Using the World Wide Web to Navigate the Maze

FREE Evidence-Based Medicine Resources on the Web:

Bandolier
Bandolier is a print and Internet journal about health care, using evidence-based medicine techniques to provide advice about particular treatments or diseases for healthcare professionals and consumers. Every issue is available, full text, and free of charge on the Web.

Critically Appraised Topics
CATs are critically appraised topics or written summaries of focused clinical questions where the evidence has been carefully analyzed. This site presents CATs created by the combined Internal Medicine/Pediatric Residency and Primary Care Program in Internal Medicine Programs of the University of Rochester Medical Center.

For more about CATs, CATmaker, CATnipper and kittens (!) - visit this page from the Centre for Evidence-Based Medicine in Oxford, UK (http://www.minervation.com/cebm2/docs/catmaker.html).

Cochrane Database of Systematic Reviews
The Cochrane Database of Systematic Reviews is produced by the Cochrane Collaboration - an international network of individuals and institutions committed to preparing, maintaining, and disseminating systematic reviews of the effects of health care. The Abstracts of Cochrane Reviews are available without charge, and can be browsed or searched.

Database of Abstracts of Reviews of Effects (DARE)
DARE consists of structured abstracts of systematic reviews from all over the world. DARE records cover topics such as diagnosis, prevention, rehabilitation, screening, and treatment. The full DARE records are freely available on the Web from the NHS Centre for Reviews and Dissemination at the University of York, UK.

HSTAT
HSTAT stands for Health Services/Technology Assessment Text, and is a large searchable collection of full-text practice guidelines, health technology assessments, and other health information. According to its parent organization, the National Library of Medicine, HSTAT is a free, web-based resource that provides access to full-text documents useful for providing health information and for health care decision making. One time-saving feature is that a HSTAT search can also simultaneously search PubMed, the CDC Prevention Guidelines, and the National Guideline Clearinghouse.

National Guideline Clearinghouse (NGC)
NGC is a public resource for evidence-based clinical practice guidelines. It is sponsored by the Agency for Healthcare Research and Quality in partnership with the American Medical Association and the American Association of Health Plans. It can be simultaneously searched with the HSTAT database (see HSTAT entry above).

National Library of Medicine (NLM) Gateway
The NLM Gateway allows a simultaneous search across multiple government information retrieval systems, such as PubMed, ClinicalTrials.gov, and HSRProj.

PubMed
PubMed provides free Web access to biomedical and health-related journal literature citations through the MEDLINE database and more.

PubMed Clinical
This specialized PubMed search is intended for clinicians and has built-in search "filters" intended to retrieve sound clinical studies of the etiology, prognosis, diagnosis, prevention, or treatment of disorders in adult general medicine.

SUMSearch
A few hard-working folks from the University of Texas Health Science Center have put this search site together to simultaneously search multiple Web sites and collate the results into one page. The majority of the links provided by SUMSearch come from three Internet sites - the National Library of Medicine (NLM), DARE, and the National Guideline Clearinghouse (NGC). The search results are presented from a broad to a narrow focus, allowing the clinician to jump into the results at the level of his/her knowledge.

TRIP Database
The TRIP Database began in 1997, and is a collection of titles and hyperlinks to a variety of information sources on the Web. Although the focus is primarily evidence-based medicine, it also includes links to peer-reviewed journals and even the Merck Manual! It is especially valuable for its single search interface to over 75 different sources of information. Search results are grouped according to whether they are evidence-based, from query-answering services, peer-reviewed journals, guidelines, etextbooks, etc.

One-Stop Shopping For EBM Sites:

EBM Resource Center
The EBM Resource Center was developed by The New York Academy of Medicine in partnership with the Evidence-based Medicine Committee of the American College of Physicians, New York Chapter. The Web Page contains references, bibliographies, tutorials, glossaries, and on-line databases to guide those embarking on teaching and practicing evidence-based medicine.

Evidence-Based Health Care Resources on the Internet
The Medical Library Association (MLA) has compiled a categorized list of evidence-based health care Web resources. This site offers wonderful links under each of its categories. Categories include search filters, tutorials, practice guidelines, master lists of Web resources, journals and organizations involved in evidence-based health care.

Netting the Evidence
This is a comprehensive A to Z EBM Web resource list that is produced by Andrew Booth at the School of Health and Related Research, University of Sheffield, England. Netting the Evidence is intended to facilitate evidence-based healthcare by providing support and access to helpful organization and useful learning resources, such as an evidence-based virtual library, software and journals.

Other

Claude Moore Health Sciences Library, University of Virginia Health System

UVa "Navigating the Maze" Web Site (Claude Moore Health Sciences Library)

Center for Information Mastery - the UVa Department of Family Medicine

Ovid Technologies
http://www.ovid.com/index.cfm
Ovid offers a subscription to a product called Evidence-Based Medicine Reviews (EBMR). This product provides a single search interface to the Cochrane Database of Systematic Reviews, Cochrane Controlled Trials Register, ACP Journal Club, DARE, and Clinical Evidence databases. Ovid's search interface allows multi-directional links between these EBM sources, MEDLINE, and full-text articles.

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