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Memory Joggers: Evaluating the Usefulness of Review Articles

DETERMINE RELEVANCE
Is this article worth taking the time to read? If the answer to any of these questions is No, it may be better to read other articles first.

Based on the conclusion of the abstract:

A. Is the article proposing to answer a specific clinical question or questions? Did the authors study an outcome that patients would care about?
      Yes (go on)            No (Stop)


B. Is the problem studied one that is common to your practice and the intervention feasible?
      Yes (go on)            No (Stop)


C. Will this information, if true, require you to change your current practice?
      Yes (go on)            No (Stop)



DETERMINE VALIDITY
If the answers to all three questions above are Yes, then continued assessment of the article is mandatory.

D. Finding the studies
  • Were the methods used to locate relevant studies comprhensive and clearly stated
          Yes            No (Stop)

  • Did they clearly outline study inclusion criteria that generalize to my practice?
          Yes            No (Stop)

  • Was the study selection independently performed by at least two investigators?
          Yes            No

E. Validity: Did t he authors perform an "official" validity assessment of the studies using appropriate criteria?
      Yes            No (Stop)
    • Was the assessment independently performed by at least two investigators?
            Yes            No

    • Were the included studies reasonably valid?
            Yes            No

      If not, how did the authors handle this (a priori exclusion or sub-analysis based on study quality)? What effect might the lack of validity have on the results?
      _____________________________
      _____________________________
      _____________________________

    F. Analyzing the Data: Is it reasonable to combine these studies?
    • Were the included studies statistically homogenous?
            Yes            No
      If not, how was this addressed (reasonable explanation, random effects model)?
      _____________________________
      _____________________________
      _____________________________

    • Were the populations, interventions, outcomes, and outcome measurements combined in a way that makes intuitive sense?
            Yes            No

    • Could publication bias have occurred?
            Yes            No

    G. Interpreting the results: were they meaningful?
    • Were the results statistically different?
            Yes            No
      • If so, were they clinically significant?
              Yes            No
      • If not, was the power adequate to find a difference?
              Yes            No
    • What will you do with the results?
      _____________________________
      _____________________________
      _____________________________

    Revision 2001: Information Mastery Working Group. Adapted from material developed at McMaster University.
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