pyramid modified from: Navigating the Maze, University of Virginia, Health Sciences Library
To access resources use HealthLinks search box or click on the links below
Cochrane Systematic Reviews
Cochrane Library
www3.interscience.wiley.com/cgi-bin/mrwhome/106568753/HOME
The Cochrane Collaboration. Oxford: Update Software; 1996-. Updated quarterly.- Cochrane Database of Systematic Reviews (Cochrane Reviews)
- 'Gold Standard' for high-quality systematic reviews
- Full-text included in Cochrane Library
- Cochrane Reviews includes complete reviews and protocols (reviews that are still in progress).
- Cochrane Reviews abstracts are in PubMed
- Database of Abstracts of Reviews of Effects (Other Reviews - DARE)
- prepared by the National Health Service Centre for Reviews and Dissemination, University of York, England.
- Complements the Cochrane Reviews by offering a selection of quality assessed reviews in those subjects where there is currently no Cochrane review.
- Brief critical appraisals of previously published reviews of the effects of health care.
- Structured abstracts, not full-text
- DARE not indexed in PubMed, but original research articles may be
- Also available at no charge on the web from University of York | www.crd.york.ac.uk/crdweb/
Other Systematic Reviews and Meta-analyses
PubMed MEDLINE - Systematic Reviews | www.ncbi.nlm.nih.gov/entrez/query/static/clinical.shtml
- access: part of PubMed's Clinical Queries (linked in PubMed Services section, left navigation bar)
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UW access for more full-text links
- Identifies systematic reviews and other similar types of studies found in biomedical journals included in PubMed database.
- No evaluation of comparative quality of different reviews on a topic.
- Abstracts supplied by authors/journals. No separate evaluation of quality of research.
- Identify systematic reviews in the biomedical area - gathers together much larger collection than other evidence-based practice resources.
Evidence Guidelines/Summaries
BMJ Clinical
Evidence | www.clinicalevidence.com/-
note: Limited number of users - please logoff/exit when you're finished
- Compendium of evidence on the effects of clinical interventions.
- Summarizes the current state of knowledge, including knowns and unknowns, based on thorough search.
- Categorizes interventions as beneficial, likely beneficial, no known benefit, harmful ...
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DynaMed | www.ebscohost.com/dynamed- Best available evidence summaries for nearly 2000 topics
- Clinical reference tool developed for use at the 'point-of-care'
- Outline format to quickly identify key conclusions
- Updated daily
Other Resources
- USPSTF Guidelines | www.ahrq.gov/clinic/prevenix.htm
- AHRQ Evidence Reports | www.ahrq.gov/clinic/epcix.htm
- FPIN Clinical Inquiries included in Journal of Family Practice | www.jfponline.com and American Family Physician | www.aafp.org/afp/. Indexed in PrimeAnswers
RCTs, Case Cohorts, Control Studies
PubMed | www.ncbi.nlm.nih.gov/sites/entrez/query.fcgi?myncbishare=uwonline
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note: Filtered by publication type, but not quality
- Clinical Queries - Uses preconfigured search strategies to retrieve research-based citations on clinical topics in the areas of therapy, diagnosis, etiology, or diagnosis.
- Use Limits to search by specific publication type (e.g. meta-analysis, randomized controlled trial, review).
Cochrane Library
| www3.interscience.wiley.com/cgi-bin/mrwhome/106568753/HOME
The Cochrane Collaboration. Oxford: Update Software; 1996-. Updated quarterly.- Cochrane Central Register of Controlled Trials (Clinical Trials)
- Bibliography of controlled trials as part of an international effort to hand search the world's journals.
- Includes reports published in conference proceedings and in many other sources not in PubMed or other bibliographic databases.
Other Resources
- Check HealthLinks Databases for other databases that may be appropriate.
Clinical Research Critiques
Reviews of patient care relevant studies.
ACP Journal Club | www.acpjc.org- American College of Physicians - American Society of Internal Medicine (ACP-ASIM)
- Internal medicine focus
- Abstracts to journal articles selected according to explicit criteria from major peer-reviewed medical journals
- Available in print.
POEMS (Patient Oriented Evidence that Matters) | www.essentialevidenceplus.com/inforetriever/results.cfm?resource=E- Structured abstracts by Journal of Family Practice editors
- Reviews over 90 journals monthly; identifies eight articles to abstract
- Focus on the patient
- Subset available in Journal of Family Practice
- All POEMS included in Essential Evidence Plus
Other Reviews of the Literature
Natural Medicines
Comprehensive Database | www.naturaldatabase.com-
note: Limited number of users - please logoff/exit when you're finished
- Subject-specific database of evidence-based information.
- Compiled by publishers of Pharmacist's Letter and Prescriber's Letter
- Herbal medicines, and dietary supplements used in the western world
- Assesses available evidence; check references for quality of source
Check HealthLinks Databases for other subjects.
Case Reports, Case Series, Other Articles, Practice Guidelines, etc.
PubMed | www.ncbi.nlm.nih.gov/sites/entrez/query.fcgi?myncbishare=uwonline
- Use Limits to search by specific publication type(s).
National Guideline Clearinghouse | www.ngc.gov/
- Initiative of the Agency for Healthcare Research and Quality (AHRQ).
- Available at no charge
- Updated weekly with new and changed guidelines.
- Comprehensive database of evidence-based clinical practice guidelines and related documents. Voluntary participation.
Clinical Reference Texts
Access:
- Care Provider Toolkit | healthlinks.washington.edu/care_provider
- Use HealthLinks Search for individual title
Meta-Search Engines
TRIP (Turning Research Into Practice) | www.tripdatabase.com
- Meta-search from UK
- Searches over 55 sites of evidence-based information
- Includes links to peer-reviewed journals and other publications
SUMSearch | sumsearch.uthscsa.edu/
- Produced by University of Texas Health Sciences Center, San Antonio
- Simultaneously searches few free-access sources - PubMed Cochrane Systematic Reviews (within PubMed), National Guideline Clearinghouse and Merck Index
- Results grouped by reviews, practice guidelines, systematic reviews and research-based articles
- Often very slow
Additional Resources
- HealthLinks: Evidence-Based Practice Resources | healthlinks.washington.edu/ebp/ebpresources.html
- HealthLinks: Evidence-Based Practice | healthlinks.washington.edu/ebp
- PubMed at the UW for search tips
- Evidence-Based Resources Help


http://healthlinks.washington.edu/ebp/ebptools.html