New evidence pyramid

BMJ - Tập 21 Số 4 - Trang 125-127 - 2016
M. Hassan Murad1, Noor Asi1, Mouaz Alsawas1, Fares Alahdab1
1Rochester, Minnesota, USA

Tóm tắt

A pyramid has expressed the idea of hierarchy of medical evidence for so long, that not all evidence is the same. Systematic reviews and meta-analyses have been placed at the top of this pyramid for several good reasons. However, there are several counterarguments to this placement. We suggest another way of looking at the evidence-based medicine pyramid and explain how systematic reviews and meta-analyses are tools for consuming evidence—that is, appraising, synthesising and applying evidence.

Từ khóa


Tài liệu tham khảo

10.1111/1469-0691.12489

Agoritsas T , Vandvik P , Neumann I , et al . Finding current best evidence. In: Guyatt G , Rennie D , Meade MO , et al . eds. Users’ guides to the medical literature: a manual for evidence-based clinical practice. 3rd edn. New York, NY: McGraw-Hill, 2015:29–50.

10.5014/ajot.2011.000828

Resources for Evidence-Based Practice: The 6S Pyramid. Secondary Resources for Evidence-Based Practice: The 6S Pyramid Feb 18, 2016 4:58 PM. http://hsl.mcmaster.libguides.com/ebm

10.1016/S0895-4356(98)00025-0

10.1001/jama.2014.8167

10.1001/jama.2014.8166

10.1136/bmj.39489.470347.AD

10.1210/jc.2011-2100

10.1016/j.jclinepi.2011.06.004

10.1001/jama.2014.5559

10.1016/j.jclinepi.2013.08.004

10.1056/NEJMoa072761