Evidence-Based Practice

Cochrane defines Evidence-based health care as “[… ] the conscientious use of current best evidence in making decisions about the care of individual patients or the delivery of health services. Current best evidence is up-to-date information from relevant, valid research about the effects of different forms of health care, the potential for harm from exposure to particular agents, the accuracy of diagnostic tests, and the predictive power of prognostic factors.”

Maintained mostly by Oxford University. Information includes a knowledge library, healthy living zone, extended essays, learning zone, and EBM glossary. You can also find the back journals for Bandolier journal and the Oxford Pain internet site.

Bandolier Journal
All of the previous issues of Bandolier are available, either to read on screen, or as a PDF that you can download and print. Paper version was discontinued in 2007.

Complementary and Alternative Medicine
This site is intended to gather the best evidence available about complementary and alternative therapies (CAT) for sufferers and professionals. The principal mechanism will be by searching for systematic reviews and meta-analyses of complementary and alternative therapies, and providing abstracts of them.

EBM Glossary
On this page are links to definitions for the jargon words often used in medicine and the numbers and statistics used to describe it. The glossary includes terms used in epidemiology, in clinical trials, in diagnosis, in statistics, and in health economics.

Extended Essays
Bandolier Extra contains Internet essays on specific topics,that can be read on-screen in HTML or are available as printable PDFs

Healthy Living Zone
You can choose by age group. These Healthy Living pages are being developed to try and help ordinary folk to know what to do to avoid seeing doctors except socially. It really isn't hard when we look at the solid evidence from large, properly structured studies, and not the ephemeral twittering of the media.

Knowledge library
In this section Bandolier collects good quality evidence under a variety of different headings. We search for systematic reviews of treatments, of evidence about diagnosis, epidemiology or health economics, and abstract it.

Learning zone
This is area is currently under development. It will contain content useful for anyone undertaking self directed learning about evidence-based methods. For a while, this may involve duplication of material already on the site until more reorganization takes place. All of the links below direct you to downloadable PDF files.

Oxford pain site
This site is for anyone with a professional or personal interest in pain and analgesia. It is firmly based in the principles of evidence-based medicine and has pulled together systematic reviews with pain as an outcome.

Campbell Collaboration
The Campbell Collaboration (C2) helps people make well-informed decisions by preparing, maintaining and disseminating systematic reviews in education, crime and justice, and social welfare.

Campbell Library
Search for evidence-based practice via words, author, title, keywords.

Canadian Best Practice Portal
Canadian Best Practices Portal helps in to planning health-related programs. The Portal is a virtual front door to community and population health interventions related to chronic disease prevention and health promotion.

Clinical Trials
ClinicalTrials.gov offers up-to-date information for locating federally and privately supported clinical trials for a wide range of diseases and conditions. A clinical trial (also clinical research) is a research study in human volunteers to answer specific health questions. Interventional trials determine whether experimental treatments or new ways of using known therapies are safe and effective under controlled environments. Observational trials address health issues in large groups of people or populations in natural settings.

Cochrane Collaboration
The Cochrane Collaboration -The most respected source of systematic reviews of healthcare interventions- is an international network of people helping healthcare providers, policy makers, patients, their advocates and careers, make well-informed decisions about human health care by preparing, updating and promoting the accessibility of Cochrane Reviews – over 4,000 so far, published online in The Cochrane Library. Abstracts of reviews are freely available. Access to full text requires a paid subscription.

The Cochrane Library can search and usually get the abstract. Abstracts are readily available. Full text is not free.

Cochrane Public Health Reviews
Cochrane Reviews and Protocols of Relevance to Health Promotion and Public Health 

Cochrane Reviews
Cochrane Reviews are systematic reviews of primary research in human health care and health policy. They investigate the effects of interventions for prevention, treatment and rehabilitation. They also assess the accuracy of a diagnostic test for a given condition in a specific patient group and setting.

Ebling Library, UW-Madison

Evidence Based Practice and Clinical Resources
Information includes background information, pre-appraised literature, primary literature, clinical resources, and EBM analysis. Usage to specific databases may be restricted to UW-Madison faculty, staff, and students. Off campus users: you may be prompted to log in with your NetID.

Evidence-Based Public Health
Information includes systematic reviews, guidelines, filtered searches, best practices, and statistics. Usage to specific databases may be restricted to UW-Madison faculty, staff, and students. Off campus users: you may be prompted to log in with your NetID.

Evidence Updates
From BMJ Evidence Centre- Evidence Updates provides a cumulative, searchable database of recent journal article citations, with links to their abstracts, and ratings of their relevance and importance by practicing physicians. To search this database, you must register (free to register). You can also find free tools for Evidence-Based practice such as an online clinical calculator, EBM tools, and user guides.

Health Evidence.ca
The ultimate goal of this site is to facilitate the adoption and implementation of effective policies/programs/interventions at the local and regional public health decision making levels across Canada.

National Guideline Clearinghouse (NCG)
From the U.S. Department of Health and Human Services, NGC is a public resource for evidence-based clinical practice guidelines.

Systematic Reviews

TRIP Database is a clinical search tool designed to allow health professionals to rapidly identify the highest quality clinical evidence for clinical practice. Registered users (registration is free) benefit from extra features such as CPD, search history, and collaborative tools.