1. 1 Evidence-Based Complementary & Alternative Medicine: an Introduction Online Online Resources 2 nd Wisconsin Health Information Outreach Summit University of Wisconsin – Green Bay August 16, 2006

2. 2 Today’s Objectives: Define complementary and alternative medicine (CAM) Provide overview of evidence-based methods Visit online evidence-based CAM resources Execute sample searches

3. 3 Resources Reviewed: Cochrane Library – pan for the gold PubMed – big and bountiful NGC (National Guideline Clearinghouse) Bandolier – for clinicians and patients BadgerLink – your Wisconsin connection MedlinePlus – starting point Natl Ctr for Complementary & Alternative Medicine (NCCAM)

4. 4 Complementary and Alternative Medicine (CAM) is… On the rise 40% of American adults report using CAM* Getting research attention Being integrated into conventional medicine Incorporated into managed care Appearing in clinical curricula. *Astin JA. Why patients use alternative medicine: results of a national study. JAMA. 1998;279:1548-1554

5. 5 Definitions: A group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine (according to NCCAM) Complementary – used together with conventional medicine Alternative – used in place of conventional medicine Integrative – combines mainstream and CAM therapies where high-quality scientific evidence of safety and effectiveness exist

6. Sackett, 19986 Quick Review of 5 Steps of EBP Convert need for info into focused clinical question Track down the best evidence Appraise the evidence Integrate evidence into your practice Evaluate the process

7. 7 Meta-Analyses Systematic reviews Evidence-based guidelines Randomized control trials (RCTs) Control trails w/o randomization Case-control and cohort studies Case studies/Qualitative studies Opinion of authorities Reviews (Pre- Appraised) Individual Studies Primary Literature Editorials, advice Search Order Hierarchy of Evidence

8. 8 Meta-Analyses Systematic reviews Evidence-based guidelines Randomized control trials (RCTs) Control trails w/o randomization Case-control and cohort studies Case studies/Qualitative studies Opinion of authorities Cochrane Library PubMed NGC CINAHL (BadgerLink) PubMed CINAHL (BadgerLink) Others

9. 9 Resources Reviewed: Cochrane Library – pan for the gold PubMed – big and bountiful NGC (National Guideline Clearinghouse) Bandolier – for clinicians and patients BadgerLink – your Wisconsin connection MedlinePlus – starting point Natl Ctr for Complementary & Alternative Medicine (NCCAM)

10. 10 Cochrane Library Highest levels of evidence Database of Systematic Reviews Database of Abstracts of Reviews of Effects Others http://www.cochrane.org/

11. 11 PubMed Largest biomedical article database National Library of Medicine authority Robust search engine Limit by CAM http://www.pubmed.gov

12. 12 Nat’l Guideline Clearinghouse Evidence-based practice guidelines Authoritative resource Full-text guidelines Comparison feature http://www.guideline.gov/

13. 13 Bandolier British, covers CAM and other topics Narrative reviews with references Includes Knowledge Library, pain resources, newsletter, essays, email alerts and more http://www.jr2.ox.ac.uk/bandolier/

14. 14 BadgerLink Available throughout Wisconsin Selection of 7 health databases Nursing databases Other resources http://www.badgerlink.net/

15. 15 MedlinePlus Good first stop National Library of Medicine product Patient Education Drug information – herbs and supplements http://medlineplus.gov/

16. 16 NCCAM Information by therapy or disease/condition Grants, reimbursement, funding opportunities Lectures, meetings, and newsletter Notices and alerts Research and training information http://nccam.nih.gov/

17. 17 Additional Resources Consult handouts BadgerLink databases Web-based resources for EB CAM Texts from your medical library Journals Local resources

18. 18 CAM Jeopardy http://www.amsa.org/humed/CAM/MedStudentJeopardy.ppt

19. 19 Thank you!.…Questions? Ulrike Dieterle & Michael Venner Ebling Library University of Wisconsin-Madison http://ebling.library.wisc.edu/