read Synthesize Apply
Construct Question “Metaanalysis”
Can “Drill-down” to get - Reference Lists - Text - Article Summaries
Choose Concept Term Do above
Choose Concept/Keyword Do above
(“Metagraph”)
- Expert/Researcher Ask a Question Customized Answer (+/- evidence)
Spectrum of Professional Literature
The Spectrum of Professional Literature
MDConsult Harrison’s Online
- Graph Summary Views
Traditional Opinion Evidence-Based
UpToDate
Evidence Matters
- Multiple types of research- Daily Updates
- Multilingual
- Summaries of every article
Cochrane ACP Clinical Evidence
- User-defined- Outcomes-based
Cancer Focus
Medline
Outline
Presentation Outline
- The Problem With Finding Evidence
- Current Resources
- Example of a Clinical Question
- Accolades, Awards & Activities
- How To Access
- Evidence Matters
Home Page & Login
DrKoop
Graph 1 – Intro: All therapies
Search!
Answer:
Graph 1b - Level of Evidence
Graph 1c - Case Series Label
Graph 1d - Legend & Drill Down
List View 1
List View 2
Article Summary 1a - Recurrence Outcome
Article Summary 1b - Other Outcomes
Article Summary 1a - Recurrence Outcome
Article Summary 1c - Scroll Down
Construct new Question/Search
Question Wizard - Step 1a
Question Wizard - Step 1b
Question Wizard - Step 2a
Question Wizard - Step 2a1
Question Wizard - Step 2b1
Question Wizard - Step 2b2
Question Wizard - Step 2b2-P
Question Wizard - Step 3
Question Wizard - Step 3a
Question Wizard - Step 3b
Question Wizard - Step 3b6
Question Wizard - Step 3b62
Question Wizard - Step 3b62b
Question Wizard - Step 3b62b-OverallS
Question Wizard - Generate Graph
Graph 2 - Prednisone
Prednisone
Favorites
- Graph Summary Views
Feature Summary
- Multiple types of research
- Daily Updates
- User-defined comparisons
- Multilingual
- Summaries of every article
EM Feature Summary
- Outcomes-based
Outline
Presentation Outline
- The Problem With Finding Evidence
- Current Resources
- Example of a Clinical Question
- Accolades, Awards & Activities
- How To Access
- Evidence Matters
« This is the most time-friendly device for medical information I’ve ever seen »
« I cannot believe this will not become the new standard of care »
« I find it hard to get medical articles from the MEDLINE database, but this is easy and fast »
Dr. George Michaels Assistant professor Family Medicine McGill University, Assistant Physician-in-Chief St-Mary’s Hospital
Dr. Campbell Davies, Gastroenterologist, St. Mary’s Hospital
Accolades from Test Users
• Finalist for Best New Company in Canada, Canadian Youth Business Foundation• December 2002: $350 000 Federal grant signed from CANARIE • Financial backing from MedTech Partners inc.
Awards
2003
2002
• Best Company – Samson Belair Deloitte Touche Investors night - $5 000 prize
2001• Governor’s Circle: Best New Company - $20 000 grant from City of Montreal,
“Fondation du Maire de Montreal”
• CHLA 2003, EBL, in Edmonton, Alberta. Paper presentation, Poster
Activities - 2003
September
June
• KU-03: Knowledge Utilization / Transfer Colloquium, KU-UC/CHSRF/CIHR, Invited Speaker
February
• TEKT Think Tank, CIHR - Vancouver, B.C. • McGill Medical Class - Invited Speaker,
class on Evidence Based Medicine
• USMLA 2003, San Diego. Registrant
Outline
Presentation Outline
- The Problem With Finding Evidence
- Current Resources
- Example of a Clinical Question
- Accolades, Awards & Activities
- How To Access
- Evidence Matters
Access to Our System
1) Free Trials available in 3-6 months
2) Some Content always free
4) Browser-based (no installation)
3) Subscription to the rest
Questions: [email protected]
5) Leave your contact information or contact us
to be notified of the launch and trials
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