EBM Step # 3


3. CRITICALLY APPRAISE the evidence for its applicability, impact, and validity.

Applicability:  How well is your patient represented by the participants in a study (or by a  sizeable, separately analyzed subset of the study participants)?

Impact: Would the study's results, if valid, make any difference to your treatment recommendations?

If the study results favor one treatment over another, how large is the difference in the benefits of the treatments being compared?  In other words, what is the CLINICAL significance of the difference?  Statistical significance does NOT equal clinical significance.

Validity:

Oxford Centre for EBM critical appraisal resources

Article by Trisha Greenhalgh, published in BMJ, concerning how to read systemic reviews and meta-analyses

 

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Last updated: 01/11/2012