Jamaevidence Ug Eg Introduction Final
Jamaevidence Ug Eg Introduction Final
Medicine
Updated for the third edition of the Users' Guides to the Medical Literature.
Observational studies
Patient-important outcomes
Basic research
Laboratory, animal, human physiology
Clinical experience
Users’ Guides to the Medical Literature
JAMA | Centre for Health Evidence | The McGraw-Hill Companies, Inc.
Copyright © American Medical Association. All rights reserved.
Not All Evidence Is Equal
• Hierarchy is not absolute
• GRADE approach allows you to rate
confidence in estimates of effects
• High
• Moderate
• Low
• Very low
Evidence Circumstances
Values
CONTEXT
Ask Act
Acquire Patient
Apply
Appraise
Users’ Guides to the Medical Literature
JAMA | Centre for Health Evidence | The McGraw-Hill Companies, Inc.
Copyright © American Medical Association. All rights reserved.
Clinical Scenario
• Parents of a 14-year-old child with
persisting opaque nasal discharge seek
antibiotics