Systematic review and clinical practice guidelines

Page 1 ­ Systematic Review Instructions: A cohort study assembles a group of patients and follows them over time. An example is the, in which over 20,000 nurses were identified and followed­up annually with tests and surveys for over 25 year (this study is still ongoing). These studies provide very valuable information, but are obviously very expensive and time­consuming.Â

Instructions:

1. Review the following article ­Â Risk Factors for Mortality in the Nurses’ Health Study:

A Competing Risks Analysis.

2. Answer the following questions to Determine Relevance:

a. Will this information, if true, have a direct bearing on the health of my patients and is it something they will care about?

b. Is this problem common to my practice?

c. Will this information, if true, require me to change my current practice? o Back up your arguments with reliable evidence Page 2 ­ Clinical practice guidelines Instructions: 1. Search and locate one systematic review or practice guideline in your topic of interest (Include the citation). 2. Evaluate the following: a. The systematic review or practice guideline relies primarily on studies conducted in the last five years. b. The review provides support for the importance of the study c. The authors have use primary, rather than secondary sources. d. Studies are critically examined and reported objectively e. The systematic review or practice guideline is organized so that a logical unfolding of Ideas is apparent that supports the need for the review f. The systematic review or practice guideline ends with a summary of the most important knowledge. o Back up your arguments with reliable evidence

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