Quick Intro to Health Quick Intro to Health InfoInfo

Stewart BrowerStewart Brower

Toni HoberechtToni Hoberecht

Evidence based health care Evidence based health care

““the conscientious, explicit and the conscientious, explicit and judicious use of current judicious use of current best best evidenceevidence in making decisionsin making decisions about about the care of the individual patient. It the care of the individual patient. It means means integratingintegrating individual clinical individual clinical expertise with the best available expertise with the best available external clinical evidence from external clinical evidence from systematic research.”systematic research.”

David Sackett, M.D.David Sackett, M.D.

Clinical Expertise

Patient’sValues

ResearchEvidence

Why Care About EBHC?Why Care About EBHC?

EBHC is essentially about patientsEBHC is essentially about patients Clinical practice is undergoing Clinical practice is undergoing

revolutionary change, with evidence revolutionary change, with evidence and decision skills assuming a and decision skills assuming a central role for all practitionerscentral role for all practitioners

The best use of the best evidence The best use of the best evidence yields the best careyields the best care

Gross, Decisions and Evidence in Medical PracticeGross, Decisions and Evidence in Medical Practice2001 p. V2001 p. V

PICOPICO

MetricMetric– P (patient/disease, population)P (patient/disease, population)– I (intervention)I (intervention)– C (comparative intervention)C (comparative intervention)– O (outcome)O (outcome)

Usually preceded by a short scenarioUsually preceded by a short scenario Ideal for creating a research questionIdeal for creating a research question

Sample PICO Question Sample PICO Question

P adults with acute back pain or sciatica

I activity

C bedrest

O pain reduction/return to regular routine

For adults with acute back pain or sciatica, is there any evidence that staying active as opposed to bedrest is more beneficial?

Let’s try this together…Let’s try this together…

Each team will get copies of the Each team will get copies of the article, the abstract, and a series of article, the abstract, and a series of questions to answerquestions to answer

Apply what you know – Is your article Apply what you know – Is your article “included”?“included”?

Five minutes to discuss, then each Five minutes to discuss, then each team leader will give a team leader will give a briefbrief report report