Agency for Healthcare Research and Quality (AHRQ), formerly known as the Agency for Health Care Policy and Research (AHCPR): Clinical Guidelines and Evidence Reports*
http://www.ahrq.gov/clinic
The AHRQ Web site includes links to the National Guideline Clearinghouse, Evidence Reports from the AHRQ's 12 Evidence-based Practice Centers (EPC), and Preventive Services. The AHCPR released 19 Clinical Practice Guidelines between 1992 and1996 that were not subsequently updated.
American College of Physicians Journal Club (ACPJC)
http://acpjc.acponline.org
ACP Journal Club evaluates evidence in individual articles. Commentary by ACP author offers clinical recommendations. Access to the online version of ACPJC is a benefit for members of the ACP-ASIM, but will be open to all until at least the end of 2001.
Bandolier*
http://www.jr2.ox.ac.uk/bandolier/
Features short evaluations/discussions of individual articles dealing with evidence-based clinical practice.
Centre for Evidence Based Medicine (CEBM)
http://www.cebm.net/
The University of Oxford/Oxford Radcliffe Hospital Clinical School Web site includes links to CEBM within the Faculty of Medicine, a CATbank (Critically Appraised Topics), links to evidence-based journals, and EBM-related teaching materials.
Center for Research Support, TRIP Database
http://www.tripdatabase.com/index.html
The AHRQ began the Translating Research into Practice (TRIP) initiative in 1990 to implement evidence-based tools and information. The TRIP Database features hyperlinks to the largest collection of EBM materials on the internet, including NGC, POEM, DARE, Cochrane Library, CATbank, and individual articles. A good starting place for an EBM literature search.
Clinical Evidence,BMJ Publishing Group*
http://www.clinicalevidence.org
Searches BMJ's Clinical Evidence compendium for up-to-date evidence regarding effective health care. Lists available topics and describes the supporting body of evidence to date (e.g., number of relevant randomized controlled trials published to date). Concludes with interventions “likely to be beneficial” versus those with “unknown effectiveness.” Individuals who have received a free copy of Clinical Evidence Issue 5 from the United Health Foundation are also entitled to free access to the full online content.
Cochrane Database of Systematic Reviews*
http://www.cochrane.org/
Systematic evidence reviews that are updated periodically by the Cochrane Group. Reviewers discuss whether adequate data are available for the development of EBM guidelines for diagnosis or management.
Database of Abstracts of Reviews of Effectiveness (DARE)*
http://www.crd.york.ac.uk/crdweb/
Structured abstracts written by University of York CRD reviewers (see NHS CRD). Abstract summaries review articles on diagnostic or treatment interventions and discuss clinical implications.
Effective Health Care*
http://www.york.ac.uk/inst/crd/ehcb.htm
Bi-monthly, peer-reviewed bulletin for medical decision-makers. Based on systematic reviews and synthesis of research on the clinical effectiveness, cost-effectiveness and acceptability of health service interventions.
Evidence-Based Medicine*
http://www.evidence-basedmedicine.com
Bimonthly publication launched in 1995 by the BMJ Publishing Group. Article summaries include commentaries by clinical experts. Subscription is required.
Evidence-Based Practice Newsletter (including JFP Patient-Oriented Evidence that Matters [POEM])*
http://www.ebponline.net
This JFP newsletter features up-to-date POEM, Disease-Oriented Evidence (DOE), and tests approved for Category 1 CME credit. Subscription required.
InfoPOEMs
http://www.infopoems.com
Includes the InfoRetriever search system for the complete POEMs database and six additional evidence-based databases. Subscription is required.
Institute for Clinical Systems Improvement (ICSI)*
http://www.ICSI.org
ICSI is an independent, nonprofit collaboration of health care organizations, including the Mayo Clinic, Rochester, Minn. Web site includes the ICSI guidelines for preventive services and disease management.
National Guideline Clearinghouse (NGC)
http://www.guideline.gov/
Comprehensive database of evidence-based clinical practice guidelines from government agencies and health care organizations. Describes and compares guideline statements with respect to objectives, methods, outcomes, evidence rating scheme, and major recommendations.
National Health Service (NHS) Centre for Reviews and Dissemination (CRD)
http://www.crd.york.ac.uk
Searches CRD Databases (includes DARE, NHS Economic Evaluation Database, Health Technology Assessment Database) for EBM reviews. More limited than TRIP Database.
Primary Care Clinical Practice Guidelines
http://medicine.ucsf.edu/resources/guidelines
University of California, San Francisco, Web site that includes links to NGC, CEBM, AHRQ, individual articles, and organizations.
U.S. Preventive Services Task Force (USPSTF)*
http://www.ahrq.gov/clinic/uspstfix.htm
This Web site features updated recommendations for clinical preventive services based on systematic evidence reviews by the U.S. Preventive Services Task Force.