"Evidence Matters When it Comes to Health: A New Tool of ...

Cover Slide

Evidence Matters!KU-03 2003, Quebec, Canada

Ofer Allan Avital M.D., Anne Bourbonnais RN, MSc (cand)

Founders, Evidence [email protected]

Our Scientific Advisors

Stuart Macleod M.D. - former dean of medicine at McMaster university

Mo Watanabe, M.D. – former dean of medicine, University of Calgary, EBM Expert

Dr. Lewis Slotin – Former Director, MRCDr. Al Shrier – Chair of McGill Physiology

DeptAngela Lambrou, MSLIS, Librarian, McGill ULouise Bourbonnais, MSLIS, Librarian,

IUGM

Outline

Presentation Outline

- The Problems With Evidence

- Current Resources

- Example of a Clinical Question

- Accolades, Awards & Activities

- How to Access

- Evidence Matters

Example of a Clinical Question

A Clinician or Manager Asks:For a 35 year old woman with breast cancer

(with bone metastases), what are the therapies available with:

Goal: Include multiple types of research designs, organized by level of evidence

- Highest remission rates at five years?

- Lowest nausea rates during therapy?

- Least hair loss?

- Outcomes above and lowest costs?

Outline

Presentation Outline

- The Problems With Evidence

- Current Resources

- Example of a Clinical Question

- Accolades, Awards & Activities

- How To Access

- Evidence Matters

The Problem With Finding Evidence

Outline

Challenges - Philosophical

- Leave room for experience, judgment

- Evidence can sometimes be rigid

- Evidence should inform, not dictate

The Problem With Finding Evidence

Outline

Challenges - Practical

- Evidence can be slow/hard to synthesize

- Varying levels of evidence

- Evidence can be slow/hard to amass

- Timeliness of synthesized resources vary

- No standardization of outcomes

- Contradictory findings

The Problem With Finding Evidence

Outline

Presentation Outline

- The Problem With Finding Evidence

- Current Resources

- Example of a Clinical Question

- Accolades, Awards & Activities

- How To Access

- Evidence Matters

Spectrum of Professional Literature

Research Resources

- Medline/Pubmed

Find

- Index Medicus

- Library Collections

- Evidence Matters

Read Synthesize Apply

Construct Question “Metaanalysis”

Can “Drill-down” to get - Reference Lists - Text - Article Summaries

Choose Concept Term Do above

Choose Concept/Keyword Do above

(“Metagraph”)

- Expert/Researcher Ask a Question Customized Answer (+/- evidence)

Spectrum of Professional Literature

The Spectrum of Professional Literature

MDConsult Harrison’s Online

- Graph Summary Views

Traditional Opinion Evidence-Based

UpToDate

Evidence Matters

- Multiple types of research- Daily Updates

- Multilingual

- Summaries of every article

Cochrane ACP Clinical Evidence

- User-defined- Outcomes-based

Cancer Focus

Medline

Outline

Presentation Outline

- The Problem With Finding Evidence

- Current Resources

- Example of a Clinical Question

- Accolades, Awards & Activities

- How To Access

- Evidence Matters

Home Page & Login

DrKoop

Graph 1 – Intro: All therapies

Search!

Answer:

Graph 1b - Level of Evidence

Graph 1c - Case Series Label

Graph 1d - Legend & Drill Down

List View 1

List View 2

Article Summary 1a - Recurrence Outcome

Article Summary 1b - Other Outcomes

Article Summary 1a - Recurrence Outcome

Article Summary 1c - Scroll Down

Construct new Question/Search

Question Wizard - Step 1a

Question Wizard - Step 1b

Question Wizard - Step 2a

Question Wizard - Step 2a1

Question Wizard - Step 2b1

Question Wizard - Step 2b2

Question Wizard - Step 2b2-P

Question Wizard - Step 3

Question Wizard - Step 3a

Question Wizard - Step 3b

Question Wizard - Step 3b6

Question Wizard - Step 3b62

Question Wizard - Step 3b62b

Question Wizard - Step 3b62b-OverallS

Question Wizard - Generate Graph

Graph 2 - Prednisone

Prednisone

Favorites

- Graph Summary Views

Feature Summary

- Multiple types of research

- Daily Updates

- User-defined comparisons

- Multilingual

- Summaries of every article

EM Feature Summary

- Outcomes-based

Outline

Presentation Outline

- The Problem With Finding Evidence

- Current Resources

- Example of a Clinical Question

- Accolades, Awards & Activities

- How To Access

- Evidence Matters

« This is the most time-friendly device for medical information I’ve ever seen »

« I cannot believe this will not become the new standard of care »

« I find it hard to get medical articles from the MEDLINE database, but this is easy and fast »

Dr. George Michaels Assistant professor Family Medicine McGill University, Assistant Physician-in-Chief St-Mary’s Hospital

Dr. Campbell Davies, Gastroenterologist, St. Mary’s Hospital

Accolades from Test Users

• Finalist for Best New Company in Canada, Canadian Youth Business Foundation• December 2002: $350 000 Federal grant signed from CANARIE • Financial backing from MedTech Partners inc.

Awards

2003

2002

• Best Company – Samson Belair Deloitte Touche Investors night - $5 000 prize

2001• Governor’s Circle: Best New Company - $20 000 grant from City of Montreal,

“Fondation du Maire de Montreal”

• CHLA 2003, EBL, in Edmonton, Alberta. Paper presentation, Poster

Activities - 2003

September

June

• KU-03: Knowledge Utilization / Transfer Colloquium, KU-UC/CHSRF/CIHR, Invited Speaker

February

• TEKT Think Tank, CIHR - Vancouver, B.C. • McGill Medical Class - Invited Speaker,

class on Evidence Based Medicine

• USMLA 2003, San Diego. Registrant

Outline

Presentation Outline

- The Problem With Finding Evidence

- Current Resources

- Example of a Clinical Question

- Accolades, Awards & Activities

- How To Access

- Evidence Matters

Access to Our System

1) Free Trials available in 3-6 months

2) Some Content always free

4) Browser-based (no installation)

3) Subscription to the rest

Questions: [email protected]

5) Leave your contact information or contact us

to be notified of the launch and trials

End