Infootsing ravijuhendite koostamiseks. Ravijuhendid. Pärnu Otsime: ravijuhendeid. süstemaatilisi ülevaateid

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1 Infootsing ravijuhendite koostamiseks Pärnu 2015 Otsime: ravijuhendeid süstemaatilisi ülevaateid randomiseeritud kontrollitud uuringuid Ravijuhendid Spetsiaalsed ravijuhendite andmebaasid Artiklite otsing Medline ist (PubMedi kaudu) Erinevaid andmebaase kombineerivad otsingumootorid: Trip SUMSearch 1

2 Spetsiaalsed ravijuhendite andmebaasid I National Guideline Clearinghouse Guidelines International Network (otsing avalik, muu info ainult liikmetele) National Institute for Health and Care Excellence Scottish Intercollegiate Guidelines Network Spetsiaalsed ravijuhendite andmebaasid II Agency for Healthcare Research and Quality Canadian Agency for Drugs and Technologies in Health Canadian Medical Association Infobase Käypä hoito Spetsiaalsed ravijuhendite andmebaasid III Australian National Health and Medical Research Council Australian Clinical Practice Guidelines Portal New Zealand Guidelines Group Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften 2

3 Medline - PubMed Medline - Ovid Võimalik kasutada: TÜ Kliinikum, Tartu Ülikool, koostöölepinguga haiglad või isiklik taotlus Kliinikumi andmebaaside kasutamiseks PubMed - Strateegia Ravijuhendite otsistrateegia PubMedis "Guidelines as Topic"[Mesh] OR "Health Planning Guidelines"[Mesh] OR "Practice Guidelines as Topic"[Mesh] OR "Guideline" [Publication Type] OR "Standard of Care"[Mesh] OR "Evidence-Based Practice"[Mesh] OR "Evidence-Based Medicine"[Mesh] OR "Clinical Protocols"[Mesh] OR "Practice Guideline" [Publication Type] Eesti ravijuhendite koostamise käsiraamat, 2011, lk 70 PDF: lk 72 3

4 Trip Trip Filtreid parempoolses veerus on nüüd võimalik kasutada ainult siis, kui on tehtud Tripi kasutajakonto SUMSearch 4

5 SUMSearch Süstemaatilised ülevaated Artiklite otsing Medline ist (PubMedi kaudu) PubMed Clinical Queries Cochrane Database of Systematic Reviews (CDSR) Database of Abstracts of Reviews of Effects (DARE) Erinevaid andmebaase kombineerivad otsingumootorid: Trip SUMSearch PubMed - Strateegia Süstemaatiliste ülevaadete otsistrateegia PubMedis = systematic [sb] Eesti ravijuhendite koostamise käsiraamat, 2011, lk 71 PDF: lk 73 Search Strategy Used to Create the Systematic Reviews Subset on PubMed 5

6 PubMed Clinical Queries CDSR - Ovid Võimalik kasutada: TÜ Kliinikum, Tartu Ülikool, koostöölepinguga haiglad või isiklik taotlus Kliinikumi andmebaaside kasutamiseks CDSR - The Cochrane Library Täistekstid ei ole kättesaadavad, võimalik ainult otsingut teha 6

7 CDSR - The Cochrane Library Ülevaated gruppide kaupa CDSR - The Cochrane Library Ülevaated teemade kaupa CDSR - The Cochrane Library Otsing 7

8 DARE - CRD DARE - CRD Trip 8

9 SUMSearch Randomiseeritud kontrollitud uuringud Artiklite otsing Medline ist (PubMedi kaudu) Cochrane Central Register of Controlled Trials (CENTRAL) Erinevaid andmebaase kombineerivad otsingumootorid: Trip Kliiniliste uuringute registrid PubMed - Strateegia RCT otsistrateegia PubMedis (randomized controlled trial [pt] OR controlled clinical trial [pt] OR randomized controlled trials [mh] OR random allocation [mh] OR double-blind method [mh] OR single-blind method [mh] OR clinical trial [pt] OR clinical trials [mh] OR "clinical trial" [tw] OR ((singl* [tw] OR doubl* [tw] OR trebl* [tw] OR tripl* [tw]) AND (mask* [tw] OR blind* [tw])) OR placebos [mh] OR placebo* [tw] OR random* [tw] OR research design [mh:noexp] OR comparative study [pt] OR evaluation studies [pt] OR follow-up studies [mh] OR prospective studies [mh] OR control* [tw] OR prospectiv* [tw] OR volunteer* [tw]) NOT (animals [mh] NOT human [mh]) Eesti ravijuhendite koostamise käsiraamat, 2011, lk 71 PDF: lk 73 9

10 CENTRAL - Ovid Võimalik kasutada: TÜ Kliinikum, Tartu Ülikool, koostöölepinguga haiglad või isiklik taotlus Kliinikumi andmebaaside kasutamiseks CENTRAL - The Cochrane Library Otsing Trip 10

11 ClinicalTrials.gov ClinicalTrials.gov Veel registreid EU Clinical Trials Register International Clinical Trials Registry Platform 11

12 Alustame otsingut MeSHi terminite andmebaasist Leitud terminite hulgast valime endale sobiva 1. Saadame termini otsingukasti Add to search builder 2. Alustame otsingut PubMedis Search PubMed 12

13 1. Otsingu tulemused 2. Alustame uut otsingut: teeme fraasiotsingu "preterm neonates" PubMedis 1. Otsingu tulemused 2. Vaatame otsingute ajalugu laiendatud otsingu lehelt: Advanced 1. Hiireklõps otsingu numbril avab menüü võimalike tegevustega 2. Tulemuste arvu juurest saab tagasi otsingu tulemuste lehele 13

14 Ehitame üles uue otsingu, kombineerides kahte tehtud otsingut operaatoriga OR Boole i operaatorid otsingute kombineerimiseks "Infant, Premature"[Mesh] OR "preterm neonates" OR Ravijuhendite otsistrateegia AND "Respiratory Distress Syndrome, Newborn"[Mesh] OR Infant respiratory distress syndrome OR 14

15 1. Kombineeritud otsingu tulemused 2. Rakendame tulemustele piirangu: artikli tüüp on Guideline Tulemuste nimekirja ees näidatakse kehtivaid piiranguid. NB! Rakendatud piirangud jäävad vaikimisi kehtima ka järgmiste otsingute juures. Nende eemaldamiseks enne uut otsingut vajutada linki Clear all Ravijuhendite otsistrateegia Teeme uue otsingu, kasutades ravijuhendite otsistrateegiat ravijuhendite koostamise käsiraamatust 15

16 Otsime ravijuhendeid, kombineerides oma teemaotsingut (enneaegsed vastsündinud) ja ravijuhendite otsistrateegiat operaatoriga AND Erinevad tulemused ravijuhendite otsingus: 1. Piiratud ainult ühe publikatsiooni tüübiga 2. Põhjalikum strateegia Piirangud: artiklite avaldamise aeg ( Publication dates ), keel ( Languages ) 16

17 Piirangutega ravijuhendite otsingu tulemus systematic[sb] = Filter: Systematic reviews Otsime süstemaatilisi ülevaateid, kombineerides oma teemaotsingut (enneaegsed vastsündinud) ja süstemaatiliste ülevaadete otsistrateegiat operaatoriga AND Sama tulemuse saaksime kasutades oma teemaotsingul piirangut Systematic reviews Süstemaatiliste ülevaadete otsingu tulemused 17

18 RCT otsistrateegia Otsime randomiseeritud kontrollitud uuringuid, kombineerides oma teemaotsingut (enneaegsed vastsündinud) ja randomiseeritud kontrollitud uuringute otsistrateegiat operaatoriga AND Otsime randomiseeritud kontrollitud uuringuid, kasutades oma teemaotsingul (enneaegsed vastsündinud) piirangut Randomized Controlled Trial Erinevad tulemused randomiseeritud kontrollitud uuringute otsingus: 1. Piiratud ainult ühe publikatsiooni tüübiga 2. Põhjalikum strateegia 18

19 Lisalugemist erinevate otsistrateegiate kohta Health Information Research Unit Hedges ISSG Search Filters Resource SIGN Search Filters Medinfo keskus TÜ kliinikum Puusepa 2 Tartu Tel medinfo@kliinikum.ee , TÜ Kliinikum, Medinfo keskus. Materjale on lubatud paljundada või muuks kui isiklikuks otstarbeks kasutada ainult Medinfo keskuse loal 19

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