Critical Appraisal of Epidemiological Studies and Clinical Trials

Critical Appraisal of Epidemiological Studies and Clinical Trials

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  • Author: Mark Elwood
  • Publisher: OUP Oxford
  • ISBN: 0191004944
  • Category : Medical
  • Languages : en
  • Pages : 615

This book presents a logical system of critical appraisal, to allow readers to evaluate studies and to carry out their own studies more effectively. This system emphasizes the central importance of cause and effect relationships. Its great strength is that it is applicable to a wide range of issues, and both to intervention trials and observational studies. This system unifies the often different approaches used in epidemiology, health services research, clinical trials, and evidence-based medicine, starting from a logical consideration of cause and effect. The author's approach to the issues of study design, selection of subjects, bias, confounding, and the place of statistical methods has been praised for its clarity and interest. Systematic reviews, meta-analysis, and the applications of this logic to evidence-based medicine, knowledge-based health care, and health practice and policy are discussed. Current and often controversial examples are used, including screening for prostate cancer, publication bias in psychiatry, public health issues in developing countries, and conflicts between observational studies and randomized trials. Statistical issues are explained clearly without complex mathematics, and the most useful methods are summarized in the appendix. The final chapters give six applications of the critical appraisal of major studies: randomized trials of medical treatment and prevention, a prospective and a retrospective cohort study, a small matched case-control study, and a large case-control study. In these chapters, sections of the original papers are reproduced and the original studies placed in context by a summary of current developments.


Critical Appraisal of Epidemiological Studies and Clinical Trials

Critical Appraisal of Epidemiological Studies and Clinical Trials

PDF Critical Appraisal of Epidemiological Studies and Clinical Trials Download

  • Author: J. Mark Elwood
  • Publisher: Oxford University Press
  • ISBN: 0199218250
  • Category : Medical
  • Languages : en
  • Pages : 585

This book presents a logical system of critical appraisal, to allow readers to evaluate studies and to carry out their own studies more effectively. This system emphasizes the central importance of cause and effect relationships. Its great strength is that it is applicable to a wide range of issues, and both to intervention trials and observational studies. This system unifies the often different approaches used in epidemiology, health services research, clinical trials, and evidence-based medicine, starting from a logical consideration of cause and effect. The author's approach to the issues of study design, selection of subjects, bias, confounding, and the place of statistical methods has been praised for its clarity and interest. Systematic reviews, meta-analysis, and the applications of this logic to evidence-based medicine, knowledge-based health care, and health practice and policy are discussed. Current and often controversial examples are used, including screening for prostate cancer, publication bias in psychiatry, public health issues in developing countries, and conflicts between observational studies and randomized trials. Statistical issues are explained clearly without complex mathematics, and the most useful methods are summarized in the appendix.


Critical Appraisal of Epidemiological Studies and Clinical Trials

Critical Appraisal of Epidemiological Studies and Clinical Trials

PDF Critical Appraisal of Epidemiological Studies and Clinical Trials Download

  • Author: J. Mark Elwood
  • Publisher: Oxford University Press
  • ISBN: 0199682895
  • Category : Medical
  • Languages : en
  • Pages : 499

Critical appraisal is central to the development of rational health care and evidence-based medicine, by applying it to questions of aetiology, clinical therapy, and health care management. The reader will learn how to assess the strengths and weaknesses of new studies, and how to conduct their own studies.


Critical Appraisal of Epidemiological Studies and Clinical Trials

Critical Appraisal of Epidemiological Studies and Clinical Trials

PDF Critical Appraisal of Epidemiological Studies and Clinical Trials Download

  • Author: J. Mark Elwood
  • Publisher:
  • ISBN: 9780191723865
  • Category : Clinical trials
  • Languages : en
  • Pages : 570

Critical appraisal is now accepted as central to the development of rational health care and evidence-based medicine, by applying it to questions of aetiology, clinical therapy, and health care management. The reader will learn how to assess the strengths and weaknesses of new studies, and how to conduct their own studies


Critical Appraisal of Epidemiological Studies and Clinical Trials

Critical Appraisal of Epidemiological Studies and Clinical Trials

PDF Critical Appraisal of Epidemiological Studies and Clinical Trials Download

  • Author: J. Mark Elwood
  • Publisher:
  • ISBN: 9780191763045
  • Category : Clinical trials
  • Languages : en
  • Pages : 483

Critical appraisal is now accepted as central to the development of rational health care and evidence-based medicine, by applying it to questions of aetiology, clinical therapy, and health care management. The reader will learn how to assess the strengths and weaknesses of new studies, and how to conduct their own studies


Concepts of Epidemiology

Concepts of Epidemiology

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  • Author: Raj S. Bhopal
  • Publisher: Oxford University Press
  • ISBN: 0198739680
  • Category : Medical
  • Languages : en
  • Pages : 481

First edition published in 2002. Second edition published in 2008.


Practical Psychiatric Epidemiology

Practical Psychiatric Epidemiology

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  • Author: Jayati Das-Munshi
  • Publisher: Oxford University Press
  • ISBN: 0191054461
  • Category : Medical
  • Languages : en
  • Pages : 465

Epidemiology has been defined as the study of the distribution and determinants of health states or events in defined populations and its application to the control of health problems. Psychiatric epidemiology has continued to develop and apply these core principles in relation to mental health and mental disorders. This long-awaited second edition of Practical Psychiatric Epidemiology covers all of the considerable new developments in psychiatric epidemiology that have occurred since the first edition was published. It includes new content on key topics such as life course epidemiology, gene/environment interactions, bioethics, patient and public involvement in research, mixed methods research, new statistical methods, case registers, policy, and implementation. Looking to the future of this rapidly evolving scientific discipline and how it will to respond to the emerging opportunities and challenges posed by 'big data', new technologies, open science and globalisation, this new edition will continue to serve as an invaluable reference for clinicians in practice and in training. It will also be of interest to researchers in mental health and people studying or teaching psychiatric epidemiology at undergraduate or postgraduate level.


Finding What Works in Health Care

Finding What Works in Health Care

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  • Author: Institute of Medicine
  • Publisher: National Academies Press
  • ISBN: 0309164257
  • Category : Medical
  • Languages : en
  • Pages : 267

Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.


Developing a Protocol for Observational Comparative Effectiveness Research: A User's Guide

Developing a Protocol for Observational Comparative Effectiveness Research: A User's Guide

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  • Author: Agency for Health Care Research and Quality (U.S.)
  • Publisher: Government Printing Office
  • ISBN: 1587634236
  • Category : Medical
  • Languages : en
  • Pages : 236

This User’s Guide is a resource for investigators and stakeholders who develop and review observational comparative effectiveness research protocols. It explains how to (1) identify key considerations and best practices for research design; (2) build a protocol based on these standards and best practices; and (3) judge the adequacy and completeness of a protocol. Eleven chapters cover all aspects of research design, including: developing study objectives, defining and refining study questions, addressing the heterogeneity of treatment effect, characterizing exposure, selecting a comparator, defining and measuring outcomes, and identifying optimal data sources. Checklists of guidance and key considerations for protocols are provided at the end of each chapter. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. More more information, please consult the Agency website: www.effectivehealthcare.ahrq.gov)


Principles and Practice of Clinical Research

Principles and Practice of Clinical Research

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  • Author: John I. Gallin
  • Publisher: Elsevier
  • ISBN: 0080489567
  • Category : Science
  • Languages : en
  • Pages : 447

The second edition of this innovative work again provides a unique perspective on the clinical discovery process by providing input from experts within the NIH on the principles and practice of clinical research. Molecular medicine, genomics, and proteomics have opened vast opportunities for translation of basic science observations to the bedside through clinical research. As an introductory reference it gives clinical investigators in all fields an awareness of the tools required to ensure research protocols are well designed and comply with the rigorous regulatory requirements necessary to maximize the safety of research subjects. Complete with sections on the history of clinical research and ethics, copious figures and charts, and sample documents it serves as an excellent companion text for any course on clinical research and as a must-have reference for seasoned researchers. *Incorporates new chapters on Managing Conflicts of Interest in Human Subjects Research, Clinical Research from the Patient's Perspective, The Clinical Researcher and the Media, Data Management in Clinical Research, Evaluation of a Protocol Budget, Clinical Research from the Industry Perspective, and Genetics in Clinical Research *Addresses the vast opportunities for translation of basic science observations to the bedside through clinical research*Delves into data management and addresses how to collect data and use it for discovery*Contains valuable, up-to-date information on how to obtain funding from the federal government