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The proposed new evidence-based medicine pyramid.

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Presentation on theme: "The proposed new evidence-based medicine pyramid."— Presentation transcript:

1 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 2016;21: ©2016 by BMJ Publishing Group Ltd

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Copyright ©2001 BMJ Publishing Group Ltd. Emerg Med J 2001;18:393-395.

Copyright ©2001 BMJ Publishing Group Ltd. Emerg Med J 2001;18:
 Categorisation of direct and indirect admissions to the intensive care unit (ICU) from emergency departments (EDs), using source of admission.  Categorisation.

 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.

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.

 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

Lifecycle of the urinary catheter
Masashi Maeda et al. Heart Asia 2013;5:7-14

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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,

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.

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.

 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

Area under the receiver operating curve showing 0

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