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Studying a Study and Testing a Test: How to Read the Medical Evidence (Core Handbook Series in Pediatrics) | Richard K Riegelman | Found very very useful; turns out you have to READ it
 
 


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Studying a Study and Testing a Test: How to Read the Medical Evidence (Core Handbook Series in Pediatrics)
Richard K Riegelman

Lippincott Williams & Wilkins, 2004 - 368 pages

average customer review:based on 5 reviews
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     highly recommended  highly recommended



In today's rapidly changing world of clinical practice, old assumptions quickly fall under the weight of new evidence. But to make effective clinical decisions, you must face a deluge of data published in the health research literature.

With this best-selling text as your guide, you'll discover a concise, stepwise program that will help you evaluate clinical studies, identify flaws in study design, interpret statistics, and apply evidence from clinical research to your practice.

Sharpen your analytical skills with these insightful features...

Step-by-step approach ideal for both students and practitioners guides you through the health research literature, showing you the ingredients that go into a meaningful study, clues to potential study flaws, and ways to apply solid evidence in clinical practice. Uniform framework uses a simple six-point framework based on the mnemonic M.A.A.R.I.E. You will learn to evaluate studies in terms of Methods, Assignment, Assessment, Results, Interpretation, and Extrapolation. Hypothetical illustrations demonstrate the limitations of today's published studies. Unique learning aids?including question checklists, scenarios illustrating study design, and flaw-catching exercises?help you reinforce key facts and retain what you've learned.

NEW to the Fifth Edition...

New "Guide to the Guidelines" section helps you make sense of established and emerging clinical guidelines, and helps you understand the role of these guidelines in practice. Current information on outcomes includes discussions of safety and of the effects of interactions on outcomes. More graphic presentation of statistics helps make complex concepts easy to grasp and apply using a flowchart of statistics. StudyingaStudy.com Website is an integral feature of this edition providing interactive materials for all sections of the book. The Website provides practice using the M.A.A.R.I.E. framework, interactive flaw-catching and Selecting a Statistics exercises, self-testing questions-answers and exercises using abstracts from real articles. Courses and Journal Clubs can now use Studying a Study and Testing a Test with the help of a special section of the Website.

Clear the path to a new understanding of evidence-based medicine...and integrate today's best evidence into tomorrow's practice. Order your copy of Studying a Study and Testing a Test, Fifth Edition today!


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Studying a Study and Testing a Test: How to Read the Medical Evidence (Core Handbook Series in Pediatrics)

Very nicely written... for non-math oriented people. Very "user" friendly. Provides examples and explanations clearly.


Found very very useful; turns out you have to READ it

I bought this book 18 months ago and never cracked it til last week. I have worked as a Medicare medical director for five years, and someone should have given each of us this book the day we started. It is a very good survey of how to assess clinical trials. You will not finish this book and then plan trials for "big pharma" nor will you have a PhD in statistics (one recent reviewer of this book at Amazon was appalled by what he found to be several semantic errors or math errors - let's bear in mind the book has thrived through 5 editions and the author has a PhD from Johns Hopkins.) But if you are thinking about what makes clinical trials "tick" and you want a thorough (300 pp) but not numbing viewpoint, this is an excellent book. I also found the book very well written, I was able to go through 50 pages at a pop and felt I was really absorbing it. Embarassingly, considering jobs I have held, I would have been hesitant to give a concise explanation of a "case control" versus "cohort" study and Riegelman makes this sort of distinction fundamental and clear early one without belaboring how important it is (you can tell how important it is). The author, Riegelman, is a senior professor at the Geo Washington Univ School of Medicine. The book is intended for medical students (smart insightful ones), MPH students, those reviewing/evaluating the clinical literature (the evidence-based-medicine world). He explains things in a way that makes you think you'll remember it for years. For a different style and result(imagine you are actually designing a clinical trial in your niche of medicine from Step A to Step Z) see the Brian Hayes/David Sackett books (several versions) on "clinical epidemiology" or "evidence based medicine."


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great book for med students/residents

A wonderful book to help out with all those journal clubs and intro epi courses we have to take. I used it in medical school and continue to use it during residency. I refer to it before journal clubs and before discussing studies with medical students. Easy to read, concise, great overview of the subject! Highly reccomended!


Reading: Broad or narrow?

This book assumes that the reading of medical texts is not just something that is self-evident, but something that can be learned by reading the book. "The traditional course in reading the medical literature consists of "Here's the New England Journal of Medicine. Read it!". Unlike this "sink or swim" method, this book provides a step-by step, active-participation approach to a clinical review of the medical literature.

In a way, this book is a traditional book on research methods turned upside down. Instead of telling the researcher how to do and report a study, this book tells the reader how to apply such knowledge in determining the quality of a medical paper. As such it is well written, clear and relevant.

I would like to suggest, however, that research methods are always depending on a views in the philosophy of science. (Courses in the Philosophy of Medicine are becoming more and more important in the education of Doctors). As an example of a well received book I can mention "Philosophy of Medicine. An Introduction" by Henrik R. Wulff, Stig Andur Pedersen & Raben Rosenberg (Oxford, UK: Blackwell Scientific Publications, 1986). Knowledge of this kind should enable the reader to read and interpret the medical literature at a still higher level. (It is of course more difficult to write easy "how to read books" based on such a more theoretical and philosophical level compared to the more statistical and methodical level).

There exists a broader literature on "Clinical reasoning in the health Professions" (Higgs et al), "Medical semiotics" (Baer et al.), diverse philosophical studies of medicine, "Quality in science" and much more. It would be interesting if anyone would try to expose how such knowledge could be turned upside down as guide on how to read the medical literature on a still deeper level.

It is my claim that a general background in philosophy and science studies should provide readers with even better qualifications to read the scientific literature. This is not an extraordinary position. In Denmark courses in the philosophy of science are very popular, and just now are we discussing to make such courses compulsory in all university studies.


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