Embed Size (px)
Citation preview
www.pedro.org.au
CONNECT with research:
how to get the most out of
1/10/2015
1
1. What is evidence-based physiotherapy
2. The 5 A’s
3. PICO
4. What is PEDro
5. PEDro simple search
6. PEDro advanced search
7. Accessing full-text
8. Selecting and saving search results
9. New features of PEDro
10. Additional resources
1. What is evidence-based physiotherapy
Evidence-based physiotherapy is physiotherapy
informed by relevant, high-quality research.
Whenever possible, clinical decisions should be
informed by high-quality clinical research, but
never just by clinical research. Good clinical
decisions, whether evidence-based or not, should
involve consideration of patient preferences and
therapists’ practice knowledge.
Benefits
• safer
• more effective
• produce the best possible clinical outcomes
• assist with decisions about management
• professionalism
• value for money in providing health services
patients
therapists
funders
Effects of intervention
Patient experiences
Prognosis
Diagnosis
Effects of intervention
http://www.slideshare.net/lynnkysh/keck-year-2-evidence-based-medicine-systematic-reviews
1/10/2015
1
2. The 5 A’s A
A
A
A
A
Assess
Ask
Acquire
Appraise
Apply
from the care of the patient
construct a clinical question
high-quality clinical research
validity, impact + applicability
to the care of the patient
1/10/2015
1
3. PICOP
I
C
O
Patient or problem
Intervention or treatment
Comparative intervention
Outcomefewer & more
specific search
results
more
precise
question
334 156
1,258
12
Search term Searches Results
1 low back pain 1,777 1,811
2 stroke 1,523 1,994
3 cerebral palsy 985 428
4 frozen shoulder 970 50
5 scoliosis 957 37
6 pilates 787 56
7 osteoarthritis 709 1,066
8 parkinson 692 62
9 ankle sprain 683 209
10 dry needling 632 52
11 tennis elbow 615 89
12 shoulder 597 1,010
13 multiple sclerosis 587 279
14 fisioterapia 561 35
15 ultrasound 559 673
16 neck pain 547 697
17 knee 533 2,112
18 spinal cord injury 526 234
19 kinesio taping 494 33
20 shoulder pain 443 654
PICO
elements
total
searches
0 11%
1 44%
2 35%
3 10%
4 0%
Analysis of 893,971
PEDro search commands
over a 6-month period
1/10/2015
1
4. What is PEDro • free evidence resource
• effects of physiotherapy interventions
• only indexes high-level evidence:• evidence-based clinical practice guidelines
• systematic reviews
• randomised controlled trials
• validity assessment (PEDro scale) of all trial reports
• produced on a not-for-profit basis by a registered
charity with industry funding
http://www.pedro.org.au/english/downloads/pedro-statistics/
23,823
5,308
517
http://www.pedro.org.au/english/downloads/pedro-statistics/
http://www.pedro.org.au/english/downloads/pedro-statistics/
1/10/2015
1
5. PEDro simple search• truncation (*)
• leading (eg, *feedback)
• trialing (eg, parkinson*)
• phrase searching (“ ”)
• use English characters
• omit parentheses
• words automatically combined with “and”
• add/remove terms if yield is to high/low
334 156
1,258
12
PICO
elements
total
searchessimple advanced
0 11% 9% 12%
1 44% 55% 32%
2 35% 32% 28%
3 10% 3% 18%
4 0% 1% 0%
Analysis of 893,971
PEDro search commands
over a 6-month period
Operand % simple
Phrase searching 3%
Truncation 2%
Boolean operators 19%
Non-ASCII characters 3%
Parentheses 1%
Search
Simple 74%
Advanced 26%
1/10/2015
1
6. PEDro advanced search
• 13 fields (4 free text, 6 lists, 3 date/number)
• truncation (*), phrase searching (“ ”), use
English characters, omit parentheses
• words within text fields automatically
combined with “and”
• can combine fields with AND or OR
• add/remove fields if yield is to high/low
In people with stroke with urinary
incontinence, what is the effect of adding
pelvic floor exercise to usual care on the
loss of urine compared to usual care?
Analysis of 893,971
PEDro search commands
over a 6-month period
Operand % advanced
Phrase searching 3%
Truncation 4%
Boolean operators 15%
Non-ASCII characters 2%
Parentheses 1%
Field % searches
Abstract & Title 80%
Therapy 29%
Method 27%
Body Part 26%
Problem 22%
Subdiscipline 19%
Published since 17%
Topic 9%
Author/Association 6%
Title Only 4%
Score Of At Least 4%
New Records Added Since < 1%
Source < 1%
N fields % searches
1 39%
2 24%
3 15%
4 10%
5-13 12%
1/10/2015
1
7. Accessing full-textPubMed Central
Maastricht CEBP
DOI link
PubMed
publisher
most likely to be free
least likely to be free
1/10/2015
1
8. Selecting and saving search results• select records in 2 places:
• “Search Results”
• “Detailed Search Results”
• view selected records with “Display Selected
Records” hyperlink
• email results to yourself with “Email results”
hyperlink
• saving search results as an RIS file will be available
soon
1/10/2015
1
9. New features of PEDro
• Subscribe to the PEDro newsletter
• Evidence in your inbox
• PEDro blog
• PEDro social media
• Accepting donations
1/10/2015
1
10. Additional resources
https://www.youtube.com/channel/UCOz1EVhtpOMMQRzRioGIOtQ
http://www.pedro.org.au/english/search-help/
