QUALITY ASSURANCE

Our facility

Our Staff

Roslyn B. Evans, otr/l, cht

 Research Updates

 

Evidence Based Medicine

the push for excellence

in the new millennium

     

Home

Find the professionals in medicine that base their practice on current research and evidence based practice.  This area is not yet well defined in the areas of physical therapy, hand therapy, and occupational therapy.

Reference:  MacDermid J.  Special edition on evidence based medicine. JHT 2:2004.


Do We Know What We Think We Know? 
Check the National Library of Medicine in lieu of anecdotal web sites about your problem
http:www.ncbi.nlm.nih.gov/entrez/query.fcgi
 

Evaluation

Conservative Management

Surgical Management

Postoperative Management

Return to Work

 

What is Evidence Base Practice (EBP)? 

The integration of best research evidence with clinical expertise and patient values (Sackett et al.  2000)

The practice of EBP consists of:

Formulated clinical question

Systematic review

Critical appraisal

Application for patients

Performance review

 

Meta-Analysis

A statistical method for combining the results of available research studies to increase statistical power

The steps of meta-analysis are:

Identification of question

Search and selection of trials

Analysis

(Hinotsu S, Akaza. Gan To Kagaku Ryoho 2002)

 

Meta-analysis is only feasible if Randomize Control Trials are clinically homogeneous:

Patient population

Interventions

Comparisons

Outcomes

Timing of follow-up measurement

 

(Gerritsen AAM. et. al.  Enabling Meta-Analysis in Systematic Reviews on Carpal Tunnel Syndrome.  JHS 2002.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

© Indian River Hand & Upper Extremity Rehabilitation, All Rights Reserved.