UNM Emergency Medicine Evidence Based Medicine Follow Up Evidence Review Form Name: __________________________________________ Date: _______________________ Focus Citation:________________________________________________________________________________ What is the Primary Research Question or Hypothesis addressed in this article? Internal Validity What is the Study Design? Comment on specific design Strengths and/or Weaknesses Design Rating: (circle) 1 Flawed 2 Limited 3 Appropriate 1 Flawed 2 Limited 3 Appropriate 1 Flawed 2 Limited 3 Appropriate 1 Flawed 2 Limited 3 Appropriate 1 Flawed 2 Limited 3 Appropriate External Validity Describe the study subjects Comment on the Generalizability of this study. External Validity Rating: (circle) Construct Validity What are the outcome measures? Does the study aptly measure what it proposes to measure? If not, why not? Methods Rating: (circle) Analysis What are the Results and Conclusions? What Statistical Evidence is provided to support these conclusions? Application Analysis Rating: (circle) How is this study applicable to the practice of medicine? What did you learn from this article? Will you change your practice? Applicability Rating: (circle) UNM Emergency Medicine Evidence Based Medicine Follow Up Evidence Review Form–Template Guide Name: __________________________________________ Date: _______________________ Focus Citation:________________________________________________________________________________ What is the Primary Research Question or Hypothesis addressed in this article? Internal Validity Comment on specific design Strengths and/or Weaknesses Design Rating: (circle) External Validity Describe the study subjects Construct Validity = = = = Patient, Population or Problem Intervention Comparison or Control Outcome General study traits: Specific study types: Prospective or Retrospective? Case Study/Case Series Ecologic Observational or Intervention? Case-Control Systematic Review Longitudinal or Cross-Sectional? Cohort Community Trial Blinding or Masking? Clinical Trial Randomized? Possible discussion points: Have the authors adequately considered the role of bias in the study, particularly selection biases? Have potential confounders been considered and ‘adjusted’ for in the analysis. Where does this study design fall in the EBM hierarchy-of-evidence? 1 Flawed Subject selection: Convenience sample Simple random sample Stratified random sample Whole population (census) 2 Limited Is the sample selection: Population based? Community based? Hospital/Clinic based? Comment on the Generalizability of this study. Possible discussion points: To what population will results be applicable? Is the effect to be measured applicable to external circumstances? External Validity Rating: (circle) 1 2 Flawed Limited What is the principal outcome? This should answer their stated objective/research question. What are the outcome measures? 3 Appropriate 3 Appropriate What are secondary outcomes, if any? Does the study aptly measure what it proposes to measure? If not, why not? Methods Rating: (circle) What are the Results and Conclusions? Analysis P I C O Primary research question/ hypotheses are generally found in the last paragraph of the introduction. What is the Study Design? What Statistical Evidence is provided to support these conclusions? Analysis Rating: (circle) Application Use PICO, if helpful Data type(s): Dichotomous Categorical Ordinal Discrete Continuous (Interval or Ratio?) Possible discussion points: Are outcomes meaningful and relevant? Are measurement instruments, if used, both reliable and valid? What potential confounding factors are considered? 1 2 Flawed Limited Possible discussion points: Does the paper answer their research question? 3 Appropriate Possible discussion points: Does the data analysis adequately consider the role of chance? 1 Flawed 2 Limited 3 Appropriate 1 Flawed 2 Limited 3 Appropriate How is this study applicable to the practice of medicine? What did you learn from this article? Will you change your practice? Applicability Rating: (circle)