EVIDENCE BASED
DENTISTRY
Gabe Rios
Liz Lorbeer
Emma O’Hagan
Lister Hill Library
September 22, 2010
YOUR LIAISONS
Gabe Rios Liz Lorbeer
Phone = 934-5460 Phone = 934-2460
Emma O’Hagan
E-mail =
[email protected]
Phone = 934-2461
Class Objectives
Review
Choosing the right information resource
Evidence Based Dentistry
Searching PubMed
Searching Cochrane Library
For next time,
EndNote Web
Preparing an Effective Scientific Presentation
Additional help, questions, review, etc…
REVIEW
TIPS
Tip #1 - Bring your ID
Tip #2 - Pick the right resource
Tip #3 - Use our PubMed link
Tip #4 - Contact us if you have questions
Tip #5 - SOD Library Guide:
http://libguides.lhl.uab.edu/dentistry
Ask A Librarian
Chat/IM
M-Th: 8AM - 6PM
F: 9AM - 5PM
Su: Noon - 8PM
Facebook
SMS/texting
E-mail one of us!
Reference checks e-
mail every day
Office hours in SOD 6th Floor Lounge
Tues, Sept 28 – 12-12:30 PM – Emma
Fri, Oct 8 - 12-12:30 PM – Emma
Fri, Oct 15 - 12-12:30 PM – Emma & Gabe
Fri, Oct 22 – 12-12:30 PM- Emma & Gabe
We’re also “on call” if you need us!
School of Dentistry Liaison Guide
CHOOSING THE RIGHT
INFORMATION
RESOURCE
What Kind Of Question Are You Asking?
Background information
General questions (cause, presentation, treatment)
Foreground information
Specific questions regarding a patient (original
research, secondary sources)
Where do you find background information?
Where do you find foreground information?
Background Information = Textbooks
You have limited knowledge on the topic
Common facts or background information
Facts that remain relatively static over time
such as:
the diagnosis of periodontal (gum) diseases
how to perform a oral exam
characteristics of TMD/TMJ
(Temporomandibular Disorders)
anatomy, physiology, descriptive pathology
WHERE DO I FIND THEM?
Where to find online textbooks:
Library Catalog
http://catalog.lhl.uab.edu
Basic Medical Book Collections online:
Access Medicine
MD Consult
http://www.uab.edu/lister/databases
Foreground Info = Journal
You know a little about the topic, but need
specific information about how to manage a
patient with a disorder
Journals
Some are peer reviewed, some are not
Useful for finding new therapies, diagnoses, etc.
Requires a good PICO question!
HOW DO I FIND A JOURNAL ARTICLE?
Databases
PubMed
Dentistry & Oral Sciences Source (just dental lit)
Cochrane Library (filtered)
Web of Science (cited reference search)
http://www.uab.edu/lister/databases
Linkages
A-Z list of online journals
http://www.uab.edu/lister/ejournals/index.htm
THE EVOLUTION OF EVIDENCE FINDING
Undergraduate
Freshmen = Google always worked
Sophomore = Google still working
Junior - Senior = Throw in a little Wikipedia and
some Google and call it good
Dental School
Began using PubMed for “peer reviewed” and
Dentistry & Oral Sciences Sources for “general
searches”
Searching high-quality evidence
Cochrane Library & EBD.ADA.org
Based on slide by Trevor Frideres & Jane Gillette: Learning Evidence-Based Dentistry in the Private Office Setting
PUBMED
PubMed
Basic Searching
MeSH
Exporting & Saving Results
Author Searches & Other Advanced Searches
Finding Full-text
PubMed
Free resource but not full text
Search through Lister Hill to connect to full text
Over 20 million citations
Citations from the 1950’s forward
Peer reviewed articles (mostly)
Searches MEDLINE & other biomedical & life sciences
journals outside Medline
Basic Searching
PubMed Search Results
Scroll down for Search Details
Basic Search vs. MeSH
MeSH = Medical
Subject Headings
Assigned by NLM
indexers
Provides more
accurate/applicable
results
MeSH
MeSH
Term
Definition
Subheadings
narrow your search
MeSH > Tree View
Scroll down for broader or narrower terms
MeSH
MeSH Search Results & Limits
Adding Limits
Avoid using “Text Options”
limits
Advanced Search
Combining Searches
Searching Affiliation
Exporting & Saving Results
• Clipboard
• E-mail
• Save to a file
Display Settings
Related Citations
Finding Full-Text
Double Check
•Even if it says we don’t have it in print, double check through the catalog
•Don’t hesitate to ask a librarian to double-check using chat-reference
Finding Full-Text
Interlibrary Loan: Illiad
EVIDENCE BASED
DENTISTRY
Your cheat sheet is at:
http://libguides.lhl.uab.edu/ebd
What is a systematic review?
• A systematic review identifies an intervention or
treatment for a specific disease or other problem in
health care
• Identifies and includes all up-to-date and relevant
studies and trials
• Determines whether or not the intervention or
treatment works
www.thecochranelibrary.com
Why Is This Needed?
Dental research is continuous
Implementation of findings is delayed
Dentists must stay current
Evidence-based practice has been shown to
keep dentists up-to-date
Evidence pyramid
EBD PROCESS
Question
Articulate a clear question
Find
Conduct a comprehensive search
Appraise
Critically assess the evidence
Act
Use the best identified valid and relevant evidence in
patient care
Evaluation
Assess how well the previous steps worked
What is The Cochrane Library?
A collection of databases that include high quality,
independent, reliable evidence from Cochrane and other
systematic reviews, clinical trials and more.
• Brings together research on the effectiveness of healthcare
treatments and interventions from around the world.
• Based on the practice of evidence-based medicine
• Used by clinicians, policy makers, researchers, educators,
students, patients and others.
Evidence-based medicine is “The conscientious, explicit and judicious use of current
best evidence in making decisions about the care of individual patients.”
Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. (1996)
http://www.bmj.com/cgi/content/full/312/7023/71
www.thecochranelibrary.com
The Cochrane Library databases
1. The Cochrane Database of Systematic Reviews
(Cochrane Reviews)
A systematic review investigates the effectiveness of
interventions for prevention, treatment and rehabilitation in
health care. Now includes reviews of diagnostic test accuracy
studies. Now updated monthly!
2. The Database of Abstracts of Reviews of Effects
(Other reviews)
Complements Cochrane Reviews by quality-assessing and
summarising reviews which have not been carried out by The
Cochrane Collaboration.
www.thecochranelibrary.com
The Cochrane Library databases
3. The Cochrane Central Register of Controlled Trials
(Clinical trials)
Includes details of published articles taken from bibliographic
databases – such as MEDLINE and EMBASE - and other published
sources.
4. Health Technology Assessment Database
(Technology Assessments)
Brings together details of completed and ongoing health
technology assessments from around the world.
www.thecochranelibrary.com
The Cochrane Library databases
5. Methodology Register
(Methods Studies)
Presents a bibliography of publications that report on methods
used when conducting controlled trials.
6. NHS Economic Evaluation Database
(Economic Evaluations)
Systematically identifies economic evaluations of healthcare
interventions from around the world, appraises their quality
and highlights their relative strengths and weaknesses.
www.thecochranelibrary.com
COCHRANE LIBRARY
Access Cochrane through the Databases
& Resources page.
ASK THE QUESTION FIRST!
Patient or population or problem
Intervention or exposure or prognostic factor
Comparison (not always included)
Outcome
Question: Will an adult patient with sleep
bruxism find that an occlusal splint reduces
jaw muscle discomfort?
QUESTIONS?
