Medical Journalism: A Writers Guide by Tim Albert

By Tim Albert

This ebook units out in transparent, functional phrases the tools and principles for constructing scientific guidance and native medical protocols. It areas the examine proof for powerful implementation in a realistic context and demonstrates the variety of tools that are utilized in either basic overall healthiness care and secondary care.

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Lastly, two recent 'mega' analyses of the whole range of back pain treatment options,15' 16 which were in press as we were completing our guidelines, were used to check our reviews for any important inconsistencies. Essentially, we made 24 Making use of guidelines in clinical practice a pragmatic decision driven by time and resource constraints not to 'start from scratch', while recognising that we might miss new studies outside the four areas which we systematically reviewed. Conflicting evidence Even before the development group had to grapple with recommendations, we had to face conflicting evidence from systematic reviews.

Yet, without the rigorous searching and appraising of relevant research and the colossal work of the AHCPR reviewers which underpinned its acute back pain guidelines, it would have been even more difficult to agree on recommendations acceptable to all the relevant professional groups. A comprehensive, unbiased evidence base, linked to specific recommendations, is a prerequisite for good quality guidelines. References 1 Antman EM, Lau J, Kupeinick B, Mostellar F and Chaimers TC (1992) A comparison of results of meta-analyses of randomised controlled trials and recommendations of experts.

12 Assendelft WJJ, Koes BW, Knipschild P et al. (1995) The relationship between methodological quality and conclusions in reviews of spinal manipulation. JAMA, 274: 1942-8. 13 Koes BW, Assendelft WJJ, van der Heijden GJMG and Bouter LM (1996) Spinal manipulation and mobilisation for low back pain: an updated systematic review of randomised clinical trials (systematic review). Spine, 21: 2860-73. 14 Faas A et al. (1996) Exercises; which ones are worth trying, for which patients and when? (systematic review).

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