Users' Guides to the Medical Literature
{{Short description|Book by Gordon Guyatt and Drummond Rennie}}
{{Infobox book
| name = Users’ Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice
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| image = Users' Guides to the Medical Literature.jpg
| caption = First edition
| author = Gordon Guyatt, Drummond Rennie
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| series = Users’ Guides to the Medical Literature
| subject = Medicine
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| publisher = American Medical Association
| pub_date = 2001
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| isbn = 978-0071790710
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The Users’ Guides to the Medical Literature is a series of articles originally published in the Journal of the American Medical Association,{{cite journal|last1=Guyatt|first1=Gordon H.|first2=Drummond|last2=Rennie|title=Users' Guides to the Medical Literature|journal=JAMA: The Journal of the American Medical Association|date=3 November 1993|volume=270|issue=17|pages=2096–7|doi=10.1001/jama.1993.03510170086037|pmid=8411578}} later rewritten and compiled in a textbook, now in its third edition.{{cite book|title=Users' Guides to the Medical Literature: A Manual of Evidence-Based Clinical Practice|last1=Guyatt|first1=Gordon H.|first2=Drummond|last2=Rennie|edition=first|place=Chicago|publisher=American Medical Association Press|year=2002|isbn=978-1579471743|url-access=registration|url=https://archive.org/details/usersguidestomed00guya}}{{cite book|title=Users' Guides to the Medical Literature: A Manual of Evidence-Based Clinical Practice|last1=Guyatt|first1=Gordon H.|first2=Drummond|last2=Rennie |edition=third|place=New York|publisher=McGraw-Hill|year=2015|isbn=978-0071790710}} The guides provide practical, clinician-friendly advice on all aspects of evidence-based medicine.
As articles
During the late 1970s, a group of clinical epidemiologists at McMaster University including Dr. David Sackett prepared a series of articles to assist clinicians interpreting clinical research. These articles, introducing the term "critical appraisal", appeared in the Canadian Medical Association Journal beginning in 1981.
In 1990, Dr. Gordon Guyatt introduced the term "evidence-based medicine" to stress the role of rigorous, systematic evidence from clinical research in conjunction with patients’ values and preferences in clinical decision-making.Guyatt GH. Evidence-based medicine. ACP Journal Club. 1991;114:A-16. A group of academic physicians subsequently formed the international Evidence-based Medicine Working Group and published a 1992 article announcing the "new paradigm" of evidence-based medicine.{{cite journal|author=Evidence-Based Medicine Working Group|title=Evidence-Based Medicine: A New Approach to Teaching the Practice of Medicine|journal=JAMA|date=4 November 1992|volume=268|issue=17|pages=2420–5|doi=10.1001/jama.1992.03490170092032|pmid=1404801}}
The Evidence-based Medicine Working Group decided to build on the popular series in the Canadian Medical Association Journal by creating a more practical approach to applying the medical literature to clinical practice. Championed by Dr. Drummond Rennie, an editor of the Journal of the American Medical Association, the result was the Users' Guides. The guides originally consisted of 25 topics, covered in a series of 32 articles published in the Journal of the American Medical Association between 1993 and 2000, describing approaches to different types of medical questions and the study designs that may answer them.
Books
Dr. Guyatt and Dr. Rennie edited the articles and compiled them to form a book titled Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice.{{cite journal|last1=Kleinbart|first1=Jennifer|last2=Williams |first2=Mark V.|title=Users' Guides to the Medical Literature|journal=Evidence-Based Medicine|date=March–April 2002|volume=7|issue=2|page=39|doi=10.1136/ebm.7.2.39|url=http://ebm.bmj.com/content/7/2/39.full|access-date=1 August 2014|doi-access=free}}
The books teach a systematic approach to reading and applying the medical literature to individual patient care. It focuses on three questions: 1. Whether new information is likely to be valid, 2. What the information says about patient care, and 3. How the information can be used. To demonstrate the clinical relevance of the suggested approach, each section begins with a practical clinical scenario. The chapter is then structured around identifying the best available evidence and applying the three key questions to the evidence, in the context of the clinical scenario. Each chapter concludes with a resolution of the scenario.
Most of the book chapters are based on specific types of clinical questions, including questions of therapy, harm, diagnosis, and prognosis. Other chapters deal with general skills that are important for all clinical questions, such as “Finding the Evidence”, “Summarizing the Evidence”, and “Moving From Evidence to Action”.
The Users' Guides come in two book versions: the Essentials introduces the concepts of evidence-based medicine (EBM), with which every practicing clinician should be familiar, while the Manual provides a more comprehensive, in-depth exploration of EBM concepts for clinicians seeking a deeper understanding, or for those who wish to teach EBM.{{cite journal|last1=Graves|first1=Rebecca S.|title=Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice|journal=Journal of the Medical Library Association|date=October 2002|volume=90|issue=4|page=483|pmc=128970}}
Website
The complete text of the second edition of the Users’ Guides Manual is available online by subscription. The JAMAevidence website also includes a large number of calculators, worksheets and additional aids for the practice of EBM, including the updated and edited collection of another long-running JAMA article series, The Rational Clinical Examination: Evidence-based Clinical Diagnosis.{{cite book|last1=Rennie|first1=Drummond|editor1-last=Simel|editor1-first=David L.|editor2-last=Rennie|editor2-first=Drummond|title=The Rational Clinical Examination: Evidence-based Clinical Diagnosis|date=2009|publisher=McGraw-Hill|location=New York|isbn=978-0-07-159030-3|page=xvii|chapter=Foreword}}{{cite journal|last1=Walden|first1=Rachel R.|title=JAMAevidence|journal=Journal of the Medical Library Association|date=January 2010|volume=98|issue=1|page=93|doi=10.3163/1536-5050.98.1.026|pmc=2801961}}
References
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External links
- {{cite web|title=Users' Guides to Evidence-Based Practice|url=http://www.cche.net/usersguides/main.asp|website=Centre for Health Evidence|access-date=1 August 2014|date=July 11, 2005|quote=The CHE continues to maintain the full text pre-publication version of this series on behalf of the Evidence-Based Medicine Working Group with permission from the journal.|archive-url=https://web.archive.org/web/20140719235748/http://www.cche.net/usersguides/main.asp|archive-date=19 July 2014|url-status=dead|df=dmy-all}}
- {{cite web|title=Online version: Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, Second Edition|year=2008|url=http://www.jamaevidence.com/resource/520|website=JAMAevidence|publisher=American Medical Association|url-access=subscription |access-date=1 August 2014}}
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