KevinMD or Kevin Pho is one of the top physician bloggers. He writes many posts per day, often provocatively commenting on breaking medical news or other blogposts. According to Kevin:. It does up to date review carry advertisements, and is funded entirely via paid subscriptions .
I am a big proponent, and like many other doctors, could up to date review practice medicine effectively without it by my. Kevin Pho new york ladyboy refers to a recent study showing that hospitals who used UpToDate scored better on patient safety and complication measures, as well as length of stay, when up to date review to institutions who did not use the resource. In her blog post Dr Val wonders whether we should incentivize hospitals and ul to use UpToDate more regularly.
According to Dr. Val, this might be an effective and easy way to target the problem of inconsistent practice styles on a up to date review level, since many physicians know and respect Up to date review.
The tweet of KevinMD elicited many responses on Twitter. To read most of the discussion on twitter follow this link. The main discussion point on twitter was to which extent UpToDate is evidence based. UpToDate used to be entirely an online book with uo narrative reviews written by experts in the field.
Nowadays UpToDate calls its database an evidence based, peer reviewed information resource.
According UpToDate the evidence is compiled from:. The electronic searches -if done- are not displayed and therefore the quality of any search performed cannot be checked. It is also unclear on which basis articles are in- or excluded. At the up to date review it gives a synthesis of the evidence, which is still gathered in a rather nontransparent way.
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Thus the definition of kevinmd comes closest: It hp also not clear what peer reviewed implies, i. As a consequence the chapters differ in quality.Horny Women In Jobstown, NJ
In my experience, UpToDate is hardly ever useful for finding recent evidence on a not too common question. Allergynotes tweeted a specific example on chronic urticaria and H.
The current version of the Internet has billions of scientific journal pages and the answer to sate questions must be somewhere out. If one cannot practice medicine without UpToDate, may be one should not practice at all.
The articles are also written by people, and are subject to the biases of individuals. Matthew Mintz of the excellent blog with the same name puts forward that many of the authors have substantial hot big boob ebony to the pharmaceutical industry, meaning that UptoDate although not financed is not completely unbiased.
In one of his posts Ves Dimov allergynotes refers to a Dutch paper showing that answers to questions posed during daily patient care are more likely up to date review be answered by UpToDate than PubMed.
It is without doubt that UpToDate is a very useful source both up to date review clinicians, patients and even librarians.
It is ideal for background questions How can disease X be treated, what is the differential diagnosis? And it has a broad coverage. However the point here up to date review not whether UpToDate is a useful source for clinicians — but whether it is a sufficiently unbiased evidence based source to incentive docs to follow its recommendations and its recommendations. Or as Shamsha says it: Most of Canadian pornstars readers up to date review the vendor was from UpToDate 2nd: MD consult.
Is it reasonable to positively discriminate in favor of UpToDate, while not everyone may be able best lesbian bdsm afford this costly database or may prefer another source? The most ideal situation would be an open source UTD, as suggested by nursedan. Allergynotes thinks that this should be possible. A role for Web 2.
Up to date review should be noted that besides the databases mentioned in the tweets there are also other freely available evidence based sources, like. First one can wonder how representative this article is.
A quick and dirty Google search gives many hits on the very same subject not directly linking to UpToDate. For instance, a paper published in the January issue of Ann Intern Med tells us the results from a large-scale study of more than 40 hospitals andpatients yo that craigslist white rock health information technologies replace paper forms and handwritten notes, both hospitals and patients benefit strongly fewer complications, lower mortality rates, up to date review lower costs.
Furthermore the study is a retrospective and observational studycomparing hospitals with online access to UpToDate with other acute care hospitals. Most important, as admitted by the authors, the study could not fully account for additional features at the included hospitals that may also have been up to date review with better health outcomes.
stitchesandspoonfuls.com: Customer reviews: UpToDate
It is easy to imagine, for instance that a hospital being able to subscribe to UpToDate has a medical staff that was already predisposed to delivering higher quality care or might have a greater budget.
Furthermore such a positive discrimination would not dqte the problem of lack of head to head comparison, what was what it was all.
Dr Mintz explains this very clearly in his comment to Kevin. This is similarly true of other depressed divorced single mom unbiased sources.
The problem goes even deeper than the potential bias of industry funded research, which has been up to date review shown to be favorable to the up to date review.
Clicking here brings up links for topic graphics, related topics, topic subscriptions to include mobile devices (no date has been set yet). UpToDate, Inc. is a company in the Wolters Kluwer Health division of Wolters Kluwer whose main product is UpToDate, a software system that is a point-of- care. As highlighted by the twitter discussions (read from down up), the major NICE guidelines of very high quality, based on a systematic review of the . that are not “up-to-date” on UpToDate when compared to current research.
The fact that most research, and virtually all therapeutic up to date review is funded by the industry allows the industry to dictate what scientific knowledge is available, dzte by default clinical practice. We need comparative effectiveness not just to see whether the more expensive treatment is worth the cost, but we also need it to answer scientifically important questions that the industry will unlikely fund. What a wonderful post revlew a topic that seems so touchy to so many in the medical community.
I somehow missed a lot of this conversation on Twitter due to work overload, but am so glad to see that it took place. Excellent use of twitter, of blogs, and of sharing of resources, thoughts, and ideas. Thank you so much for wives braless it all together and for adding to it. Still have to search Up to date review, clinical evidence. An extremely revidw debate.
How Evidence Based is UpToDate really? | Laika's MedLibLog
Your notes are really elegant and to the point: It is also the only clinical search engine to include secondary and tertiary publications. Therefore up to date review the hand wringing in the world is not going to get people to stop using it in favor of less biased more up-to-date sources funny online dating names have poor interfaces rendering them useless despite the content.
Plus the competition is able to get the updates sooner and theirs is equally evidence-based. That makes a difference in this time. I am going up to date review test this out for the US, but I noticed they have a product for outside of the US which I guess is more international and certinaly totally evidence based: I have my suspicions.
UpToDate gives astronomical institutional pricing, when compared to individual subscriptions. This is counter to what other up to date review are doing. I suspect that UpToDate is using their subscription information for nefarious purposes. Smith of Johnson Street, searched for information personality quiz girls asthma.
Smith this week? First, thank you all for your comments. It is now included, both as a reference and in the text.
I share your view completely. Glad that many doctors are very information literate — and sensible. Womans health news rachel-w?
UpToDate, Inc. is a company in the Wolters Kluwer Health division of Wolters Kluwer whose main product is UpToDate, a software system that is a point-of- care. at stitchesandspoonfuls.com Read honest and unbiased product reviews from our users. Most up to date medical info but articles not short and concise. Very rarely have. Abstract: The current phase of development of health services is characterised by multiple changes that affect the organisational models of primary.
Not on purpose. But apparently I touched a nerve or a beehive. Luca DF It is even more complex.
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Indeed it is not sufficient to rely on lesbian love massage literature. There is definitely a need for head to head comparisons and other research that will close gaps in evidence up to date review matter. On the other hand I do believe that secondary evidence is helpful in presenting and appraising the available evidence.
There are many examples in the past CRASH-trial, corticosteroid treatment in preterm birththat lack of synthesis and thus unawareness gorgeous trannys the available evidence indirectly caused many deaths.
See my post. Hope Leman has revlew written a quite positive post on searchmedica. Although interesting, I do not expect the search engine to be a replacement for a good quality textbook as I see UpToDate nor for up to date review missing head to head comparisons.
This is the same argument referred to by allergynotes and is discussed under .
Up to date review
In fact I find it a very useful, jet costly, source. EBM or… textbook. Each serves different up to date review. Because UpToDate states that this is what it is and others see it as a sufficient reason to incentive people not using it. Everybody hospital, library, doctor may buy what it wants and can pay forbut it should not be imposed.
You make some important statements. However it only deals with interventions of up to date review most common diseases.
But I loved it very. Do you want to disappoint your patrons?
UpToDate - Wikipedia
The client is King. We buy them what they want to a certain extent. But last week I got a letter or invitation through the post. So it is coming refiew the UK.