亞東醫院 【OVID 實証醫學資源 】

1. 亞東醫院【OVID 實証醫學資源】 飛資得資訊有限公司 95.12.28

2. 說明會內容 • 實証醫學五步驟 • 透視 OVID Medline • 實証醫學文獻及資源

3. 實証醫學五步驟

4. 實証醫學五步驟

5. Cochrane Organization • Collaborative Review Groups 協會評論小組 • Methods Groups 實行方法小組 • Field/Networks 領域小組 • Consumer Network 消費者網路 • Centers 中心 • Steering Group 指導委員會

6. EBM TEAM • QUESTION : Clinical Profession • SEARCH : Librarian Medical Informaticus • APPRAISE : Public Health (Epidemiology) Medical Informaticus • PRACTICE : Clinical Profession • AUDIT : Clinical Profession Public Health : (Management)

7. THE COCHRANECOLLABORATION

8. Archie Cochrane “It is“It is surely a great criticism of our profession that we have not organised a critical summary, by specialty or subspecialty, adapted periodically, of all relevant randomised controlled trials.” surely a great criticism of our profession that we have not organised a critical summary, by specialty or subspecialty, adapted periodically, of all relevant randomised controlled trials.”

9. Cochrane Centres Canadian Nordic San Francisco German UK Dutch French Iberoamerican Italian San Antonio Chinese New England Brazilian South African Australasian

10. Evidence-Based Medicine Review

11. EBMR • EBM Review-ACP Journal Club • EBM Review-Cochrane Database of Systemic Review(CDSR) • EBM Review-Database of Abstracts of Reviews Effectiveness(DARE) • EBM Review -The Cochrane Central Register of Controlled Trials

12. 資料庫內容屬性 Review

13. EBM- Review • Article Review • -ACP Journal Club • -Database of Abstract of Review Effectiveness • Topic Review -CochranceDatabase of Systematic Review -Cochrane of Clinicaled Trials of Register (-Database of Abstract of Review Effectiveness)

14. What is article review?

15. Article Review • ACP Journal Club • ACP Journal Club • Evidence Based Medicine(ACP , BMJ) • －1999

16. Article Review 收錄臨床醫學雜誌中每月重要的期刊論文。 針對同一個主題選出最好的文獻 Best Evidence 最符合該主題的文獻 • Objective • Design • Setting • Patients • Intervention • Main Outcome • Main Results • Conclusion

17. Article Review Process Monthly Review of Top Clinical Journals Quality Screening Article Review : Enhanced Abstract

18. Core Journals for Article Review • American Journal of Medicine • Annals of Internal Medicine • Archives of Internal Medicine • Journal of Internal Medicine • New England Journal of Medicine • Diabetes Care • Circulation, Jama, Lancet

19. Outline of a Article Review • Commentary: • Reference • Footnotes • Abstract: • Question • Design • Setting • Patients • Intervention • Main Outcome Measure • Main Results • Conclusions

20. What is topic revew? Systematic review

21. 領域A 領域B 領域C …… Topic1 Topic1 Topic1 Topic2 Topic2 Topic2 Topic3 Topic3 Topic3 …… …… …… …… RCT MR RCT RCT RCT MR RCT MR MR MR RCT MR RCT MR MR MR RCT MR RCT RCT RCT RCT RCT RCT RCT MR MR RCT MR MR MR MR MR MR Quality?? Validity?? Reliability?? Effectiveness of treatment or prevention??

22. CDSR Articles Reference Topic Review 收集以RCT為研究方法的臨床實驗報告文獻。 Cochrnae Database of Systematic Reviews (CDSR) 智慧文獻篩選

23. Systematic Review Process Comprehensive Topic Search Quality Screening Meta Analysis Topic Review

24. Review Groups • HIV/AIDS • Hypertension • Incontinence • Infectious diseases • Inflammatory bowel disease • Injuries • Lung cancer • Menstrual disorders and subfertility • Metabolic and endocrine disorders • Movement disorders • Multiple sclerosis • Muskuloskeletal • Musculoskeletal injuries • Neonatal • Neuromuscular disease • Oral health • Pain, palliative and supportive care • Peripheral vascular diseases • Pregnancy and childbirth • Prostatic diseases and urologic cancers • Renal • Schizophrenia 目前共有50個Review Groups

25. CDSR CCTR What’s relationship between CDSR and CCTR?

26. Topic1 Topic1 Topic1 Topic2 Topic2 Topic2 Topic3 Topic3 Topic3 …… …… …… MR RCT RCT MR MR MR RCT MR RCT RCT MR RCT MR MR RCT RCT MR RCT RCT MR RCT RCT RCT RCT RCT RCT MR MR MR MR MR MR MR MR 領域A 領域B 領域C …… …… Controlled Trials Register

27. What is CCTR? • 資料來源：Medline,EMBASE,其他電子資料庫 • CCTR 包含超過 300,000有關Randomized Controlled trials 隨機臨床試驗或 controlled clinical trials 控制臨床實驗

28. CCTR • 提供更多的clinical information • 客觀的RCT:未被CDSR收錄的Randomized Controlled Trials 的資料同樣可以為實証研究者做為參考資料 • 在EBMR中的CCTR是唯一參考型書目資料

29. 透視 OVID Medline

30. 透視OVID Medline • 檢索特性 • 醫學標題 • 精選文獻 • 欄位多樣(重)化

31. (醫學標題) • 定義：提供一完整的檢索，用意在以一控制字彚表MeSH，給每一篇文獻適當的標題，提供讀者得以依循進而檢索的功效。 • 標題檢索： • 醫學標題檢索為常用到的檢索，是OVID Medline 最重要的功能。 • 運用：即使用不同的作者，用不同的用詞表示同一個疾病名稱，如Breast cancer, Breast carcinoma, Breast tumor, Breast neoplasm, Breast oncology……時，讀者只要鍵入breast neoplasmor breast tumor 均可以找到全部的乳癌的資料。

32. (醫學標題) • 醫學標題分類： 醫學標題主要分成四種型式，讀者可以依據檢索的 需求，來決定用哪一個TERM： • 主要標題： • 呈現方式：*breast cancer • 顯示該篇文獻主要討論主題breast neoplasm • 次要標題： • 呈現方式：breast cancer • 顯示該篇文獻主要重點主題非breast neoplasm • 副標題 • 呈現方式：*breast neoplasm/Drug therapy, • 顯示所有文獻主要在討論breast neoplasm的藥物治療 • 條件依循值 • 呈現方式：infant , adult , animal, male, female

33. (醫學標題) MeSH Tree sturcture

34. 主要標題 次要標題 條件依循值

35. MeSH subheading

36. 精選所有的文獻 實例分享:西醫(資料庫之系統運用)

37. 多樣(重)性的欄位

38. 多樣(重)性的欄位

39. Medline • Input • 檢索方法一 • 檢索方法二 • 檢索方法三 • 擇其中最適合您所要的檢索方法 • Output • View • Select • Print • Email • Save

40. INPUT

41. 檢索方法一from title 關鍵字查尋 作者查尋 篇名查尋

42. 篇名查尋

43. 篇名查尋

45. 進階的文獻 篩選

48. 篇名查尋