The March 1, 1981 article titled “How to read clinical journals: I. Why to read them - PowerPoint Presentation

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The March 1, 1981article titled “How to read clinical journals: I. Why to read them and how to start reading them critically.” Written by David Sackett, MD (1934–2015) of McMaster University.

it introduced a series of articles that highlighted the importance of critical appraisal of the literature. 

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Starting in 1993 a set of articles in the 

Journal of the American Medical Association

 titled “Users’ guides to the medical literature” reprised and expanded on the earlier series.

These works, and other efforts by their authors, made critical appraisal of the literature accessible to the masses and laid the groundwork for evidence-based medicine (EBM).

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the early 1990s

Gordon Guyatt, MD, coined the term “evidence-based medicine” , while he served as the internal medicine residency program director at McMaster University.

Dr. Guyatt and colleagues had incorporated critical appraisal of the literature into the residency program curriculum, and Dr. Guyatt wanted a term to describe and advertise their efforts.

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EBM

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Example B

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Biases are mainly of three types

refers to the extent to which the results are free from bias

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All kinds of studies need to be assessed for the above biases, while assessing validity

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Having found that the information in the paper is relevant, valid, consistent and important, the question is whether the test or treatment will be useful for your patient/practice

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Thanks