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My Internet Top 10 - Evidence Based Medicine

Hopefully, by the time you reach this page you will have managed to find these ten resources, using the skills in general Internet searching which we have previously discussed. However, if you haven't, here they are: -

Bandolier Bandolier, the monthly EBM journal, is accessible free via the Internet. I put it at number one, because of its user-friendly style, and because it not only teaches you how to appraise evidence, but also does as it teaches.

It has added a search facility, and has a download page for back issues, and useful links to other sites.

1
ScHARR The School of Health and Related Research  at Sheffield is the major directory resource of evidence based medicine. Andrew Booth maintains a comprehensive site which offers a library of core materials, a directory of EBM sites, a directory of internet databases, and sound advice on searching strategies. If you start here, and follow the links, you can find all the major EBM sites. 2
WISDOM Sheffield University offers this up to date directory of Internet and NHSnet resources, together with collections of articles relevant to EBM.

An additional resource from Sheffield is the Trent Resource Information Gateway (TRIAGE) which is an excellent directory of EBM sites and articles.

3
Users' Guides to the Health Care Literature
At some stage, if you take your EBM seriously, you're going to have to read this series of articles, originally published in the Journal of the American Medical Association, and held at the McMaster site. 4
Cochrane Library The Cochrane Library is familiar to most health professionals, although you can only access abstracts and not full text at the Cochrane site. It consists of the Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effectiveness (DARE), and a trials register.

If you want access to the full text you can subscribe for web access, or buy the CD. Doctors.net offers access to the full text of the Cochrane Systematic Reviews (you will need your GMC number to join for free).

The NHS Centre for Reviews and Dissemination has some tutorials on the use of Cochrane, and you can have a look at the Cochrane User Group discussion board (and join the Mailbase list if you wish to contribute).

5
NHS Centre for Reviews and Dissemination Home of the Effective Health Care Bulletins and Effectiveness Matters as well as providing the Database of Abstracts of Reviews of Effectiveness (DARE), a health technology assessment database, and a health economics database (NEED), this is one of the major British EBM sites. 6
Centre for Evidence-Based Medicine Based at Oxford, this site is a mine of practical information on how to find and appraise information. There is an EBM Toolbox, and an extremely useful tutorial on searching Medline using methodological filters. 7
ACP Journal Club The ACP Journal Club is worth visiting every month. It summarises studies or reviews on important topical subjects, with comments from experts in the field, and questions/replies from doctors around the world. 8
DEC One of a number of excellent Health Technology Assessment sites (see also the other HTA sites accessible via the national site). HTA sites are where you will find important evidence based assessments of the latest 'technologies'. This includes not only medication (e.g. beta interferon, olanzapine, statins) and surgical procedures, but also screening and prevention programmes etc.

You can find international HTA sites such as CCOHTA (Canada) and AHCPR (USA), via the International Agency for Health Technology Assessment (INAHTA), which has a huge set of links to the world of health technology assessment.

9
TRIP An EBM database with a primary care bias. The excellent search engine supports Boolean searching. At the site you will also find a large number of links to resources at other centres. 10

 

 
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Raouf Allim
22 Benjamin Road
High Wycombe
Bucks. HP13 6SR
raouf@wycombe.com
24th July 2000