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1 Evidence-Based Complementary & Alternative Medicine: an Introduction Online Online Resources 2 nd Wisconsin Health Information Outreach Summit University.

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Presentation on theme: "1 Evidence-Based Complementary & Alternative Medicine: an Introduction Online Online Resources 2 nd Wisconsin Health Information Outreach Summit University."— Presentation transcript:

1 1 Evidence-Based Complementary & Alternative Medicine: an Introduction Online Online Resources 2 nd Wisconsin Health Information Outreach Summit University of Wisconsin – Green Bay August 16, 2006

2 2 Today’s Objectives: Define complementary and alternative medicine (CAM) Provide overview of evidence-based methods Visit online evidence-based CAM resources Execute sample searches

3 3 Resources Reviewed: Cochrane Library – pan for the gold PubMed – big and bountiful NGC (National Guideline Clearinghouse) Bandolier – for clinicians and patients BadgerLink – your Wisconsin connection MedlinePlus – starting point Natl Ctr for Complementary & Alternative Medicine (NCCAM)

4 4 Complementary and Alternative Medicine (CAM) is… On the rise 40% of American adults report using CAM* Getting research attention Being integrated into conventional medicine Incorporated into managed care Appearing in clinical curricula. *Astin JA. Why patients use alternative medicine: results of a national study. JAMA. 1998;279:

5 5 Definitions: A group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine (according to NCCAM) Complementary – used together with conventional medicine Alternative – used in place of conventional medicine Integrative – combines mainstream and CAM therapies where high-quality scientific evidence of safety and effectiveness exist

6 Sackett, Quick Review of 5 Steps of EBP Convert need for info into focused clinical question Track down the best evidence Appraise the evidence Integrate evidence into your practice Evaluate the process

7 7 Meta-Analyses Systematic reviews Evidence-based guidelines Randomized control trials (RCTs) Control trails w/o randomization Case-control and cohort studies Case studies/Qualitative studies Opinion of authorities Reviews (Pre- Appraised) Individual Studies Primary Literature Editorials, advice Search Order Hierarchy of Evidence

8 8 Meta-Analyses Systematic reviews Evidence-based guidelines Randomized control trials (RCTs) Control trails w/o randomization Case-control and cohort studies Case studies/Qualitative studies Opinion of authorities Cochrane Library PubMed NGC CINAHL (BadgerLink) PubMed CINAHL (BadgerLink) Others

9 9 Resources Reviewed: Cochrane Library – pan for the gold PubMed – big and bountiful NGC (National Guideline Clearinghouse) Bandolier – for clinicians and patients BadgerLink – your Wisconsin connection MedlinePlus – starting point Natl Ctr for Complementary & Alternative Medicine (NCCAM)

10 10 Cochrane Library Highest levels of evidence Database of Systematic Reviews Database of Abstracts of Reviews of Effects Others

11 11 PubMed Largest biomedical article database National Library of Medicine authority Robust search engine Limit by CAM

12 12 Nat’l Guideline Clearinghouse Evidence-based practice guidelines Authoritative resource Full-text guidelines Comparison feature

13 13 Bandolier British, covers CAM and other topics Narrative reviews with references Includes Knowledge Library, pain resources, newsletter, essays, alerts and more

14 14 BadgerLink Available throughout Wisconsin Selection of 7 health databases Nursing databases Other resources

15 15 MedlinePlus Good first stop National Library of Medicine product Patient Education Drug information – herbs and supplements

16 16 NCCAM Information by therapy or disease/condition Grants, reimbursement, funding opportunities Lectures, meetings, and newsletter Notices and alerts Research and training information

17 17 Additional Resources Consult handouts BadgerLink databases Web-based resources for EB CAM Texts from your medical library Journals Local resources

18 18 CAM Jeopardy

19 19 Thank you!.…Questions? Ulrike Dieterle & Michael Venner Ebling Library University of Wisconsin-Madison


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