Evidence-based medical texts
The following points could be used as a minimum checklist:
Meta-resources (e.g., listings or search engines for other resources)
Scale for rating individual studies
Relevance | Newsworthiness |
---|---|
7 Directly and highly relevant | 7 Useful information; most practitioners in my specialty definitely don’t know this |
6 Definitely relevant | 6 Useful information; most practitioners in my specialty probably don’t know this |
5 Probably relevant | 5 Useful information; most practitioners in my specialty possibly don’t know this |
4 Possibly relevant; likely of indirect or peripheral relevance at best | 4 Useful information; most practitioners in my specialty possibly already know this |
3 Possibly not relevant | 3 Useful information; most practitioners in my specialty probably already know this |
2 Probably not relevant: content only remotely related | 2 It probably doesn’t matter whether they know this or not |
1 Definitely not relevant: completely unrelated content area | 1 Not of direct clinical interest |
Source: McMaster Online Rating of Evidence (MORE) system, Health Information Research Unit, McMaster University ( http://hiru.mcmaster.ca/more/AboutMORE.htm ).
Promoting specialized search methods and making high-quality resources for evidence-based information available may lead to more correct answers being found by clinicians. In a small study of information retrieval by primary care physicians who were observed using their usual sources for clinical answers (most commonly Google and UpToDate), McKibbon and Fridsma 18 found just a 1.9% increase in correct answers following searching. By contrast, others who have supplied information resources to clinicians have found that searching increased the rate of correct answers from 29% to 50%. 19 Schaafsma and colleagues 20 found that when clinicians asked peers for answers to clinical questions, the answers they received were correct only 47% of the time; if the colleague provided supportive evidence, the correct answers increased to 83%.
Question-answering services by librarians may also enhance the search process. When tested in primary care settings, such a service was found to save time for clinicians, although its impact on decision-making and clinical care was not clear. 21 , 22
Journals must provide enough detail to allow clinicians to implement the intervention in practice. Glasziou and colleagues 16 found that most study authors, when contacted for additional information, were willing to provide it. In some cases, this led to the provision of booklets or videoclips that could be made available on a journal’s website. This level of information is helpful regardless of the complexity of the intervention. For example, the need to titrate the dose of angiotensin-converting-enzyme inhibitors and confusion about monitoring the use of these drugs are considered barriers to their use by primary care physicians, and yet such information is frequently lacking in primary studies and systematic reviews. 23
Finally, journal editors and researchers should work together to format research in ways that make it more readable for clinicians. There is some evidence that the use of more informative, structured abstracts has a positive impact on the ability of clinicians to apply evidence 24 and that the way in which trial results are presented has an impact on the management decisions of clinicians. 25 By contrast, there are no data showing that information presented in a systematic review has a positive impact on clinicians’ understanding of the evidence or on their ability to apply it to individual patients.
Evidence, whether strong or weak, is never sufficient to make clinical decisions. It must be balanced with the values and preferences of patients for optimal shared decision-making. To support evidence-based decision-making by clinicians, we must call for information resources that are reliable, relevant and readable. Hopefully those who publish or fund research will find new and better ways to meet this demand.
This article has been peer reviewed.
Sharon Straus is the Section Editor of Reviews at CMAJ and was not involved in the editorial decision-making process for this article.
Competing interests: Sharon Straus is an associate editor for ACP Journal Club and Evidence-Based Medicine and is on the advisory board of BMJ Group. Brian Haynes is editor of ACP Journal Club and EvidenceUpdates, coeditor of Evidence-Based Medicine and contributes research-based evidence to ClinicalEvidence .
Contributors: Both of the authors contributed to the development of the concepts in the manuscript, and both drafted, revised and approved the final version submitted for publication.
Educational resources and simple solutions for your research journey
When conducting a literature search, researchers may refer to a variety of sources such as books, newspapers, periodicals (journals and magazines), and websites to gather their information and steer their research into the desired direction. Any reliable research sources being referred to, if relevant, would need to be cited appropriately. Correct referencing adds credibility and value to the research and instills trust and confidence among the readers about the quality of the study. In addition to being relevant to the topic of study, it’s important that the sources also be reliable enough to be cited confidently. However, because of the information overload online sometimes researchers may find it difficult to verify the authenticity of their sources and filter correct information from all the noise. If the sources aren’t authentic, the credibility of the study itself could be questioned by the readers and may affect the reputation and trustworthiness of the author. It is, therefore, essential to be able to identify the different types of credible research sources.
Common information sources
The common sources that researchers refer to can be categorized as follows: scholarly/academic, popular/mainstream, and trade publications. The content in all these categories is published in peer-reviewed journals/periodicals, magazines, open access (OA) content, books, and websites.
The table 1 provides the differences between these three types of sources. The source used should depend on the type of article being written. For instance, popular magazines may not be an appropriate source to be cited in research articles. Selecting the correct source type for your article is the first step toward ensuring that a source is reliable and relevant.
Content | Current events, general interest articles | Research results, review articles | Specific business or industry |
Purpose | Inform, entertain, elicit an emotional response | Share research with academia | Inform business news, trends, products |
Author | Writers, journalists | Scholars/researchers | Writers, business/industry professionals |
Audience | General public | Researchers, students | Business/industry professionals |
Citations | May not have or may be stated informally | Bibliographies/references/endnotes/footnotes | Few, or may not have any |
Tips to determine if a source is credible 2,3
So, what makes a source credible? While conducting a literature search, researchers must mandatorily verify the reliability of the sources they are referring to. You could consider the following criteria and questions, collectively called the CRAAP Test , 4 to quickly evaluate the sources. This test was developed by the California State University in 2004.
For individual sources, you could also refer to the following checklist to start with and then add criteria as you go along, if required.
Journals | · Is the website updated? · Are the contact details given? · Are the author guidelines & journal metrics provided? · Is the journal indexed in a reputed database and published by a reputable press? · Are the articles peer reviewed? · Do the articles have a good citation frequency? |
OA content | · Does the article follow a proper structure? · Are the citations/references recent (published within 5 years) and content-appropriate? · Is the language appropriate and grammatically correct? |
Books | · What are the author’s affiliations? · Is this the most recent edition? How many previous editions are there? · What are the author’s or publisher’s past works? · Are the citations appropriate? · Is it published by a reputable press? · Is the book driven by ideologies or proper evidence? |
Websites | · Is it a government or private site (organizations, student groups, blogs, associations) · Is the site creator verified? (Check the About/Contact Us sections) · Is the content updated, non-biased, and well-researched? · Are there any advertisements or sponsored content? The more the advertisements, the less reliable the site as a scholarly source |
So, while you’re searching for appropriate sources to reinforce your research, do consult these checklists. Although these do not need to be strictly followed for every parameter, they would still give you a relatively clear idea about how reliable your source is.
We hope this article has provided some insight into identifying reliable research sources according to your need and determining the credibility of a source.
References:
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Getting started, what makes an article scholarly, why does this matter.
Scholarship is a conversation.
That conversation is often found in the form of published materials such as books, essays, and articles. Here, we will focus on scholarly articles because scholarly articles often contain the most current scholarly conversation.
After reading through this guide on scholarly articles you will be able to identify and describe different types of scholarly articles. This will allow you to navigate the scholarly conversation more effectively which in turn will make your research more productive.
The distinguishing feature of a scholarly article is not that it is without errors; rather, a scholarly article is distinguished by a few characteristics which reduce the likelihood of errors. For our purposes, those characteristics are expert authors , peer-review , and citations .
There is a well-known axiom that says "Garbage in, garbage out." In the context of research this means that the quality of your research output is dependent on the information sources that go into you own research. Generally speaking, the information found in scholarly articles is more reliable than information found elsewhere. It is important to identify scholarly articles and prioritize them in your own research.
People with depression are more likely to have a distinct brain pattern
They have a 'salience network' that is 70% to 73% larger than people without depressive symptoms
The salience network is associated with reward processing, and could affect how people feel pleasure and enjoyment
FRIDAY, Sept. 6, 2024 (HealthDay News) -- A distinct brain pattern appears to make some people more likely to develop depression , a new study indicates.
“Deep” functional MRI brain scans revealed that a brain feature called the salience network is nearly twice as large in people with depression than in those without the condition, researchers reported Sept. 4 in the journal Nature .
The salience network is a group of brain regions thought to be involved in reward processing and focusing attention, researchers said.
“Having a larger salience network appears to increase the risk for depression—the effect is an order of magnitude larger than what we usually see in fMRI studies,” said senior researcher Dr. Conor Liston , a professor of psychiatry and neuroscience at Weill Cornell Medicine in New York.
Functional MRI scans identify patterns of activity in the brain by measuring changes in blood flow.
Researchers recruited six people with major depression to undergo repeated fMRI brain scans, and compared their results to those from 37 healthy people.
On average, the depression patients had salience networks that occupied 73% more brain surface compared to those of the control group.
The salience network “being implicated in depression kind of makes sense, because one of the main deficits in depression is anhedonia, which is the inability to feel pleasure and enjoy everyday activities,” said lead researcher Dr. Charles Lynch , an assistant professor of neuroscience at Weill Cornell Medicine.
The research team then looked at previous brain scans from hundreds of other patients, to validate what they’d found in this handful of people with depression.
Researchers found that the salience network was more than 70% larger, on average, in 299 patients with depression, compared to 932 healthy controls.
The data suggest that people with larger salience networks in childhood are more likely to develop depression later in life -- almost as if they were pre-wired for the condition, researchers said.
“For years, many investigators assumed that brain networks look the same in everybody,” Lynch said. “But the findings in this work build on a growing body of research indicating that there are fundamental differences between individuals.”
The team next plans to study the effects of depression treatments on the activity of brain networks, to see how drugs and other therapies work to quell depressive symptoms.
More information
The National Institute of Mental Health has more about depression .
SOURCE: Weill Cornell Medicine, news release, Sept. 4, 2024
Some people might be pre-wired for depression from childhood, based on their brain development.
COMMENTS
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Evaluating research articles: ... Reliable and unreliable sources are everywhere in the information we have access to - some sources are rarely reliable, but even the most 'consistently reliable sources' are sometimes unreliable (everyone has blind spots and biases, and everyone is able to make mistakes). ...
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Determining where an article is published is an important step for determining its credibility. The peer-review process is the first test of a scientific article's credibility. Ideally, experts in the specific field will be best equipped to identify potential concerns with a paper's methodology and findings.
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The more recent the research, the better. If the research is a bit older, then it's smart to check whether any follow-up research has taken place. Maybe the author continued the research and more useful results have been published. Tip! If you're searching for an article in Google Scholar, then click on 'Since 2014' in the left hand ...
Reliable Sources: provide a thorough, well-reasoned theory, argument, or discussion based on strong evidence . Most sources can be categorized as one of these types of sources: Scholarly peer-reviewed articles and books; Trade or professional articles and books; Magazine articles, books and newspaper articles from well-established publishers
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Below are some key components that one should consider when trying to verify if an online source is credible. How to Find Reliable Information on the Internet. 1) Identify the source of the information and determine whether it is reliable and credible. A good starting point for this is to identify the name of the writer and or the organization ...
Managing evidence-based knowledge: the need for reliable, relevant and readable resources. Nowadays few would argue against the need to base clinical decisions on the best available evidence. In practice, however, clinicians face serious challenges when they seek such evidence. Research-based evidence is generated at an exponential rate, yet it ...
When conducting a literature search, researchers may refer to a variety of sources such as books, newspapers, periodicals (journals and magazines), and websites to gather their information and steer their research into the desired direction. Any reliable research sources being referred to, if relevant, would need to be cited appropriately.
I have seen this study cited in nearly every scientific paper analyzing the reliability of Wikipedia, and it is historically important. But Wikipedia has grown tremendously both in terms of quality and quantity since 2005. This is a problem with research into this topic: we are getting snapshots in time that themselves quickly become unreliable.
There is a well-known axiom that says "Garbage in, garbage out." In the context of research this means that the quality of your research output is dependent on the information sources that go into you own research. Generally speaking, the information found in scholarly articles is more reliable than information found elsewhere.
Reliable Sources | Definition, Characteristics & Examples
FRIDAY, Sept. 6, 2024 (HealthDay News) -- A distinct brain pattern appears to make some people more likely to develop depression, a new study indicates. "Deep" functional MRI brain scans revealed that a brain feature called the salience network is nearly twice as large in people with depression than in those without the condition, researchers reported Sept. 4 in the journal Nature.