Searching for evidence
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- Erick Mosley
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1 Searching for evidence Asbjorn Jokstad Institute of Clinical Dentistry, University of Oslo, Norway 1 Web-medicine Advantages: Easy to use and find (any kind of) information General searches (AltaVista Google- Lycos MetaCrawler Yahoo - etc. Altavista - webmedisin 20 links 1
2 Google - webmedisin linker! Lycos - webmedisin -bilder Metacrawler - webmedisin 83 links 2
3 Altavista - webmedisin 3675 links Yahoo! - webmedisin 4420 links Google - webmedisin links! 3
4 Disadvantages General searching often non-specific Takes much time Quality of information varies greatly Using the Univ. Oslo OVID medical databases ISI 4
5 ISI-databasene oppdateres kontinuerlig IADR Search for evidence Webmedicine General search Medical databases Medline 5
6 Dental Subset of Medline OVID søkestrategier kan være vanskelig å huske E.g. Worthington HV, Clarkson JE, Eden OB. Interventions for treating oral mucositis for patients with cancer receiving treatment (Cochrane Review). In: The Cochrane Library, Issue 2, NEOPLASMS explode all trees (MeSH) 2.LEUKEMIA explode all trees (MeSH) 3.LYMPHOMA explode all trees (MeSH) 4.RADIOTHERAPY explode all trees (MeSH) 5.BONE MARROW TRANSPLANTATION explode all trees (MeSH) 6.(neoplasm* or cancer* or carcino* or malignan*) 7.(leukemi* or leukaemi*) 8.(tumour* or tumor*) 9.neutropeni* 10.adenocarcinoma* 11.lymphoma* 12.(radioth* or radiat* or irradiat* or radiochemo*) 13.(bone next marrow next transplant*) 14.(chemo* or radiochemo*) 15.(#1 or #2 or #3 or #4 or #5 or #6 or #7 or #8 or #9 or #10 or #11 or #12 or #13 or #14) 16.STOMATITIS explode all trees (MeSH) 17.CANDIDIASIS ORAL single term (MeSH) 18.stomatitis 19.(stevens next johnson next syndrome) 20.mucositis 21.(oral near cand*) 22.(mouth near cand*) 23.(oral and fung*) 24.(mouth and fung*) 25.(mycosis or mycotic or thrush) 26.(#16 or #17 or #18 or #19 or #20 or #21 or #22 or #23 or #24 or #25) 27.(#15 and #26) 6
7 Bruk av PubMed er enkel og kan tas i bruk umiddelbart Medline - webmedisin 972 articles Bruk av PubMed er enkel og kan tas i bruk umiddelbart 7
8 Medline - webmedisin NB! Disadvantages General searching often non-specific Takes much time Quality of information varies greatly Can t remember how to search effectively (Most) original articles can t be retrieved Not enough time anyway Search for evidence Webmedicine General search Medical databases Medline ISI Embase, Cinahl Medical metasite searching 8
9 OMNI er størst i England Medisinsk informasjon på web: Se opp for kvaliteten! Disadvantages General searching often non-specific Takes much time Quality of information varies greatly Can t remember how to search effectively (Most) original articles can t be retrieved Not enough time anyway Medical metasite searches on oral health issues are often superficial Metasite searching often too textbook 9
10 Search for evidence Webmedicine General search Medical databases Medline ISI Embase, Cinahl Medical metasite searching Primary publications Dental Journals in circulation active 200 ceased 100 merged N=1018 Source: Ulrich s International Periodicals Directory Odontologisk fakultetsbibliotek 10
11 Dental research - proportion of CCTs and RCTs in specialities Periodontics Public health Prosthodontics Orthodontics Endodontics Oral Surgery Sjögren & Halling, Acta Odontol, 2000 Top 40 Scientific Citation Index 1997 Ranking 1 Journal of Dental Research 21 J American Dental Association 2 Journal of Periodontology 22 J Oral and Maxillofacial Surgery 3 Clinical Oral Implant Research 23 International Endodontic Journal 4 Journal of Clinical Periodontology 24 Swedish Dental Journal 5 Operative Dentistry 25 European Journal of Oral Biology 6 Journal of Periodontal Research 26 Cleft Palate and Cranio 7 Oral Microbiology Immunology 27 British J Oral & Maxillofacial Surgery 8 Journal of Oral Pathol Med 28 Acta Odontologica Scandinavica 9 Dental Materials 29 European Journal of Orthodontics 10 Oral Oncology 30 Endodent traumatol 11 Scandinavian J Dental Research 31 British Dental Journal 12 Critical Reviews of Oral Biology 32 Journal of Oral Rehabilitation 13 Journal of Dentistry 33 International J Oral and Maxillofacial Surgery 14 Journal of Public Health Dentistry 34 Angle orthodontist 15 Caries Research 35 American J orthodontics and dentofacial orthopedics 16 Oral Surg Oral Med Oral Pathol 36 Australian Dental Journal 17 Journal Endodontology 37 J Craniomaxillofacial Surgery 18 Archives of Oral Biology 38 Journal of Dentistry Children 19 Community Dentistry and Oral 39 Cranio Epidemiology 20 Journal of Prosthetic Dentistry Choice of literature Citation index Derek Richards Evidence Based-Dentistry 1999 SCI 1997 Ranking Number of Published Journal Name RCTs Systematic Reviews 1 Journal of dental Research Journal of Periodontology Clinical oral implant research Journal of clinical periodontology Operative dentistry Journal of periodontal research Oral Microbiology immun Journal of oral pathol med Dental mater Oral oncology Scandinavian Journal Dental Res Critical reviews of oral biology Journal of dentistry Journal of public health dentistry Caries research Oral surg, Oral med Journal endodontology Archives of Oral Biology Community Dentistry Oral Epidemiol Journal of prosthetic dentistry JADA J Oral and Maxillofacial Surgery International endodontic journal Swedish dental journal European journal of oral biology Cleft palate and cranio BJOMS Acta Odontol Scand European journal of orthodontics Endodent traumatol BDJ Journal of oral rehabilitation Int JOral and Maxillofacial surgery 4 0 Choice of literature - EBD papers Derek Richards Evidence Based-Dentistry
12 SCI Journal & Ranking positions RCTs Systematic Rev 1 Journal of Dental Research Journal of Periodontology Clinical Oral Implant Research Journal of Clinical Periodontology Operative Dentistry Journal of Periodontal Research Oral Microbiol immun Journal of oral pathol med Dental mater Oral Oncology Scandinavian Journal of dental research Critical Reviews of Oral Biology Journal of Dentistry Journal of Public Health Dentistry Caries Research Oral surg, Oral med Journal Endodontology Archives of Oral Biology Community Dentistry Oral Epidemiology Journal of prosthetic dentistry JADA Journal of Oral and Maxillofacial Surgery International endodontic journal Swedish dental journal European journal of oral biol Cleft palate and cranio BJOMS Acta Odont. scanda European journal of orthodontics Endodent traumatol BDJ Journal of oral rehabilitation International J oral maxillofacial surgery Angle orthodont Ranking positions according to 1. SCI 2. RCT 3. Systematic reviews Derek Richards Evidence Based-Dentistry 1999 Choice of literature in teaching Position Journal Name Position Journal Name 1 Journal of Dental Research 2 Journal of Periodontology 3 Oral Surgery, Oral medicine, Oral Pathology 4 Journal of Clinical Periodontology 5 Journal of Dentistry 6 Journal of Prosthetic Dentistry 7 Journal of American Dental Association 8 Caries Research 9 Journal of Periodontal Research 10 Oral oncology Average of ranking according to Scientific Citation Index, % RCTs % systematic reviews 1 Oral Surgery, Oral medicine, Oral Pathology 2 Journal of Dental Research 3 Journal of Prosthetic Dentistry 4 Journal of American Dental Association 5 AM J of Ortho dentofacial 6 Journal of Periodontology 7 Journal of Dentistry 8 British Dental Journal 9 Journal of clinical periodontology 10 Journal of Oral and Maxillofacial Surgery Ranking based only on evidence-based criteria: % RCTs % systematic reviews Derek Richards Evidence Based-Dentistry 1999 Suggested scientifically sound journals with clinically relevant information to GPs 1 Journal of Dental Research* 21 Journal of the American Dental Association* 2 Journal of Periodontology* 22 Journal of Oral and Maxillofacial Surgery 3 Clinical Oral Implant Research* 23 International Endodontic Journal 4 Journal of Clinical Periodontology* 24 Swedish Dental Journal 5 Operative Dentistry* 25 European Journal of Oral Sciences 6 Journal of Periodontal Research* 26 Cleft Palate and Cranio 7 Oral Microbiology and Immunology* 27 British J Oral & Maxillofacial Surgery 8 Journal of Oral Pathology Medicine 28 Acta Odontologica Scandinavica 9 Dental Materials 29 European Journal of Orthodontics 10 Oral Oncology 30 Dental Traumatology 11 International J Oral Maxillofacial Implants 31 British Dental Journal* 12 Critical Reviews of Oral Biology 32 Journal of Oral Rehabilitation 13 Journal of Dentistry* 33 International J Oral and Maxillofacial Surgery 14 Journal of Public Health Dentistry* 34 Angle Orthodontist 15 Caries Research* 35 Am J Orthodontics Dentofacial Orthopedics* 16 Oral Surgery Oral Medicine, Oral Pathology* 36 Australian Dental Journal 17 Journal of Endodontics* 37 Journal of Cranio-Maxillofacial Surgery* 18 Archives of Oral Biology* 38 Journal of Dentistry for Children* 19 Community Dentistry Oral Epidemiology* 39 Cranio 20 Journal of Prosthetic Dentistry* American Journal of Dentistry; Clinical Implant Dentistry; Clinical Oral Investigations; Compendium on Continuing Education in Dentistry; International Journal of Prosthodontics; Journal of Clinical Pediatric Dentistry; Journal of Dental Education; Journal of Orofacial Pain; Journal of Prosthodontics; Journal of Californian Dental Association, Journal of Canadian Dental Association, Pediatric Dentistry 12
13 Search for evidence Webmedicine General search Medical databases Medline ISI Embase, Cinahl Medical metasite searching Primary publications Evidence-based Practice EBD information 1. Practice protocols, policies and guidelines based on evidencebased principles 13
14 FDI World Dental Federation Agency for Healthcare Research & Quality, USA NHS Centre for Reviews and Dissemination, UK 14
15 National institute for clinical excellence, UK SIGN, UK EBD information 1. Practice protocols, policies and guidelines based on evidence-based principles 2. Evidence-based summaries generated by others Journals that critically appraise primary studies 15
16 Online secondary publication - EBM Online secondary publication - EBD: Online secondary publication - EBDP: 16
17 Online secondary publication - Bandolier EBD in daily practice 1. Practice protocols, policies and guidelines based on evidence-based principles 2. Evidence-based summaries generated by others Journals that critically appraise primary studies Systematic reviews Systematic reviews in dentistry 250 N= (Cumulative) 17
18 EBD information 1. Practice protocols, policies and guidelines based on evidence-based principles 2. Evidence-based summaries generated by others Journals that critically appraise primary studies Systematic reviews Cochrane Collaboration NHS R&D Literature The Cochrane Collaboration EBD information 3. Evidence-based science Websearch 18
19 EBD information 3. Evidence-based science Websearch Emerging resources 19
20 20
02 Compendium of Dental Education (9) Y Dental Abstracts (6) Y Dental Clinics of North America (4) Y
Subject SN Title of Journals Indexed ISSN No General: 01 British Dental Journal (24) Y 0007-0610 02 Compendium of Dental Education (9) Y 1548-8578 03 Dental Abstracts (6) Y 0011-8486 04 Dental Clinics
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