{"id":9094,"date":"2022-11-01T20:07:07","date_gmt":"2022-11-01T19:07:07","guid":{"rendered":"https:\/\/bestpractice.bmj.com\/info\/?page_id=9094"},"modified":"2022-11-01T20:06:24","modified_gmt":"2022-11-01T19:06:24","slug":"evidence-based","status":"publish","type":"page","link":"https:\/\/bestpractice.bmj.com\/info\/us\/evidence-based\/","title":{"rendered":"Evidence-based"},"content":{"rendered":"<h2><b>Evidence Matters\u00a0<\/b><\/h2><br \/>\r\n<span style=\"font-weight: 400;\">BMJ has been championing EBM since David Sackett in his famous 1996 editorial (<\/span><a href=\"http:\/\/www.bmj.com\/content\/312\/7023\/71\"><span style=\"font-weight: 400;\">Evidence based medicine: what it is and what it isn&#8217;t) <\/span><\/a><span style=\"font-weight: 400;\">set out the tenets of the movement &#8211; as an approach that \u201cintegrates the best external evidence with individual clinical expertise and patient&#8217;s choice.&#8221;<\/span><br \/>\r\n<br \/>\r\n<span style=\"font-weight: 400;\">Being evidence-based is embedded into BMJ&#8217;s company culture and is one of our five company values. <\/span><span style=\"font-weight: 400;\">BMJ is a founding member of the UK<\/span> <a href=\"http:\/\/www.gradeworkinggroup.org\/\"><span style=\"font-weight: 400;\">GRADE <\/span><\/a><span style=\"font-weight: 400;\">Network, and the international conference on evidence based healthcare,<\/span> <a href=\"https:\/\/ebmlive.org\/\"><span style=\"font-weight: 400;\">Evidence Live<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Today, the BMJ Knowledge Centre\u2019s team of in-house information specialists search the literature for high quality new and updated international guidelines and systematic reviews<\/span><span style=\"font-weight: 400;\">, as well as <\/span><span style=\"font-weight: 400;\">tailoring bespoke searches to support BMJ Best Practice topic updates.\u00a0<\/span><br \/>\r\n<br \/>\r\n<span style=\"font-weight: 400;\">Over recent years, the BMJ Knowledge Centre team has conducted extensive research with healthcare professionals worldwide to understand how you use evidence to support your work. You told us you wanted a single source of evidence-based answers to<\/span><b> important real-world clinical questions<\/b><span style=\"font-weight: 400;\"> to enable <\/span><b>evidence-informed decisions<\/b><span style=\"font-weight: 400;\"> in your clinical work.\u00a0 You need current, and trustworthy<\/span><span style=\"font-weight: 400;\">\u00a0evidence delivered <\/span><b>quickly and succinctly<\/b><span style=\"font-weight: 400;\"> at the <\/span><b>point-of-care<\/b><span style=\"font-weight: 400;\">.\u00a0 You want a simple presentation, transparency around <\/span><b>evidence quality, <\/b><span style=\"font-weight: 400;\">and<\/span> <span style=\"font-weight: 400;\">to be able to <\/span><b>delve deeper<\/b><span style=\"font-weight: 400;\"> to see further detail. This is precisely what we deliver.\u00a0\u00a0<\/span><br \/>\r\n<h2><b>Components of EBM<\/b><\/h2><br \/>\r\n<span style=\"font-weight: 400;\">BMJ Best Practice processes support all three components of EBM: best available evidence, clinical expertise, and patient values and preferences.\u00a0\u00a0<\/span><br \/>\r\n<br \/>\r\n<b>Best available evidence<\/b><br \/>\r\n<ul><br \/>\r\n \t<li><span style=\"font-weight: 400;\">Updates to <\/span><i><span style=\"font-weight: 400;\">BMJ Best Practice<\/span><\/i><span style=\"font-weight: 400;\"> topics incorporate new best available evidence.\u00a0<\/span><\/li><br \/>\r\n<\/ul><br \/>\r\n<b>Clinical expertise<\/b><br \/>\r\n<ul><br \/>\r\n \t<li><span style=\"font-weight: 400;\">Our in-house evidence and editorial teams collaborate with over 1,600 international expert contributors and over<\/span><span style=\"font-weight: 400;\"> 2,500 peer reviewers to <\/span><span style=\"font-weight: 400;\">ensure that <\/span><i><span style=\"font-weight: 400;\">BMJ Best Practice<\/span><\/i><span style=\"font-weight: 400;\"> provides access to the most clinically relevant information possible.\u00a0<\/span><\/li><br \/>\r\n<\/ul><br \/>\r\n<b>Patient values and preferences<\/b><br \/>\r\n<ul><br \/>\r\n \t<li><i><span style=\"font-weight: 400;\">BMJ Best Practice<\/span><\/i><span style=\"font-weight: 400;\"> includes over 500 patient leaflets to make shared decision making easier.\u00a0<\/span><\/li><br \/>\r\n \t<li><span style=\"font-weight: 400;\">The leaflets are concise and clear, are written by specialist editors, and reflect the evidence-based clinical information in <\/span><i><span style=\"font-weight: 400;\">BMJ Best Practice<\/span><\/i><span style=\"font-weight: 400;\">.<\/span><\/li><br \/>\r\n \t<li><span style=\"font-weight: 400;\">Patient leaflets are reviewed by patients<\/span><\/li><br \/>\r\n \t<li><span style=\"font-weight: 400;\">They are linked to relevant topics or can be browsed or searched for. All <\/span><i><span style=\"font-weight: 400;\">BMJ Best Practice <\/span><\/i><span style=\"font-weight: 400;\">condition<\/span> <span style=\"font-weight: 400;\">topics have a \u2018Patient discussion\u2019 section, prompting the healthcare professional on patients&#8217; information needs.\u00a0<\/span><\/li><br \/>\r\n<\/ul><br \/>\r\n<h2><b>Evidence processes<\/b><\/h2><br \/>\r\n<span style=\"font-weight: 400;\">Our robust evidence processes include:<\/span><br \/>\r\n<ol><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Routine scheduled topic updates\u00a0<\/span><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Surveillance for new practice-changing evidence and for drug alerts<\/span><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Quality assurance.<\/span><\/li><br \/>\r\n<\/ol><br \/>\r\n<h2><b>Routine scheduled topic updates<\/b><\/h2><br \/>\r\n<span style=\"font-weight: 400;\">We prioritize our most popular topics and those with rapid research changes for more frequent routine updates. Where there is an exceptional need for essential changes to be made particularly rapidly, such as during the Covid-19 pandemic, <\/span><a href=\"https:\/\/bestpractice.bmj.com\/topics\/en-gb\/3000168#important-update\"><span style=\"font-weight: 400;\">updates <\/span><\/a><span style=\"font-weight: 400;\">may occur every week.\u00a0<\/span><br \/>\r\n<br \/>\r\n<span style=\"font-weight: 400;\">Updates for high priority topics start with a medical database literature search by our experienced information specialists, focussing on relevant systematic reviews and guidelines. Section editors, trained in critical appraisal, appraise the evidence and work with expert contributors to select new evidence for inclusion and to make changes to update the existing topic.\u00a0<\/span><br \/>\r\n<h2><b>Our ongoing evidence surveillance process<\/b><\/h2><br \/>\r\n<span style=\"font-weight: 400;\">In addition, topic updates may be triggered at any time by evidence retrieved from our ongoing surveillance process. This includes:<\/span><br \/>\r\n<ul><br \/>\r\n \t<li aria-level=\"1\"><span style=\"font-weight: 400;\">Surveillance for high quality new and updated international guidelines, policy statements, and potentially practice-changing systematic reviews and randomized controlled trials<\/span><\/li><br \/>\r\n \t<li aria-level=\"1\"><span style=\"font-weight: 400;\">Prompt evaluation of new evidence by our specialist section editors<\/span><\/li><br \/>\r\n \t<li aria-level=\"1\"><span style=\"font-weight: 400;\">Continuous <\/span><span style=\"font-weight: 400;\">scanning and triaging of drug alerts by our inhouse pharmacists (see below)<\/span><\/li><br \/>\r\n \t<li aria-level=\"1\"><span style=\"font-weight: 400;\">Monitoring and triaging of user\/customer feedback by our specialist section editors.<\/span><\/li><br \/>\r\n<\/ul><br \/>\r\n<h2><b>Drug surveillance\u00a0<\/b><\/h2><br \/>\r\n<span style=\"font-weight: 400;\">Our inhouse pharmacists review drug alerts released by international drug regulatory agencies daily. This includes the Food and Drug Administration, European Medicines Agency, UK-based Medicines and Healthcare products Regulatory Agency, and other useful secondary sources. Important practice-changing alerts (e.g., drug withdrawals, drug dose updates, new contraindications) are prioritized for incorporation into relevant content. All drug doses in <\/span><i><span style=\"font-weight: 400;\">BMJ Best Practice <\/span><\/i><span style=\"font-weight: 400;\">are reviewed and approved by qualified, registered pharmacists with extensive experience in pharmacy practice.<\/span><br \/>\r\n<h2><b>Quality assurance<\/b><\/h2><br \/>\r\n<span style=\"font-weight: 400;\">All new <\/span><i><span style=\"font-weight: 400;\">BMJ Best Practice<\/span><\/i><span style=\"font-weight: 400;\"> topics have an external peer review by at least two leading international experts and practicing clinicians.<\/span><br \/>\r\n<br \/>\r\n<span style=\"font-weight: 400;\">All <\/span><i><span style=\"font-weight: 400;\">BMJ Best Practice<\/span><\/i><span style=\"font-weight: 400;\"> topic content updates have internal <\/span><span style=\"font-weight: 400;\">peer review<\/span><span style=\"font-weight: 400;\"> and sign-off by our in-house pharmacists and senior content editors.<\/span><br \/>\r\n<br \/>\r\n<span style=\"font-weight: 400;\">Extensive customer research shows that you value the <\/span><b>rapid delivery of practice-changing evidence<\/b><span style=\"font-weight: 400;\"> that <\/span><i><span style=\"font-weight: 400;\">BMJ Best Practice<\/span><\/i><span style=\"font-weight: 400;\"> offers at the point of care. Updates are prioritized as follows:\u00a0<\/span><br \/>\r\n<ol><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drug changes or withdrawals that may affect patient safety<\/span><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Evidence that changes practice<\/span><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Evidence that confirms current practice.<\/span><\/li><br \/>\r\n<\/ol><br \/>\r\n<h2><b>Intuitive display\u00a0<\/b><\/h2><br \/>\r\n<span style=\"font-weight: 400;\">Further customer research has helped us shape how we display evidence in <\/span><i><span style=\"font-weight: 400;\">BMJ Best Practice<\/span><\/i><span style=\"font-weight: 400;\">, with layers of content depending on the depth of information you require.\u00a0<\/span><br \/>\r\n<br \/>\r\n<span style=\"font-weight: 400;\">Features include:<\/span><br \/>\r\n<ol><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"http:\/\/bestpractice.bmj.com\/info\/evidence-tables\"><b>Evidence tables<\/b><\/a><span style=\"font-weight: 400;\"> with linked <\/span><b>evidence scores<\/b><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Expandable evidence panels explaining the evidence behind key recommendations<\/b><span style=\"font-weight: 400;\"> in some of our popular acute condition topics<\/span><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Visual reminders on important updates and embedded evidence features for quick access to<\/span><b> important new research and guideline updates<\/b><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A unique <\/span><b>expanded systematic review layer (Cochrane Clinical Answers)<\/b><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>BMJ Rapid Recommendation citations <\/b><span style=\"font-weight: 400;\">with engaging infographics\u00a0<\/span><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Clear referencing <\/b><span style=\"font-weight: 400;\">throughout topic content, with a separate <\/span><b>Guidelines <\/b><span style=\"font-weight: 400;\">section. <\/span><b>Key references<\/b><span style=\"font-weight: 400;\"> are highlighted at the top of each topic reference list.<\/span><br \/>\r\n<ul><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">More than 84,200 references are embedded in the text as popups (including links to Pubmed abstract\/free-access full text) and in a separate reference list for each topic\u00a0<\/span><\/li><br \/>\r\n \t<li><span style=\"font-weight: 400;\">Over 7,350 high-quality guidelines in dedicated guidelines pages with links to full text and marked up in topics when new or updated.<\/span><\/li><br \/>\r\n<\/ul><br \/>\r\n<\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>A separate<b> Evidence section<\/b><span style=\"font-weight: 400;\"> in clinical topics to group evidence on important clinical questions in a single place.<\/span><\/b><\/li><br \/>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><strong><a href=\"https:\/\/bestpractice.bmj.com\/info\/us\/toolkit\/\">Evidence-based medicine (EBM) toolkit<\/a><\/strong><span style=\"font-weight: 400;\"> for those who want to learn, practice, and discuss EBM.<\/span><\/li><br \/>\r\n<\/ol><br \/>\r\nAltogether these features make it easy and intuitive to access the evidence base for intervention and assess its reliability, informing decisions and discussions about different treatment options with patients, colleagues and co-learners.","protected":false},"excerpt":{"rendered":"<p>Evidence Matters\u00a0 BMJ has been championing EBM since David Sackett in his famous 1996 editorial (Evidence based medicine: what it is and what it isn&#8217;t) set out the tenets of the movement &#8211; as an approach that \u201cintegrates the best external evidence with individual clinical expertise and patient&#8217;s choice.&#8221; Being evidence-based is embedded into BMJ&#8217;s [&hellip;]<\/p>\n","protected":false},"author":41,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-9094","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/bestpractice.bmj.com\/info\/us\/wp-json\/wp\/v2\/pages\/9094","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bestpractice.bmj.com\/info\/us\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bestpractice.bmj.com\/info\/us\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bestpractice.bmj.com\/info\/us\/wp-json\/wp\/v2\/users\/41"}],"replies":[{"embeddable":true,"href":"https:\/\/bestpractice.bmj.com\/info\/us\/wp-json\/wp\/v2\/comments?post=9094"}],"version-history":[{"count":0,"href":"https:\/\/bestpractice.bmj.com\/info\/us\/wp-json\/wp\/v2\/pages\/9094\/revisions"}],"wp:attachment":[{"href":"https:\/\/bestpractice.bmj.com\/info\/us\/wp-json\/wp\/v2\/media?parent=9094"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}