American Diabetes Association: Clinical Practice Recommendations
This compilation contains all the current ADA positions statements,
technical reviews, and consensus statements related to clinical
practice, as well as the evidence grading system used. Updated
yearly in January.
Evidence-Based Diabetes Care
Hertzel C. Gerstein , R. Brian Haynes (Editors), BC Decker Inc.,
This textbook provides a broad evidenced based review of the topic
of diabetes medicine. The hardbound text is accompanied by a CD-ROM
compilation of abstracts and patient information material.
Guidelines for Primary Prevention of Cardiovascular Disease and
Stroke: 2002 Update
Health in childhood: A Statement for Health Professionals From
the Committee on Atherosclerosis, Hypertension, and Obesity in
the Young (AHOY) of the Council on Cardiovascular Disease in the
Agency for Healthcare Research and Quality (AHRQ), formerly
known as the Agency for Health Care Policy and Research (AHCPR):
Clinical Guidelines and Evidence Reports
The AHRQ Web site includes links to the National Guideline Clearinghouse,
Evidence Reports from the AHRQ's 12 Evidence-based Practice Centers
(EPC), and Preventive Services. The AHCPR released 19 Clinical
Practice Guidelines between 1992 and1996.
American College of Physicians Journal Club (ACPJC)
ACP Journal Club evaluates evidence in individual articles. Commentary
by ACP author offers clinical recommendations. Access to the online
version of ACPJC is a benefit for members of the ACP-ASIM.
Features short evaluations/discussions of individual articles
dealing with evidence-based clinical practice.
Centre for Evidence Based Medicine (CEBM)
Established in Oxford in 1995 centre’s broad aim is to develop, teach and promote evidence-based health care and provide support and resources to anyone who wants to make use of them. The site links to evidence-based
journals, and evidence-based medicine teaching materials.
Center for Research Support, TRIP Database
The AHRQ began the Translating Research into Practice (TRIP) initiative
in 1990 to implement evidence-based tools and information. The
TRIP Database features hyperlinks to the largest collection of
evidence-based materials on the internet, including NGC, POEM,
DARE, Cochrane Library, CATbank, and individual articles. A good
starting place for an evidence-based medicine literature search.
Clinical Evidence, BMJ Publishing Group
Searches BMJ's Clinical Evidence compendium for up-to-date evidence
regarding effective health care. Lists available topics and describes
the supporting body of evidence to date (e.g., number of relevant
randomized controlled trials published to date). Concludes with
interventions "likely to be beneficial" versus those
with "unknown effectiveness." Individuals who have received
a free copy of Clinical Evidence Issue 5 from the United Health
Foundation are also entitled to free access to the full online
Cochrane Database of Systematic Reviews
Systematic evidence reviews that are updated periodically by the
Cochrane Group. Reviewers discuss whether adequate data are available
for the development of evidence-based guidelines for diagnosis
Effective Health Care
Bi-monthly, peer-reviewed bulletin for medical decision-makers.
Based on systematic reviews and synthesis of research on the clinical
effectiveness, cost-effectiveness and acceptability of health
Bimonthly publication launched in 1995 by the BMJ Publishing Group.
Article summaries include commentaries by clinical experts. Subscription
Practice Newsletter (including JFP Patient-Oriented Evidence
that Matters [POEM])
This JFP newsletter features up-to-date POEM, Disease-Oriented
Evidence (DOE), and tests approved for Category 1 CME credit.
Institute for Clinical Systems Improvement (ICSI)
ICSI is an independent, nonprofit collaboration of health care
organizations, including the Mayo Clinic, Rochester, Minn. Web
site includes the ICSI guidelines for preventive services and
Medical InfoRetriever (including JFP POEMs)
Evaluates individual studies, concludes with recommendations for
Guideline Clearinghouse (NGC)
Comprehensive database of evidence-based clinical practice guidelines
from government agencies and health care organizations. Describes
and compares guideline statements with respect to objectives,
methods, outcomes, evidence rating scheme, and major recommendations.
National Health Service (NHS) Centre for Reviews and Dissemination
Searches CRD Databases (includes DARE, NHS Economic Evaluation
Database, Health Technology Assessment Database) for EBM reviews. Abstract summaries review articles on diagnostic or treatment interventions and discuss clinical implications.
Primary Care Clinical Practice Guidelines
University of California, San Francisco, Web site that includes
links to NGC, CEBM, AHRQ, individual articles, and organizations.
Translating Research Into Action for Diabetes
TRIAD stands for Translating Research
Into Action for Diabetes
-- a national study that aims to improve the quality of care
and quality of life for people with diabetes. TRIAD is made up
of six research centers that have been looking at the care received
by people with diabetes. The goals of TRIAD are to assess the
level of care provided to people with diabetes; identify the barriers
that get in the way of people getting care, and find new ways
to provide better care for people with diabetes
U.S. Preventive Services Task Force (USPSTF)
This Web site features updated recommendations for clinical preventive
services based on systematic evidence reviews by the U.S. Preventive
Services Task Force.
Guide to Community Preventative Services
The Guide to Community Preventive Services is developed
through systematic reviews of available evidence of effectiveness
for selected interventions in three areas: a) improving health
behaviors; b) reducing specific diseases, disabilities, injuries,
and impairments; and c) addressing environmental and ecosystem
challenges. After completion of the reviews, the independent Task
Force on Community Preventive Services issues one of three findings:
Strongly recommended, Recommended, or Insufficient Evidence.
Numeric Presentation of Results
American College of Physicians American Society of Internal Medicine
The following primers are some of several available:
Primer on 95% Confidence Intervals for the Number Needed To
on Absolute vs. Relative Differences
Primer on Cost-effectiveness Analysis
on Statistical Significance and P Values
on 95% Confidence Intervals