How the Read a Paper: The Basics of Evidence Based Medicine

How the Read a Paper: The Basics of Evidence Based Medicine
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如何阅读论文:循证医学的基础知识

DOI:
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发表时间:
1998
影响因子:
2.7
通讯作者:
G. Lip
G. Lip
中科院分区:
医学4区
文献类型:
--
作者:
G. Lip

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您需要阅读已发表的论文吗?或者您是一个不读科学论文的人或隐士?这本书(非常深思熟虑)首先问你是否需要阅读这本书——有多少教科书实际上问你是否需要使用/阅读/购买它?对这样一本书的需求肯定是存在的,因为这本优秀的小书旨在帮助现有读者更好地阅读和实际解释医学论文。目前的非读者和科学隐士甚至可能被鼓励一次打开医学期刊!这本书提供了一种出色的实用方法,对许多平淡无奇且未读过的已发表文献进行批判性分析(这常常让你想知道它最初是如何出版的!)。对循证医学进行了系统的讨论,并对如何搜索医学文献进行了深思熟虑的实践部分。尽管互联网和计算机化数据库已经很老了,但即使是最有经验的 Medline 冲浪者也常常只能找到有关特定主题的大约三分之一的已发表材料 - 提供了方便的提示来改进搜索、增加收获并减少因长期使用 Medline 计算机终端而导致的眼睛疲劳或重复性劳损。本书描述了已发表论文的各个部分,包括对研究性质的评估和针对非统计学家的统计数据。然后讨论您希望从阅读特定论文中获得什么,包括报告药物试验、诊断筛选测试、系统评价和指南的论文。它还包含有关经济分析和定性研究的信息。最后,它给出了一些如何实施基于证据的发现的例子。由于临床医学的大部分仍然不是基于证据的,也许这在某种程度上可以纠正这种令人震惊的状况。我还发现附录中的清单对于寻找、评估和实施证据相当有帮助。这本优秀书籍的读者和我一样——努力理解大部分已发表的文献,并且时不时地写出一篇易于理解的发表论文——这本书不仅可以帮助你阅读论文,还试图让你成为一名更好的论文作者。也许读完这本书后我对循证医学的理解会有所提高,并使我成为一名更好的教师和研究员。也许这会让我拒绝更多提交给我帮助编辑的期刊的论文!这本书售价 14.95 英镑,绝对物超所值,它实现了其宣传的目标,即对循证医学在临床环境中的有用性和潜在应用进行压缩介绍。我全心全意地推荐它作为必读之物。
Do you need to read published papers? Or are you a scientific paper non-reader or recluse? This book (very thoughtfully) starts off by asking whether you need to read this book—how many textbooks actually ask you whether you need to use/read/buy it? The need for such a book is certainly there, as this excellent little book is intended to help existing readers read, and actually interpret, medical papers better. Current non-readers and scientific recluses may even be encouraged to open medical journals for once! The book provides an excellent practical and pragmatic approach to critical analysis of much of the uninspiring and unread published literature (which often makes you wonder how it got into print in the first place!). There is a systematic discussion on evidence-based medicine and a thoughtful practical section on how to search the medical literature. Despite the age of the Internet and computerised databases, even the most experienced Medline surfer often only manages to find approximately a third of the published material on a particular subject—handy tips are provided to improve searches, to increase one’s gain and to reduce eye strain or repetitive strain injury from a long, tiring session at the Medline computer terminal. The book describes the various sections of a published paper, including appraisal of the nature of the study and statistics for the non-statistician. It then discusses what you would hope to gain from reading a particular paper, including papers that report drug trials, diagnostic screening tests, systematic reviews and guidelines. It also has information on economic analyses and qualitative research. Finally, it gives some examples of how to implement evidence-based findings. Since much of clinical medicine is still not evidence-based, perhaps this goes some way to rectify this appalling state of affairs. I also found the Appendix with a checklist for finding, appraising and implementing evidence fairly helpful. Readers of this excellent book who are like me — struggling to understand much of the published literature and also to produce an intelligible published paper every so often—this book not only helps you read a paper but tries to make you a better paper writer as well. Perhaps my understanding of evidence-based medicine will improve after reading this book, and make me a better teacher and researcher. Perhaps it will make me reject more of the papers submitted to the journal I help edit! At the cost of £14.95, this book is an absolute bargain and it fulfils its advertised aim of being a compressed introduction to the usefulness and potential applications of evidence-based medicine in the clinical setting. I recommend it wholeheartedly as an obligatory read.