9 de out. de 2008
Obstetric Evidence Based Guidelines
The knowledge from all current available randomized controlled trials (RCTs) and meta-analyses in obstetrics is summarized and easily available for clinical implementation.
Key management points are highlighted at the beginning of each guideline, and in bold in the text. Relative risks and 95% confidence intervals from studies are generally not
quoted, unless trends were evident, to avoid crowding the text. Instead, the straight recommendation for care is made if one intervention is superior to the other, with the percent improvement often quoted to assess degree of benefit. If there is insufficient evidence to compare to interventions or managements, this is clearly stated.
An evidence based book must be based on adequate references, so to let “res ipsa loquitur” (‘things speak for themselves’). Cochrane Reviews with 0 RCT are not referenced,
and, instead of referencing a meta-analysis with only one RCT, the actual RCT is referenced. If meta-analysis includes >10 RCTs, not all RCTs are referenced, for brevity and because they can be easily accessed by reviewing the metaanalysis. If new RCTs are not included in meta-analysis, they are obviously referenced.
http://rapidshare.com/files/136600687/Obstetric_Evidence_based_medicine.pdf