Evidence-Based Medicine

Aug 1, 2013 Issue
Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and Reduce Harm [Editorials]

The Choosing Wisely campaign provides key clinical recommendations for physicians and patients that promote best practices and help avoid unnecessary medical interventions.

Jul 15, 2013 Issue
Pulmonary Embolism Rule-Out Criteria: A Clinical Decision Rule That Works [AFP Journal Club]

A number of clinical decision rules have been released recently. The PERC rule is an example of one that works well because it was derived from a large number of patients, and it was internally and externally validated.

Nov 1, 2012 Issue
Top 20 Research Studies of 2011 for Primary Care Physicians [Article]

In 2011, through regular surveillance of more than 100 English-language research journals, a group of seven clinicians identified approximately 250 studies with the potential to improve the practice of primary care physicians and the outcomes of patients (designated as POEMs [patient-oriented eviden...

Sep 15, 2012 Issue
How Do Clinical Practice Guidelines Go Awry? [AFP Journal Club]

Many guidelines are dominated by recommendations from experts and are not based on sound clinical studies. The development of clinical practice guidelines needs to be transparent and devoid of commercial, financial, and political influences. Physicians should also be wary of outdated guidelines.

May 1, 2012 Issue
New Feature to Help Physicians Implement AHRQ Effective Health Care Reviews [Editorials]

To more effectively disseminate the results of comparative effectiveness research into practice, AHRQ's Effective Health Care Program produces concise summaries of its reviews for patients, policy makers, and physicians. AFP has partnered with AHRQ to introduce a new journal feature, “Implementing AHRQ Effective Health Care Reviews.”

Sep 1, 2011 Issue
Compromising the Medical Literature: The Hidden Influence of Industry-Biased Articles [Editorials]

Stealth marketing via journals threatens evidence-based practice, but eliminating ghostwriting does not guarantee the absence of undue bias. A further step to deter such practices is the retraction of articles for egregious instances of distortion. To leave obviously compromised articles in the medi...

Dec 1, 2010 Issue
Clinical Pathways: Effects on Practice, Outcomes, and Costs [Cochrane for Clinicians]

The results of 27 studies (n = 11,398) support the conclusion that clinical pathways reduce in-hospital complications and improve documentation.

Jul 15, 2009 Issue
New USPSTF Resources and Tools Can Help Put Prevention into Your Practice [Editorials]

Jul 1, 2009 Issue
Identifying and Using Good Practice Guidelines [Article]

Performance measurement and payment are increasingly linked to goals established by practice guidelines. The best guidelines are based on systematic reviews and patient-oriented evidence, use an evidence-rating system such as the Strength of Recommendation Taxonomy, and are prospectively validated. ...

May 15, 2009 Issue
Finding High-Quality Review Articles [Article]

A wide array of resources summarizing medical information are available, and physicians must carefully choose the most trustworthy sources. Treatment decisions should be based on the best available evidence, which should be carefully critiqued for both relevance and validity. Paying particular atten...

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