Users' Guides to the Medical Literature
Guyatt G, Rennie D, Meade MO, Cook DJ
Part A The Foundations
Chapter 3. What Is the Question?
Gordon Guyatt, Maureen O. Meade, Scott Richardson, Roman Jaeschke
Three Ways to Use the Medical Literature
Topics Discussed:
approach to medical literature, asking clinical questions, background question, finding the evidence, foreground question, medical literature, problem solving
Excerpt:
"Consider a medical student, early in her training, seeing a patient
with newly diagnosed diabetes mellitus. She will ask questions such
as the following: What is type 2 diabetes mellitus? Why does this
patient have polyuria? Why does this patient have numbness and pain
in his legs? What treatment options are available? These questions
address normal human physiology and the pathophysiology associated
with a medical condition.A general internist scanning the September/October 2005 ACP
Journal Club (http://www.acponline.org/journals/acpjc/jcmenu.htm)
comes across the following articles: "Intensive Insulin-Glucose Infusion
Regimens With Long-Term or Standard Glucose Control Did Not Differ
for Reducing Mortality in Type 2 Diabetes Mellitus and MI,"1 and "Review:
Mixed Signals From Trials Concerning Pharmacologic Prevention
of Type 2 Diabetes Mellitus."2..."
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