SOME USEFUL WEBSITES THAT PROMOTE SCIENCE IN HEALTHCARE
Practice Guidelines Based on Empirical Evidence
and
Informed Consumer Guidelines
Complied by Michael F. Martelli, PhD
Please send suggestions, additional links to: mikefm@erols.com
Practice Guidelines- Practice Statement Definitions
http://www.aan.com/public/practiceguidelines/definitn.htm
American Adacemy of Neurology (AAN) Practice Statements
http://www.aan.com/public/practiceguidelines/list.htm
American Adacemy of Neurology (AAN) Practice Guidelines
http://www.aan.com/professionals/practice/guidelines.cfm
http://www.aan.com/professionals/practice/
American Psychiatric Association list of Practice Guidelines:
http://www.psych.org/clin_res/prac_guide.cfm
The Cochrane Collaboration Consumer Network:
http://www.cochraneconsumer.com/Topics.asp
The Cochrane Library:
http://www.update-software.com/cochrane
Cochrane Collaboration
Cochrane Collaboration - Evidence-Based Medicine (EBM) Guidelines - Medscout (sm)
http://www.medscout.com/guidelines/cochrane/
Clinical Evidence . com
http://www.clinicalevidence.com/lpBinCE/lpext.dll?f=templates&fn=main-h.htm&2.0
Clinical Evidence BMJ
Http://www.clinicalevidence.com/lpBinCE/lpext.dll?f=templates&fn=main-h.htm&2.0
Other Evidence Based Practice
http://bmj.com/cgi/collection/other_evidence_based_practice
National Clinical Guideline Clearinghouse
http://www.guideline.gov/index.asp
Developing Clinical Policy Guidelines
http://www.ferne.org/clinical%20policy1001.htm
HealthWatch UK
Http://www.healthwatch-uk.org/
PubMed:
http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?CMD=Limits&DB=PubMed
Queensland Health:
http://www.health.qld.gov.au/healthtopics/default.htm
United States Centers for Disease Control:
http://www.cdc.gov/default.htm
Am Psychiatric Assoc Practice Guidelines
http://www.psych.org/clin_res/prac_guide.cfm
Psychiatric Care Guidelines
http://hawaiipsychiatric.org/HawaiiPsychiatric/Standards.html
Health Care: Evidence-based Practice Subdirectory Page
http://www.ahrq.gov/clinic/epcix.htm
HealthInsite:
http://www.healthinsite.gov.au/search_advanced_new.cfm?gl_hi_access=standard
Gateway Search
http://www.iwh.on.ca/Pages/Gateway/gateway.htm
MEDLINEplus Resources page:
http://www.nlm.nih.gov/medlineplus/otherresources.html
MESH:
http://www.nlm.nih.gov/mesh/meshhome.html
Primary Care Clinical Practice Guidelines - new links
http://www.myhq.com/public/p/e/petersam/
RemedyFind.com ??
A.P.M. and Managed Care
Acad Psychosomatic Medicine Practice Guidelines
http://www.apm.org/prac-gui/main.html
Doctor's Guide- Global Edition
http://www.docguide.com/dgc.nsf/ge/Unregistered.User.545434?OpenDocument
Evidence Based Recommendations: BC College of Physicians & Surgeons
http://www.cpsbc.bc.ca/physician/documents/
Guidelines for Medicolegal Neuropsychological Reports
http://www.usq.edu.au/users/senior/Forensic/CCN%20Guidelines.htm
Psychopharm Improbable Science page
Http://www.ucl.ac.uk/Pharmacology/quack.html
Am Board Quality Assurance Util. Rev. -
Medem:
Medical Myths
http://www.montana.edu/wwwebm/myths.htm
Some others:
http://medicine.ucsf.edu/resources/guidelines/rational.html
http://www.mni.mcgill.ca/neuropatient/CPG.html
SAMPLES OF GUIDELINES FOR SPECIFIC DISORDERS OR TREATMENTS
National Guideline Clearinghouse - TBI Prognosis http://www.guideline.gov/VIEWS/summary.asp?guideline=2348&summary_type=brief_summary&view=brief_summary&sSearch_string=
National Guideline Clearinghouse: TBI Management http://www.guideline.gov/VIEWS/summary.asp?guideline=2347&summary_type=brief_summary&view=brief_summary&sSearch_string=
Mind-Body Interventions for Gastrointestinal Conditions http://www.ahrq.gov/clinic/epcsums/mindsum.htm
Evidence Based Recommendations: Chronic Non Malignant Pain http://www.cpsbc.bc.ca/physician/documents/pain.htm
Bipolar Disorder Practice Guidelines: Medscape Resource Center http://www.medscape.com/pages/editorial/resourcecenters/public/bipolardisorder/rc-bipolardisorder4
Management of Major Depressive Order in Adults - Bibliography http://www.oqp.med.va.gov/cpg/MDD/MDD_cpg/content/mddbiblio_fr.htm
Cytidinediphosphocholine (CDP choline) for cognitive and behavioural disturbances associated with chronic cerebral disorders
http://www.cochrane.org/cochrane/revabstr/ab000269.htm
Panic disorder / Comorbid Pain Depression`
http://www.mhc.com/Algorithms/Depression/pdiscoll.htm
Rehabilitation for Traumatic Brain Injury: AHCPR
file://localhost/C:/Documents and Settings/mike/Local Settings/Temp/601490197468.html
Research
http://search.atomz.com/search/?sp-q=chronic+pain&sp-a=0005020a-sp00000000
Treatment of Bipolar Disorder
http://www.psychguides.com/bpgl.html
UML Counseling - Staff Links
http://www.uml.edu/student-services/counseling/stafflinks.html
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Practice Statement Definitions
Practice Parameters:
Practice parameters are strategies for patient management that assist physicians in clinical decision making. A practice parameter is one or more specific recommendations based on analysis of evidence of a specific clinical problem. The recommendations are rated as Standard, Guideline or Option:
Standard: A principle for patient management that reflects a high degree of clinical certainty (usually this requires class I evidence that directly addresses the clinical question, or overwhelming class II evidence when circumstances preclude randomized clinical trials).
Guideline: A recommendation for patient management that reflects moderate clinical certainty (usually this requires class II evidence or a strong consensus of class III evidence).
Practice option: A strategy for patient management for which the clinical utility is uncertain (inconclusive or conflicting evidence or opinion).
These recommendations are based on the following levels of evidence for therapeutic modalities:
Practice Advisories:
A practice advisory is a practice recommendation for emerging and/or newly approved therapies or technologies based on evidence from at least one class I study. The evidence may demonstrate only a modest statistical effect or limited (partial) clinical response, or significant cost-benefit questions may exist. Substantial (or potential) disagreement among practitioners or between payers and practitioners may exist. The strength of practice advisory recommendations are based on the practice parameter levels of evidence.
Therapeutic and Technology Assessments:
Technology assessments are statements that assess the safety, utility, and effectiveness of new, emerging, or established therapies and technologies in the field of neurology. Assessment recommendations are rated as follows:
These recommendations are based on the following evidence ratings for diagnostic tests:
Suggested Strength of Recommendations
Quack Chasers with a More Political Agenda
At least some caution is advised for most of these sites. Many have a political agenda or too much media hype focus and none are associated with any professional medical or psychological association. Notably, Politics Usually Corrupts Objectivity. For example, some are overly zealous and prone to overstatement, filtering, confirmatory bias, overgeneralization, uniformity myths, etc, and some have been called "biased" or "not credible" by scientists or courts. Hence, these should not be relied upon as single sources or reliable representations of science, and should not be relied upon to accurately represent the empirically based evidence from the previous sites. That is, there are no simple solutions, single sources, or substitutes for conducting your own literature review.
Quackwatch Home Page
James Randi Educational Foundation Home Page
Science Jokes
http://www.xs4all.nl/~jcdverha/scijokes/index.html
Skeptic.com--The Skeptics Society and Skeptic Magazine
The Skeptic's Dictionary - A Collection of Strange Beliefs, Amusing Deceptions, and Dangerous Delusions
The World of Richard Dawkins
http://www.world-of-dawkins.com/
Crank_Dot_Net