Health and Medical News and Resources

General interest items edited by Janice Flahiff

Springer Unleashes Free SpringerLink App for iPhone, iPod Touch

From the 3 January 2012 blog item at eContent

 

Springer’s SpringerLink science platform is now available in a free mobile app for iPhone and iPod touch, which can be downloaded from the Apple App Store. The app contains articles from over 2,000 peer-reviewed journals and chapters from 49,000 books, totaling over 5.4 million documents that span multiple areas of science, technology, and medicine.

Free content in the form of article abstracts, over 127,000 open access research articles, plus book and journal covers and other document details are included in the app. The SpringerLink app includes features like personalized notifications; “save” and “share” capabilities, including enabled sharing via email, Facebook, and Twitter; advanced search options; document details, including abstracts; and full-text views, which are available to institutional subscribers.

Springer publishes nearly 500 academic and professional society journals and is a part of the Springer Science+Business Media publishing group.

(www.springerlink.com)

January 4, 2012 Posted by | Biomedical Research Resources, Finding Aids/Directories, Professional Health Care Resources | , , , , , , | Leave a comment

Many NIH-funded clinical trials go unpublished over two years after completion (with ClinicalTrials.gov link for many trial study results)

[Flahiff’s note:  It is possible that  many of these unpublished clinical trial results would have made a positive difference in many people’s lives. These unpublished results have the potential of aiding many researchers. They can prevent unnecessary duplicate trials, point to areas needing more research, and potentially provide groundwork for collaboration.

On another note, it is good to see that published research papers are now more accessible to all.  As of 2008, research papers based on NIH grants must be submitted to PubMed Central (PMC) when those papers are accepted for publication in a peer-reviewed journal. PMC will then make the papers freely available to the public within 12 months of publication.

I look forward to the day when all research papers are freely available to the public.  There are a myriad of issues, as who pays for the publishing, the peer review process, and where the research papers should be “housed”. However, I believe the more scientific research results are disseminated in easily accessible format, the more we can advance in technology applications and filling in knowledge gaps.]

Excerpt from the 3 January 2012 article By Karen N. Peart at Yale News

In a study that investigates the challenges of disseminating clinical research findings in peer-reviewed biomedical journals, Yale School of Medicine researchers have found that fewer than half of a sample of trials primarily or partially funded by the National Institutes of Health (NIH) were published within 30 months of completing the clinical trial.

These findings appear in the January issue of the British Medical Journal, which focuses on the topic of unpublished evidence.

[As of 3 January 2012, the January issue of BMJ was not yet online..however many of the articles may be found at http://www.bmj.com/archive/sevendays]

“When research findings are not disseminated, the scientific process is disrupted and leads to redundant efforts and misconceptions about clinical evidence,” said Dr. Joseph Ross, first author of the study and a Yale assistant professor of medicine. “Such inaction undermines both the trial in question and the evidence available in peer-reviewed medical literature. This has far-reaching implications for policy decisions, and even institutional review board assessments of risks and benefits associated with future research studies.”…

Ross said that there may be many reasons for lack of publication, such as not getting accepted by a journal or not prioritizing the dissemination of research findings. Still, he said, there are alternative methods for providing timely public access to study results, including the results database at ClinicalTrials.gov** that was created in response to Federal law.

[From the About Page at Clinical Trials.gov
US Public Law 110-85 (Food and Drug Administration Amendments Act of 2007 or FDAAA), Title VIII, Section 801 mandates that a “responsible party” (i.e., the study sponsor or designated principal investigator) register and report results of certain “applicable clinical trials” that were initiated or ongoing as of September 27, 2007…]

Related Resource

ClinicalTrials.gov

ClinicalTrials.gov  offers up-to-date information for locating federally and privately supported clinical trials for a wide range of diseases and conditions.

ClinicalTrials.gov currently contains 118,682 trials sponsored by the National Institutes of Health, other federal agencies, and private industry.

**Here is how one can check for study results
(remember, researchers are not mandated to submit study results to ClinicalTrials.gov, they are voluntary)

    • Go to ClinicalTrials.gov
    • Click on Search (upper right corner)
    • Click on Advanced Search
    • Go to Study Results, use drop down menu to select Studies with results
    • Fill out rest of form with as much specific information as you can
      especially search terms, conditions, and/or interventions

ClinicalTrials.gov records with published results listed via the PubMed medical literature search service.  

  •         Use the Advanced Search with the search phrase clinicaltrials.gov[si]

Use the Builder  limit results by topics (as a disease, medical device), year(s), name of researcher/invesitator)

  •         Need help searching? PubMed has tutorials , including a YouTube at the Advanced Search Page

        Ask for assistance from a reference librarian at your local public, academic, hospital, or medical library.
Many academic, hospital, and medical libraries offer at least basic search help to all. Call ahead and ask
about their services. You may be pleasantly surprised.

January 4, 2012 Posted by | Biomedical Research Resources, Finding Aids/Directories, Tutorials/Finding aids | , , , , , , | 5 Comments

What Is Comparative Effectiveness Research?

What Is Comparative Effectiveness Research?

From the US AHRQ (Agency for Healthcare Research and Quality) Web page

Comparative effectiveness research is designed to inform health-care decisions by providing evidence on the effectiveness, benefits, and harms of different treatment options. The evidence is generated from research studies that compare drugs, medical devices, tests, surgeries, or ways to deliver health care.

There are two ways that this evidence is found:

  • Researchers look at all of the available evidence about the benefits and harms of each choice for different groups of people from existing clinical trials, clinical studies, and other research. These are called research reviews, because they are systematic reviews of existing evidence.
  • Researchers conduct studies that generate new evidence of effectiveness or comparative effectiveness of a test, treatment, procedure, or health-care service.

Comparative effectiveness research requires the development, expansion, and use of a variety of data sources and methods to conduct timely and relevant research and disseminate the results in a form that is quickly usable by clinicians, patients, policymakers, and health plans and other payers. Seven steps are involved in conducting this research and in ensuring continued development of the research infrastructure to sustain and advance these efforts:

  1. Identify new and emerging clinical interventions.
  2. Review and synthesize current medical research.
  3. Identify gaps between existing medical research and the needs of clinical practice.
  4. Promote and generate new scientific evidence and analytic tools.
  5. Train and develop clinical researchers.
  6. Translate and disseminate research findings to diverse stakeholders.
  7. Reach out to stakeholders via a citizens forum.

Common questions about comparative effectiveness research

Q: Why is comparative effectiveness research needed? What problem is it trying to solve?

  • If you don’t get the best possible information about your treatment choices, you might not make an informed decision on what treatment is best for you.
  • When you shop for a new car, phone or camera, you have lots of information about your choices. But when it comes to choosing the right medicine or the best health-care treatment, clear and dependable information can be very hard to find.
  • It’s true that some treatments may not work for everyone, and that some treatments may work better for some people than others. This research can help identify the treatments that may work best for you.

Q: What are the practical benefits of comparative effectiveness research?

  • You deserve the best and most objective information about treating your sickness or condition. With this research in hand, you and your doctor can work together to make the best possible treatment choices.
  • For example, someone with high blood pressure might have more than a dozen medicines to choose from. Someone with heart disease might need to choose between having heart surgery or taking medicine to open a clogged artery. Reports on these topics and others include the pros and cons of all the options so that you and your doctor can make the best possible treatment decision for you or someone in your family.
  • Every patient is different — different circumstances, different medical history, different values. These reports don’t tell you and your doctor which treatment to choose. Instead, they offer an important tool to help you and your doctor understand the facts about different treatments.
…and AHRQ Effective Health Care Program Links

Thumbnail images of three consumer guides
Guides for Patients and Consumers include research reviews, research reports, and summary guides
Glossary of Terms
Personalization and Social Media Tools – These tools (as an email list)allow you to personalize your experience with the EHC Program Web site and share it with colleagues, family, and friends.

February 19, 2011 Posted by | Uncategorized | , , , , , , , , , | Leave a comment

How to Read a Research Paper (and also Understand Health News Research Items)

Biomedical research results are increasingly available to the public. However, caution is urged in interpreting results. For example, be very careful to not confuse causation with association.

(A recent news item about insulin use and cancer is very controversial. Some say insulin use can cause cancer, while others insist insulin users are predisposed to cancers.)

The MedlinePlus Topic Page Understanding Medical Research has links to tutorials, overviews, and more

A sampling of links

**Increasing Knowledge — How to Read a Research Paper(Lewy Body Dementia Association)

** Clinical Research & Clinical Trials(National Institute of Child Health and Human Development)

**Making Sense of Medical News (Nemours Foundation)

Related Blog Items

“Summaries for Patients” and other plain language summaries help patients and others understand medical studies and guidelines

August 27, 2010 Posted by | Uncategorized | , , , , , | Leave a comment

   

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