[Evidence-based clinical practice. Part II--Searching evidence databases]

The inadequacy of most of traditional sources for medical information, like textbook and review article, do not sustained the clinical decision based on the best evidence current available, exposing the patient to a unnecessary risk. Although not integrated around clinical problem areas in the convenient way of textbooks, current best evidence from specific studies of clinical problems can be found in an increasing number of Internet and electronic databases. The sources that have already undergone rigorous critical appraisal are classified as secondary information sources, others that provide access to original article or abstract, as primary information source, where the quality assessment of the article rely on the clinician oneself . The most useful primary information source are SciELO, the online collection of Brazilian scientific journals, and Medline, the most comprehensive database of the USA National Library of Medicine, where the search may start with use of keywords, that were obtained at the structured answer construction (P.I.C.O.), with the addition of boolean operators "AND", "OR", "NOT". Between the secondary information sources, some of them provide critically appraised articles, like ACP Journal Club, Evidence Based Medicine and InfoPOEMs, others provide evidences organized as online texts, such as "Clinical Evidence" and "UpToDate", and finally, Cochrane Library are composed by systematic reviews of randomized controlled trials. To get studies that could answer the clinical question is part of a mindful practice, that is, becoming quicker and quicker and dynamic with the use of PDAs, Palmtops and Notebooks.

Bernardo, Wanderley Marques
Nobre, Moacyr Roberto Cuce
Jatene, Fábio Biscegli
Item Type: 
Journal Article
Publication Title: 
Revista Da Associacao Medica Brasileira (1992)
Journal Abbreviation: 
Rev Assoc Med Bras (1992)
Publication Date: 
Publication Year: 
Library Catalog: 
PMID: 15253037

Turabian/Chicago Citation

Wanderley Marques Bernardo, Moacyr Roberto Cuce Nobre and Fábio Biscegli Jatene. 2004-03. "[Evidence-based clinical practice. Part II--Searching evidence databases]." Revista Da Associacao Medica Brasileira (1992) 50: 1: 104-108.

Wikipedia Citation

<ref> {{Cite journal | doi = | issn = 0104-4230 | volume = 50 | pages = 104-108 | last = Bernardo | first = Wanderley Marques | coauthors = Nobre, Moacyr Roberto Cuce, Jatene, Fábio Biscegli | title = [Evidence-based clinical practice. Part II--Searching evidence databases] | journal = Revista Da Associacao Medica Brasileira (1992) | date = 2004-03 | pmid = | pmc = }} </ref>