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How to Use Articles About Clinical Decision Rules

Article Abstract:

Doctors provide tips on evaluating and using clinical decision rules. Clinical decision rules are algorithms doctors can use to estimate whether a patient has a specific diagnosis. It usually includes clues found on physical examination and the results of laboratory tests. Once the algorithm is developed, it must be tested on large numbers of patients to prove its effectiveness. The rule can be used to provide effective treatments in a cost-effective manner. The Ottawa ankle rules are used to illustrate the process.

Author: Guyatt, Gordon H., McGinn, Thomas G., Wyer, Peter C., Naylor, C. David, Stiell, Ian G., Richardson, W. Scott
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
Usage, Practice guidelines (Medicine), Decision support systems

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How to Use an Article on the Clinical Manifestations of Disease

Article Abstract:

Researchers discuss a method to identify good evidence about the diagnostic use of signs and symptoms using the absence of pulse deficit to rule out aortic dissection as an example. Doctors must rely on the medical literature to tell them whether certain signs and symptoms are unique for a specific disease.

Author: Moyer, Virginia A., Naylor, C. David, Richardson, W. Scott, Wilson, Mark C., Williams, Jr, John W.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
Methods, Physical diagnosis, Medical examination

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How to use articles about health-related quality of life

Article Abstract:

Many medical researchers are beginning to evaluate the impact of a treatment on the patient's quality of life. However, this is often hard to measure. The term used most often in the medical literature is health-related quality of life (HRQL). Many studies do not include efforts to measure HRQL because the aim of many treatments is to prolong life. However, HRQL must be taken into account when the treatment has no impact on survival. A good example is the use of antidepressants. Guidelines for evaluating articles about HRQL are included.

Author: Guyatt, Gordon H., Jaeschke, Roman, Naylor, C. David, Cook, Deborah J., Heyland, Daren K., Juniper, Elizabeth
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1997
Research, Analysis, Clinical trials, Quality of life

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