Back to Search
Start Over
How Current Are Leading Evidence-Based Medical Textbooks? An Analytic Survey of Four Online Textbooks
- Source :
- Journal of Medical Internet Research, Vol 14, Iss 6, p e175 (2012), Journal of Medical Internet Research
- Publication Year :
- 2012
- Publisher :
- JMIR Publications, 2012.
-
Abstract
- Background: The consistency of treatment recommendations of evidence-based medical textbooks with more recently published evidence has not been investigated to date. Inconsistencies could affect the quality of medical care. Objective: To determine the frequency with which topics in leading online evidence-based medical textbooks report treatment recommendations consistent with more recently published research evidence. Methods: Summarized treatment recommendations in 200 clinical topics (ie, disease states) covered in four evidence-based textbooks–UpToDate, Physicians’ Information Education Resource (PIER), DynaMed, and Best Practice–were compared with articles identified in an evidence rating service (McMaster Premium Literature Service, PLUS) since the date of the most recent topic updates in each textbook. Textbook treatment recommendations were compared with article results to determine if the articles provided different, new conclusions. From these findings, the proportion of topics which potentially require updating in each textbook was calculated. Results: 478 clinical topics were assessed for inclusion to find 200 topics that were addressed by all four textbooks. The proportion of topics for which there was 1 or more recently published articles found in PLUS with evidence that differed from the textbooks’ treatment recommendations was 23% (95% CI 17-29%) for DynaMed, 52% (95% CI 45-59%) for UpToDate, 55% (95% CI 48-61%) for PIER, and 60% (95% CI 53-66%) for Best Practice ( χ 2 3 =65.3, P
- Subjects :
- medicine.medical_specialty
Evidence-based practice
Best practice
Alternative medicine
MEDLINE
Health Informatics
030204 cardiovascular system & hematology
lcsh:Computer applications to medicine. Medical informatics
Medical care
Health informatics
World Wide Web
03 medical and health sciences
0302 clinical medicine
medicine
medical informatics
030212 general & internal medicine
Research evidence
Original Paper
Evidence-Based Medicine
Education, Medical
business.industry
Data Collection
lcsh:Public aspects of medicine
lcsh:RA1-1270
Evidence-based medicine
3. Good health
Family medicine
databases, bibliographic
lcsh:R858-859.7
business
Subjects
Details
- Language :
- English
- ISSN :
- 14388871
- Volume :
- 14
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of Medical Internet Research
- Accession number :
- edsair.doi.dedup.....4a77949bf43e05715907d664ee87c3e5