I would agree with that completely at a local guideline level and as Doug rightly says, according to the nature of the question.
Trying to 'bend' high level evidence to fit a very locality based problem is not a useful exercise.
bw
Barbara
Please note that from 1st April this email account will be closed.
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Barbara Norrey MA
Head of Evidence Based Practice
Public Health
Essex County Council
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________________________________________
From: UK medical/ health care library community / information workers [[log in to unmask]] On Behalf Of Mark Johnson [[log in to unmask]]
Sent: 09 April 2013 09:09
To: [log in to unmask]
Subject: Re: Hiearchy of evidence
only that sometimes 'grey lit' and community based evidence is more precise and insightful than 'systematic reviews' (so called gold standard) when dealing with minority issues - see Tugwell et all from the Cochrane Collaboration on Equity issues
Mark R D Johnson
Professor of Diversity in Health & Social Care
Mary Seacole Research Centre / CEEHD
De Montfort University Leicester LE1 9BH
please use e-mail: telephone messages may not be received.
________________________________________
From: UK medical/ health care library community / information workers [[log in to unmask]] on behalf of Douglas Badenoch [[log in to unmask]]
Sent: 09 April 2013 08:57
To: [log in to unmask]
Subject: Re: Hiearchy of evidence
I agree with the comments re: the quality of guidelines.
Readers may be interested to know that there is an online appraisal tool for guidelines, based on the AGREE II instrument. You can work your way through the critical appraisal checklist, with on-screen guidance, save your progress, share it in HTML or output it as a PDF.
www.agreetrust.org<http://www.agreetrust.org>
This will soon be augmented by a facility to conduct multiple appraisals of the same guideline by a group of individuals.
cheers
Douglas
whicOn 09/04/2013 08:47, Staniland Tim (NORTHERN LINCOLNSHIRE AND GOOLE HOSPITALS NHS FOUNDATION TRUST) wrote:
Hi all,
We are putting together some new lit search materials, and I would like some advice.
The stuff is very basic, there won’t be enough room to go into too much detail.
Has anyone used a hierarchy of evidence (the pyramid) showing National/local guidelines at the top?
1. National/local guidelines
2. Systematic reviews & meta-analyses
3. Randomised controlled trials
4. Cohort studies; Case control studies; Cross sectional surveys; Case reports
5. Expert opinion
Can anyone tell me if they would have any major objections to the above and why?
Many thanks
Tim
Tim Staniland
Librarian
Northern Lincolnshire & Goole Hospitals, NHS Foundation Trust
Trust Library Services,
Butterwick House,
Scunthorpe General Hospital
Ext: 5165 Direct dial (01724) 290472
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