Evidence-based health care is medical practice based on identification and critical evaluation of research reports in the medical literature and their application to a specific patient's care.
 Evidence-Based Databases
Cochrane Library 
Current; provides access to information compiled by the Cochrane Collaboration, an international network of individuals and institutions committed to reviewing the best evidence from clinical trials in medicine.
DynaMed
Provides point-of-care, evidence-based clinical topic summaries; updated daily.
UpToDate
Current; UpToDate is specifically designed to answer the clinical questions that arise in daily medical practice and to do so quickly and easily so that it can be used right at the point of care. Physician editors and authors review and update the content on a continuous basis and a new, peer-reviewed version is issued every four months. The published evidence is summarized and specific recommendations made for patient care. Licensing allows this resource to be used on-campus only, and is not available through the proxy, the VPN client or WebVPN.
Evidence-Based Health Care Guidelines
Cancernet
For access to PDQ, NCI's Comprehensive Cancer Database
CMA Infobase
Guidelines produced or endorsed in Canada by a national, provincial/territorial or regional medical or health organization, professional society, government agency or expert panel.
HSTAT
A single search to find full text documents from the following sources:
- AHRQ Evidence Reports
- AHRQ Technical Reviews and Summaries
- AHCPR Supported Guidelines
- AIDSInfo
- NIH Consensus Development Reports
- Reports of the Surgeon General
- U.S. Preventive Services Task Force Evidence Syntheses
- Guide to Clinical Preventive Services
- Guide to Community Preventive Services
- SAMHSA/CSAT Treatment Improvement Protocols
- SAMHSA/CSAT Prevention Enhancement Protocols
MD Consult
Fulltext guidelines issued by over 50 medical societies and government agencies.
National Guideline Clearinghouse
Sponsored by the Agency for Health Care Research and Quality in partnership with the AMA and the American Association of Health Plans. Includes many full text guidelines as well as references to additional guidelines.
TRIP Database
Current;TRIP Database searches over 75 sites of high-quality medical information, providing you with direct, hyperlinked access to the largest collection of 'evidence-based' material on the web as well as articles from premier on-line journals such as the British Medical Journal, Journal of the American Medical Society (JAMA) and the New England Journal of Medicine.
Evidence-Based Health Care Bibliography
Assessing the methodological quality of published papers.
BMJ 315 (7103): 305-8, 1997.
How to read a paper. Getting your bearings (deciding what the paper is about).
BMJ 315 (7102):243-6, 1977.
How to read a paper. Papers that report diagnostic or screening tests.
BMJ 315 (7107): 540-3, 1997.
[published errata appear in BMJ 315 (7113):942, 1997 and BMJ 316 (7126): 225, 1997.]
How to read a paper. Papers that report drug trials.
BMJ 315 (7106): 480-3, 1997.
How to read a paper. Papers that tell you what things cost (economic analyses).
BMJ 315 (7108): 596-9, 1997.
How to read a paper. Statistics for the non-statistician. I. Different types of data need different statistical tests.
BMJ 315 (7104): 364-6, 1997. [published erratum appears in BMJ 315 (7109): 675, 1997.]
How to read a paper. Statistics for the non-statistician. II. "Significant" relations and their pitfalls.
BMJ 315 (7105): 422-5, 1997.
How to read a paper. The Medline database.
BMJ 315 (7101):180-3. 1997.
Is my practice evidence-based? [editorial].
BMJ 313 (7063):957-8, 1996.
Papers that go beyond numbers (qualitative research).
BMJ 315 (7110): 180-3, 1997.
Papers that summarise other papers (systematic reviews and meta-analyses).
BMJ 315 (7109): 672-5, 1997.
Rational Clinical Examination: evidence-based clinical diagnosis
Starts with clinical diagnostic questions and provides data that identify the most relevant symproms and signs. Includes data on what does not work.
Josiah Record
Users Guides to the Medical Literature: a manual for evidence-based clinical practice, 2nd. ed.
Purpose is to teach the clinician how to access what is relevant and the ability to assess its validity and whether it applies to a specific patient.
Josiah Record
Rational Clinical Examination: evidence-based clinical diagnosis
Starts with clinical diagnostic questions and provides data that identify the most relevant symproms and signs. Also includes data on what does not work.
Josiah Record
Users Guides to the Medical Literature: a manual for evidence-based clinical practice, 2nd. ed.
Purpose is to teach the clinician how to access what is relevant and the ability to assess its validity and whether it applies to a specific patient.
Josiah Record
Search Filters
Search filters are collections of pre-selected study design terms. They are meant to be added to search strategies to improve the retrieval of only the most appropriate and reliable studies on a topic.
The assortment of filters below reflect variations based on differences in database vocabularies and searching software as well as adjustments for specificity and for focus of study.
LILACS - "Optimal Search Strategy for Clinical Trials in the LILACS Database"
Castro AA, Clark OA & Attalah AN Sao Paulo Medical Journal 1999;117:138-139
PubMed - "Development of a Highly Sensitive Search Strategy for the Retrieval of Reports of Controlled Trials Using PubMed"
Robinson KA & Dickersin K International Journal of Epidemiology 2002:31:150-153
PubMed - "Finding the Evidence on PubMed"
From Yale University
PubMed Clinical Queries
What's really being searched when you type a topic into a Clinical Query search box.
PubMed Systematic Reviews Subset Strategy
What's really being searched when you type "AND topic[sb]."
Search Strategies for MEDLINE
From the Hedges Project at McMaster Univeristy
Search Strategies for MEDLINE and CINAHL
From the Centre for Reviews and Dissemination, University of York.
Strategies for CINAHL
From the Hedges Project at McMaster Univeristy
Strategies for EMBASE
From the Hedges Project at McMaster Univeris
Strategies for PsycInfo
From the Hedges Project at McMaster Univeris
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