医学文献的使用指南 Users＇Guides to the Medical Literature

2001-7  

Amer Medical Assn  

Guyatt, Gordon, M.D./ Rennie, Drummond, M.D.  

706  

From the popular series in JAMA comes a state of the art book from the authors who coined the term evidence-based medicine. Edited by Gordon Guyatt, MD, and Drummond Rennie, MD, this highly innovative book enables physicians to quickly grasp efficient ways to use published literature in their clinical practice to improve their caregiving to patients. A fully searchable and hyperlinked CD, co-edited by Robert Hayward, MD, is included with each book. With the most current evidence based medicine thinking, you can understand how to individualize evidence to each patient, obtain tips on how to find the information you need and how to make the optimal use of it in your practice, balance benefits and risks that precede medical management decisions, distinguish between strong and weak evidence, and understand detailed critical appraisal and summarization of evidence.

ForewordPrefaceContributorsHow to Use This BookPart 1 The Basics：Using the Medical Literature 1A Introduction：The Philosophy of Evidence-Based Medicine 1A1 Finding the Evidence 1B Therapy and Harm：An Introduction 1B1 Therapy 1B2 Harm 1C The Process of Diagnosis 1c1 Differential Diagnosis 1C2 Diagnostic Tests 1D Prognosis 1E Summarizing the Evidence 1F Moving From Evidence to ActionPart 2 Beyond the Basics：Using and Teaching the Principles of Evidence-Based Medicine 2A Expanded Philosophy of Evidence—Based Medicine 　Parallel but Separate Goals--Evidence—Based 　Practitioners and Evidence-Based Care 　Criticisms of Evidence-Based Medicine　2B Therapy and Harm Why Study Results Mislead--Bias and Random Error Outcomes of Health Services 2B1 Therapy and Validity Surprising Results of Randomized Controlled Trials The Principle of Intention-to-Treat N of l Randomized Controlled Trials Computer Decision Support Systems 2B2 Therapy and Understanding the Results Quality of Life Hypothesis Testing Confidence Intervals．．．． Measures of Association　2B3 Therapy and Applying the Results Applying Results to Individual Patients Example Numbers Needed to Treat Surrogate Outcomes Drug Class Effects Qualitative Research　2C Diagnosis Clinical Manifestations of Disease Measuring Agreement Beyond Chance Clinical Prediction Rules Examples of Likelihood Ratios　2D Prognosis Regression and Correlation　2E Summarizing the Evidence Publication Bias Fixed-Effects and Random—Effects Models Evaluating Differences in Study Results When to Believe a Subgroup Analysis　2F Moving From Evidence to Action Incorporating Patient Values Recommendations About Screening Grading Recommendations-A Qualitative Approach Grading Recommendations-A Quantitative Approach Economic Analysis Clinical Utilization ReviewAppendixGlossaryCD—ROM Installation InstructionsIndex

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