The proposed new evidence-based medicine pyramid.

Slides:



Advertisements
Similar presentations
Copyright ©2001 BMJ Publishing Group Ltd. Emerg Med J 2001;18:
Advertisements

 Categorisation of direct and indirect admissions to the intensive care unit (ICU) from emergency departments (EDs), using source of admission.  Categorisation.
Flow chart of maternal, placental and fetal adaptations that occur in a low-risk pregnancy to protect the fetus from potential risks of maternal exercise.
 Trends in incidence rates of reported work related injuries and illnesses in jobs with and without exposure, for two exposure categories (hours/week and.
Lifecycle of the urinary catheter
Masashi Maeda et al. Heart Asia 2013;5:7-14
Effect of confidence interval reduction to demonstrate a true difference in means. Effect of confidence interval reduction to demonstrate a true difference.
Distribution of percentage compliance during the intervention period for Sch-I and Sch-V. Distribution of percentage compliance during the intervention.
PRISMA flow chart illustrating study inclusions through the stages of the systematic review. PRISMA flow chart illustrating study inclusions through the.
The proposed new evidence-based medicine pyramid.
Harvest plot of intervention effects on muscle physical activity levels. Harvest plot of intervention effects on muscle physical activity levels. Each.
Interpretation of results presented as heat maps and heat map results for the exercise subtests, ranked by the total Functional Movement Screen (FMS) score.
Kaplan-Meier survival curve for unloader brace—Kaplan-Meier survival analysis demonstrated rapid conversion to TKR for the first 12 months, which then.
Predicted %TBW by orthopaedic surgeons and rehabilitation professionals, and actual values demonstrated by the ‘educated patient’ for PWB. PWB, partial.
Risk of having any adverse effects with supplements compared with placebo. Risk of having any adverse effects with supplements compared with placebo. Stratified.
Area under the receiver operating curve showing 0
Continuous glucose monitor readings during a trek to Everest Base Camp shown as a per cent of total readings with CGM glucose below 3.9 mmol/L, 3.9–10 mmol/L,
The Glasgow trolley used in the study by Aladangady et al18 that inspired the first designs of the Bedside Assessment, Stabilisation and Initial Cardiorespiratory.
 Trends in incidence rates of reported work related injuries and illnesses in jobs with and without exposure, by exposure category.  Trends in incidence.
Area under the receiver operating curve showing 0
The first Bedside Assessment, Stabilisation and Initial Cardiorespiratory Support (BASICS) prototype (by PW in April 2011, reprinted with his permission).
 Summary of 2002 data.  Summary of 2002 data. All patients with head injuries (HI) for the nine month control period are included. The new protocol was.
 Summary of 2001 data.  Summary of 2001 data. All patients with head injuries (HI) for the seven month control period are included. Royal College of Surgeons.
Predicted %TBW by orthopaedic surgeons and rehabilitation professionals, and actual values demonstrated by the ‘educated patient’ for TTWB. %TBW, percentage.
Reduction of muscle soreness after intervention, described as AUC of the difference after intervention minus before intervention for placebo and leucine.
(A) The right precordial leads V1 to V3 in a chest pain patient ultimately diagnosed with AMI. (B) Additional posterior leads V8 and V9 reveal STE, confirming.
Demographic and situational information for all 361 exertional heat illness cases (left) and 137 hospitalised cases (right), displayed by (A) occupational.
Incremental Cost-Effectiveness Ratio (ICER) exponentially decreases as the duration of wear increases. Incremental Cost-Effectiveness Ratio (ICER) exponentially.
Cumulative changes in mTSS for SB2 and infliximab
PRISMA flow diagram for selection of RCTs from leading sports medicine journals for the publication years 2005 and 2015. PRISMA, Preferred Reporting Items.
(Case 1) ST segment depression attributable to myocardial ischaemia (non-infarction)—ECG demonstrated NSR with ST segment depression in the anterolateral.
Area under the receiver operating curve showing 0
Small group play: five a side football, including a goalkeeper.
Meta-analysis of risk ratios for percentage of patients who developed catheter-associated urinary tract infection, for intervention versus control groups,
(Case 2) Reciprocal ST segment depression—the ECG demonstrated early anterolateral AMI with reciprocal ST segment depression in the inferior leads. (Case.
Meta-analysis of risk ratios for percentage of patients who developed catheter-associated urinary tract infection, for intervention versus control groups,
Diagrammatic representation of the change of position of the extensor carpi ulnaris tendon between pronation and supination. Diagrammatic representation.
Bland and Altman plot for comparison of the difference between the score based on the kinematic variables recorded from the photogrammetric system outputs.
Improvements in physical function.
Individual lipid measures for high-carbohydrate (n=10) and low-carbohydrate (n=10) ultra-endurance athletes. Individual lipid measures for high-carbohydrate.
Forest plots of function at (A) 6 months and (B) 1–2 years (Beard et al,12 1 year; Paavola et al,13 2 years). Forest plots of function at (A) 6 months.
(Case 3) Acute, isolated posterior wall myocardial infarction.
Pyramid of incidence of acute cough.
 Line graph showing mean (SEM) values for ankle pain on activity for intermittent and standard groups at baseline and week 1, 2, 3, 4, and 6 after injury.
Consumption of sugar sweetened beverages and population attributable fraction (PAF) for type 2 diabetes in the United States and the United Kingdom. Consumption.
Relative risk of suffering clinically measurable levels of general anxiety and depression following a false-positive mammogram compared to a normal mammogram,
(Case 6) Digoxin effect— 12-lead ECG demonstrated NSR with diffuse ST segment depression. (Case 6) Digoxin effect— 12-lead ECG demonstrated NSR with diffuse.
Distribution of NEWS in the community by service
Flow diagram of studies through the review process
 Coronal FSE inversion recovery image, showing kissing contusion in the lateral compartment as areas of high intensity signal.  Coronal FSE inversion recovery.
A model for structuring medical and science services and function—based on aspects of the current and previous (2009–2012) UK Athletics Performance Department.
Distribution of glioma cases and controls by level of total cumulative specific energy (TCSE) (in joules per kilogram) at the estimated centre of the tumour;
Funnel plots showing SE and effect size (log rate ratio) in trials of exercise for fall prevention undertaken among (A) general community dwellers, (B)
Summary of operational response to chemical or HazMat incidents indicating the tapering elements of the initial operational response (IOR) and specialist.
(Case 4) Left bundle branch block—a 12-lead ECG demonstrated NSR with a LBBB. The ST segment depression in the lateral leads is consistent with the altered.
Comparison of mean Gensini scores (GS) and atherosclerotic scores (AS) according to the C282Y mutation in patients with single, double, and triple vessel.
Prospective associations of beverage consumption with incident type 2 diabetes: random effects meta-analysis. *Unadjusted for adiposity. †Adjusted for.
 Coronal proton density images showing the kissing contusion low density signal areas (arrows) on the lateral femoral condyle (A).  Coronal proton density.
Relationship between the mean of actually measured and predicted postoperative oxygen uptake (ppo V̇O2peak as % of predicted), and the difference between.
(Left panel) Incidence of non-traumatic cardiac arrest (NTCA) per 100 000 population by age group and sex (n=8557): age or sex data were not recorded in.
Model deviance associated with including, in a polychotomous regression model of profusion categories, each GEI formed from the combination of powers of.
Objectively measured distributions of moderate to vigorous physical activity (MVPA), light intensity physical activity (LIPA) and sedentary time during.
Mean rectal temperature (°C) data for each condition over the experimental period. Mean rectal temperature (°C) data for each condition over the experimental.
Ensuring adequate circulation to sustain life (Algorithm 3)
 Relationship of the internal jugular vein diameter to various angles of Trendelenburg tilt.  Relationship of the internal jugular vein diameter to various.
SMD (95% CI) for outcomes at 12 weeks
The average percentage of employees absent at any point in a calendar month, in the entire mine. The average percentage of employees absent at any point.
(A) Computed tomography showing left frontal intracerebral haematoma and skull vault fracture with (B) corresponding plain skull radiograph showing a depressed.
 (A) The entry and exit burn injuries attributable to electrical shock located in the proximal portions of the second and third fingers of the right hand.
Unloader knee brace patient pathway
Presentation transcript:

The proposed new evidence-based medicine pyramid. The proposed new evidence-based medicine pyramid. (A) The traditional pyramid. (B) Revising the pyramid: (1) lines separating the study designs become wavy (Grading of Recommendations Assessment, Development and Evaluation), (2) systematic reviews are ‘chopped off’ the pyramid. (C) The revised pyramid: systematic reviews are a lens through which evidence is viewed (applied). M Hassan Murad et al. Evid Based Med doi:10.1136/ebmed-2016-110401 ©2016 by BMJ Publishing Group Ltd