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    EBCR

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    Muhammad Hamzah
    1. An evidence based case report (EBCR) is a systematic and evidence-based approach to documenting a patient case that describes the patient presentation and articulates a structured clinical question to search for relevant research evidence to inform management of the patient. 2. The key differences between an EBCR and a traditional case report are that an EBCR describes the search strategy conducted and synthesizes the best available evidence with clinical experience, while a traditional case report does not. 3. To produce an EBCR, the problem is defined, a literature search is conducted to find the best evidence, and findings are presented under headings such as introduction, case illustration, and discussion of the evidence and its application to the patient case

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    EBCR

    Uploaded by

    Muhammad Hamzah
    109 views22 pages
    1. An evidence based case report (EBCR) is a systematic and evidence-based approach to documenting a patient case that describes the patient presentation and articulates a structured clinical question to search for relevant research evidence to inform management of the patient. 2. The key differences between an EBCR and a traditional case report are that an EBCR describes the search strategy conducted and synthesizes the best available evidence with clinical experience, while a traditional case report does not. 3. To produce an EBCR, the problem is defined, a literature search is conducted to find the best evidence, and findings are presented under headings such as introduction, case illustration, and discussion of the evidence and its application to the patient case

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    1. An evidence based case report (EBCR) is a systematic and evidence-based approach to documenting a patient case that describes the patient presentation and articulates a structured clinical question to search for relevant research evidence to inform management of the patient. 2. The key differences between an EBCR and a traditional case report are that an EBCR describes the search strategy conducted and synthesizes the best available evidence with clinical experience, while a traditional case report does not. 3. To produce an EBCR, the problem is defined, a literature search is conducted to find the best evidence, and findings are presented under headings such as introduction, case illustration, and discussion of the evidence and its application to the patient case

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    109 views22 pages

    EBCR

    Uploaded by

    Muhammad Hamzah
    1. An evidence based case report (EBCR) is a systematic and evidence-based approach to documenting a patient case that describes the patient presentation and articulates a structured clinical question to search for relevant research evidence to inform management of the patient. 2. The key differences between an EBCR and a traditional case report are that an EBCR describes the search strategy conducted and synthesizes the best available evidence with clinical experience, while a traditional case report does not. 3. To produce an EBCR, the problem is defined, a literature search is conducted to find the best evidence, and findings are presented under headings such as introduction, case illustration, and discussion of the evidence and its application to the patient case

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    Evidence Based Case Report

    Sylvia Rianissa Putri

    30 November 2015
    Case Report
    • Capturing an unusual or interesting disorder
    • Publish or perish
    • Valuable information
    – A diagnostic or therapeutic dilemma or present
    important information on an adverse reaction to
    a particular form of treatment.
    – Suggest the need for change in practice or
    thinking in terms of diagnosis or prognosis.
    What is an EBCR?
    • systematic and evidence-based approach to
    case management
    • describes a patient presentation in much the
    same way as in a traditional case report
    • articulates a structured clinical question in a
    format that generates key terms that can be
    used to search the research evidence base
    EBCR vs Traditional CR
    • The search strategy is described so that the
    reader can decide whether a comprehensive
    search has been conducted, much in the
    same way as for a systematic review
    • Once the relevant evidence has been
    identified and appraised, it is synthesised
    together with the clinician’s experiential
    knowledge to inform a management plan for
    the patient.
    Case Report vs Case Series
    • Difference:
    – Collections of reports on the treatment of
    individual patients (CS) or a report on a single
    patient (CR).
    • Similarity:
    – No control groups with which to compare
    outcomes, so limited statistical validity.
    How to Produce and Present an
    EBCR
    1. Define and describe the problem
    2. Search for the evidence
    3. Select the best evidence only
    4. Present and write up your findings under
    headings
    Defining and Describing the Problem

    1. Ask:
    a. What is the problem?
    b. How common is it?
    c. Why is it important?
    d. Is the problem getting worse or better?
    e. Is the issue one of causation, diagnosis, benefits or
    harms of care, costs, coverage?
    f. What is your perspective?
    2. State the question(s) clearly
    3. Restate the questions in useful/searchable
    form
    Searching for the Evidence
    • Decide on the very best study design(s) that
    should be employed to answer your
    question(s)
    • Identify methods to find relevant articles
    Selecting the Best Evidence Only

    1. Employ explicit and reproducible criteria


    for selecting the evidence
    2. Abstract the evidence from the remaining
    papers into the evidence table
    3. Develop criteria for communicating the
    strength of the findings of articles/reports
    Presenting and Writing up Your Findings
    under Headings
    • Introduction
    • (Summary of) case illustration
    • Discussion:
    – Reason for writing a CR on the particular pt chosen
    – What the literature search revealed
    – Proof for the rarity or uniqueness of a condition or
    response to treatment
    – Scientific explanations for the position you have
    adopted concerning the management of this
    particular case
    Presenting and Writing up Your Findings
    under Headings
    – Describe the cause of a particular condition, why you
    chose a particular clinical aspect of it and how this
    influenced the outcome for the patient.
    – What recommendations you would make for future
    patients based on your experience if your approach
    differed from a standard treatment approach
    – What lessons can be learnt
    • Conclusion
    • References
    • Acknowledgements
    • Additional information
    Limitation of CR
    • The management of patients in an out-patient
    setting occurs primarily in an uncontrolled
    environment  cannot be generalized beyond the
    context of the patient reported
    • Results of patient responses to care are also limited
    by the natural history of the disorder under study
    (spontaneous remission or phases of exacerbation
    and remission)  if correspond with the time when
    care is provided: could lead to a faulty conclusion.
    • Patient identity may be compromised because of the
    unique qualities of a case  consent to publish

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