Evidence-Based Practice

The following represent a sampling of resources available for clinicians and students looking to integrate the principles of evidence-based practice into patient care management. Remember that the Pacific University Libraries is an excellent resource for searching and obtaining journal articles.

Stats Calculator (xls) | This excel file provides a stats calculator.

PEDro | Physiotherapy Evidence Database, a database that is "pre-filtered" to include details and abstracts of randomized clinical trials, systematic reviews and clinical practice guidelines in physical therapy. Many of the trials contained in the database have been rated for their level of methodological quality to assist the reader in interpreting which trials are most useful.

University of Toronto Centre for Evidence-based Medicine | Website that accompanies the evidence-based practice text by Sackett et al. (2000) entitled "Evidence-Based Medicine: How to practice and teach EBM." It contains links for a glossary of EBP terms, worksheets for critically appraising individual articles on diagnosis, therapy, prognosis, etc. among other resources, including handy online calculators for plugging in numbers to determine sensitivity, specificity, number needed to treat, odds ratios, etc.

Cochrane Database | Primary location of high-quality reviews on selected topics related to systematic reviews of the medical literature. Not PT-specific, but does include PT-related topics, especially under the Musculoskeletal Group.

Hooked on Evidence | APTA's recently launched database, which is modeled after the PEDro site but is not nearly as comprehensive at this point in time. Must be APTA member to use this site.

National Guideline Clearinghouse | Government site that publishes practice guidelines for all areas of health care practice. Many common disorders treated by physical therapists are addressed.

Centre for Evidence-based Medicine | British site that contains many resources related to EBP.

Netting the Evidence | Another British site that may be one of the most comprehensive resources for the evidence-based practitioner.

Evidence-based Medicine Resource Center | A New York-based site with many links, including several listserv sites (which put you on an ongoing email-based discussion on EBP discussion topics).