Answering Clinical Questions at the Point of Care

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Answering Clinical Questions at the Point of Care
???ccheng_at_uptodate.com
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Outline

• About UpToDate
• Evidence Grading
• How to search
• Q A

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About UpToDate

• You dont need more information
• You need the right information

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Synthesize current literature and best practices,
then make specific clinical recommendations
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Evidence is derived from a number of Sources

• Journals 396 peer reviewed journals
• Databases
• MEDLINE, The Cochrane Database, Clinical Evidence
  and ACP Journal Club
• Guidelines
• Clinical trials
• FDA, CDC, NIH
• Proceedings
• Clinical experience and observations

Including but not limited
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Quick Facts about UpToDate

• Topic reviews
• Patient information
• Drug Information
• Guideline
• Written by Physicians for Physicians

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Quick Facts about UpToDate

• 3,600 world-renowned physician authors
  (international)
• 7,100 clinical topics in 13 specialties
• 4,300 unique drug entries in adult, pediatrics,
  international, and natural drugs (Lexi-Comp)
• 75,000 pages of text
• 22,000 graphics
• 250,000 references (Medline)
• Updated every 4 months (March, July, November)

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Evidence Grading
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Evidence Grading

• UTD-GRADE

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How to search
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How to search

• New search
• search ? display result ? output
• Others
• Evidence grading
• RECOMMENDATIONS
• Drug interaction
• ECG test
• Movies

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To Access UpToDate

• Please go to library homepage
• Just Accept the license agreement and you are
  brought to the search page, ready for your use
  within a few seconds

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How to use UpToDate based on a Clinical Scenario

• How effective is long-term warfarin at preventing
  recurrent pulmonary embolism?

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How to use UpToDate based on a Clinical Scenario

• A 58 year-old postmenopausal woman is
  experiencing stress urinary incontinence that is
  interfering with her quality of life. She is not
  having hot flashes, but she has heard that
  estrogen therapy is very effective for urinary
  incontinence. What advice do you give her?

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Q A
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Thank you for your attention
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Specialties

• Cardiovascular Medicine
• Endocrinology Diabetes
• Family Medicine
• Gastroenterology Hepatology
• Hematology
• Infectious Diseases
• Internal Medicine
• Nephrology Hyptertension
• Obstetrics , Gynecology Womens Health
• Oncology
• Pediatrics
• Pulmonary Medicine, Critical Care Medicine
  Sleep Medicine
• Rheumatology