Evidence-based Resources for Clinical Practice

Authors

  • Leslie St. Jacques McMaster University and University Health Network, Toronto Western Hospital

DOI:

https://doi.org/10.5203/jcanpa.v1i2.700

Abstract

A key clinical skill in evidence-based practice is the ability to obtain accurate, quality clinical information quickly.  Also crucial are empathy and communication skills to enable shared decision-making with the patient, toward formulation of practical treatment decisions.  How do clinicians find and use the most current evidence-based resources to answer clinical questions? This article draws from Thomas Agoritsas et al’s chapter “Finding Current Best Evidenceâ€, and explores the search for and utilization of evidence-based resources, using Clostridioides (formerly Clostridium) difficile infection as an example. 

Author Biography

Leslie St. Jacques, McMaster University and University Health Network, Toronto Western Hospital

Leslie St. Jacques, BHSc (PA), MES, MSW, is a Canadian Certified Physician Assistant working in Neurosurgery, in Toronto, Ontario.  She is currently a student in the Graduate Diploma in Clinical Epidemiology at McMaster University. 

References

Agoritsas T, Vandvik PO, Neumann I, Rochwerg B, Jaeschke R, Hayward R, Guyatt G, McKibbon KA. “Finding Current Best Evidenceâ€,

in Guyatt G, Rennie D, Meade MO, Cook, DJ, eds. User’s Guides to the Medical Literature: a Manual for Evidence-based Clinical Practice. New York: McGraw Hill Education, 2015: 29-49.

Alons-Coello P, Oxman AD, Moberg J, Brignardello-Petersen R, Akl EA, Davoli M, Trewe S, Mustafa RA, Vandvik PO, Meerpohl J, Guyatt GH, Schunemann HJ. GRADE Evidence to Decision (EtD) frameworks: a systematic and transparent approach to making well-informed healthcare choices. The British Medical Journal 2016: 353; i2089.

American Heart Association/American Stroke Association. 2018 Cholesterol Clinical Practice Guidelines. Available from: https://www.ahajournals.org/guidelines/cholesterol, accessed Jan. 2, 2019

Dans AL, Dans LF, Agortisas T, Guyatt G, “Applying Results to Individual Patientsâ€, in Guyatt G, Rennie D, Meade MO, Cook, DJ, eds. User’s Guides to the Medical Literature: a Manual for Evidence-based Clinical Practice. New York: McGraw Hill Education, 2015: 235-247.

Endocrine Society, Clinical Practice Guidelines. Available from: https://www.endocrine.org/guidelines-and-clinical-practice/clinical-practice-guidelines, accessed Jan. 2, 2019

Guyatt G, Jaeschke R, Wilson M, Montori VM, Richardson WS, “What is Evidence-based Medicine?†in Guyatt G, Rennie D, Meade MO, Cook, DJ, eds. User’s Guides to the Medical Literature: a Manual for Evidence-based Clinical Practice. New York: McGraw Hill Education, 2015: 7-14.

Guyatt G, Meade MO, Agoritsas T, Richardson WS, Jaeschke R. “What is the Question?†in Guyatt G, Rennie D, Meade MO, Cook, DJ, eds. User’s Guides to the Medical Literature: a Manual for Evidence-based Clinical Practice. New York: McGraw Hill Education, 2015: 19-28.

Infectious Diseases Society of America, “Clostridium Difficile†clinical practice guideline, Clinical Infectious Diseases, March 19, 2018, 66 (7): E1-48. Available from https://www.idsociety.org/practice-guideline/clostridium-difficile/. Accessed Jan 3, 2019.

Kelly CP, Lamont JT, Bakken JS. “Clostridioides (formerly Clostridium) difficile infection in adults: treatment and prevention. Last updated October 15, 2018. https://www.uptodate.com/contents/clostridioides-formerly-clostridium-difficile-infection-in-adults-treatment-and-prevention

Loo VG, Davis I, Embil J, Evans GE, Hota S, Lee C, Lee TC, Longtin Y, Loule T, Moayyedi P, Poutanen S, Simor AE, Steiner T, Thanpi N, Valiquette L. “Association of Medical Microbiology and Infectious Disease Canada Treatment Practice Guidelines for Clostridium Difficile Infectionâ€. Journal of the Association of Medical Microbiology and Infectious Disease Canada, 2018, 3.2. Available from: https://www.ammi.ca/Content/AMMI%20Canada%20treatment%20practice%20guidelines%20for%20Clostridium%20difficile%20infection.pdf, accessed Jan. 4, 2019

Montori V, Elwyn G, Devereaux PJ, Straus SE, Haynes RB, Guyatt G, “Decision-making and the Patientâ€, in Guyatt G, Rennie D, Meade MO, Cook, DJ, eds. User’s Guides to the Medical Literature: a Manual for Evidence-based Clinical Practice. New York: McGraw Hill Education, 2015:547-559.

Murad MH, Jaeschke R, Devereaux PJ, Prasad K, Carrasco-Labra A, Apritsas T, Cook DJ, Guyatt G. “The Process of a Systematic Review and Meta-analysisâ€, in Guyatt G, Rennie D, Meade MO, Cook, DJ, eds. User’s Guides to the Medical Literature: a Manual for Evidence-based Clinical Practice. New York: McGraw Hill Education, 2015: 459-469.

Murad MH, Montori VM, Ioannidis JPA, Neumann I, Hatala R, Meade MO, Devereaux PJ, Wyer P, Guyatt G. “Understanding and Applying the Results of a Systematic Review and Meta-Analysisâ€, in Guyatt G, Rennie D, Meade MO, Cook, DJ, eds. User’s Guides to the Medical Literature: a Manual for Evidence-based Clinical Practice. New York: McGraw Hill Education, 2015: 471-489.

Neumann I, AKl EA, Vandvik PO, Agortisas T, Alonso-Coello P, Rind DM, Santesso N, Alexander PE, Mustafa RA, Prasad K, Bates SM, Schunemann HJ, Guyatt G. “How to Use a Patient Management Recommendation: Clinical Practice Guidelines and Decision Analyses†in Guyatt G, Rennie D, Meade MO, Cook, DJ, eds. User’s Guides to the Medical Literature: a Manual for Evidence-based Clinical Practice. New York: McGraw Hill Education, 2015: 531-543.

Schunemann HJ, Wiercioch W, Exteandia I, Falavigna M, Santesso N, Mustafa R, Vetresca M, Brignardello-Peterson R, Laisaar K, Kowalski S, Baldeh T, Zhang Y, Raid U, Neumann I, Norris SL, Thornton J, Harbour R, Treweek S, Guyatt G, Alonso-Coello P, Reinap M, Brozek J, Oxman A, Akl EA. “Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterpriseâ€, The Canadian Medical Association Journal, February 18, 2014, 186 (3): E123-142.

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Published

2019-01-08

How to Cite

St. Jacques, L. (2019). Evidence-based Resources for Clinical Practice. The Journal of Canada’s Physician Assistants, 1(2), 58–65. https://doi.org/10.5203/jcanpa.v1i2.700

Issue

Vol. 1 No. 2 (2019): The Journey Continues

Section

Perspective, opinion, and commentary:

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Copyright (c) 2019 Leslie St. Jacques

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