Evidence-Based Evidence-Based Journal Article Journal Article PresentationPresentation

[Insert your name here][Insert your designation here]

[Insert your institutional affiliation here]

Department of Obstetrics & GynecologyDepartment of Obstetrics & GynecologyGreenville Hospital System University Greenville Hospital System University Medical CenterMedical CenterGreenville, South CarolinaGreenville, South Carolina

CitationCitation

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BackgroundBackground

• What is currently known about the clinical topic being examined?

• Why was the study done (what clinical question did it examine)?

HypothesisHypothesis

• If an analytic study, what is the hypothesis that is being tested?

ObjectivesObjectives

• What are the primary and secondary objectives of the study?

Methods: DesignMethods: Design

• What type of study was done? Primary research (experiment, randomized

controlled trial, other controlled clinical trial, cohort study, case control study, cross sectional survey, longitudinal survey, case report, or case series)?

Secondary research (simple overview, systematic review, meta-analysis, decision analysis, guideline development, economic analysis)?

• If a “randomized trial” was randomization truly random?

Methods: SettingMethods: Setting

• What is the setting in which the subjects were studied (e.g. inpatient, outpatient, community hospital, teaching hospital, university)?

• If a clinical investigation, was the study conducted in “real life” circumstances?

Methods: SubjectsMethods: Subjects

• Who is the study about? How were subjects recruited? Who was included in and who was

excluded from the study?

Methods: InterventionsMethods: Interventions

• What intervention or other maneuver was being considered?

Methods: OutcomesMethods: Outcomes

What outcome(s) were measured and how?

• Was assessment of outcome (or, in a case-control study, allocation of cases) “blind”?

Was follow-up complete?

Methods: StatisticsMethods: Statistics

• What sort of data do the authors have?

• What types of statistical tests were used and were they appropriate to the data type?

• Have the data been analyzed according to the original study protocol?

ResultsResults

• Were the groups similar at the start of the trial?

• Aside from the experimental intervention, were the groups treated equally?

• What are the key results?

ConclusionsConclusions

• Do the results support the original study hypothesis?

CommentaryCommentary

• Will the results help me in caring for my patients?– Can the results be applied to my patient

care?– Will the results lead directly to

selecting or avoiding therapy?– Are the results useful for reassuring or

counseling patients?

RecommendationRecommendation

ReferencesReferences