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Summary Evidence based medicine 2

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Pharmacy - foundation in pharmacy practice Summary notes including bullet points, key diagrams/images

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  • June 6, 2023
  • 2
  • 2018/2019
  • Summary
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Evidence Based Medicine

Randomised Control trial

 Critical appraisal- was the assignment random?
 Computer generated, clinicians blinded and patients blinded. Stratification
variable (might want even numbers)
 Were groups similar at the start?
 Look for similar baseline characteristics/comparable (they can give more details
about the patient’s characteristics
 Were groups treated differently?
 Consultation time or time in treatment
 Were all patients accounted for?
 Why did they leave?
 Intention to treat analysis- people may not get the treatment even if they were
suppose to receive it (with ITA you count it as a treatment even if missed)

Are the results of the trial valid?

 Were measures objective?
 Clear guide lines needed
 Was treatment/ measurement blinded?
 What were the results- probabilities?
 P- probability of chance but magnitude of difference in an event not given
 Eg. P<0.05= statistically significant (not chance)

Confidence Intervals

 CI estimates how precise results are
 95% of CI that the range of values will le in




Relative Risk (RR)

 Risk of outcome in treatment/Risk of outcome in control

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