Influence Impact Knowledge Authority
BMJ Publishing Group: Your gateway to essential clinical research and knowledge
Pauline Dilworth Library Sales Executive
www.bmjpg.com
BMJ PGToday’s presentation…
• Current online products:– Clinical Evidence– Best Treatments– BMJ Journals Online Collection– bmj.com
• New developments at BMJ PG• BMJ PG consortium offer to ANKOS
members
• An international ‘digest’ of the best available evidence for effective health care
• Covers 200+ clinical conditions and over 2000 treatments
• Gathers good quality evidence
• Provides detailed background on each condition and summaries of the best evidence on the benefits and harms of interventions
• Gives a list of key outcomes that matter to patients
What is Clinical Evidence?
How is Clinical Evidence put together?
• Addresses common questions on conditions raised by clinicians
• In response to each question the major medical databases and websites are searched
• Results are appraised following recognised criteria
• Good quality evidence is combined into structured summaries
• Peer reviewed before publication• Process is repeated every twelve months
• How does Clinical Evidence overcome many of the barriers to practice of Evidenced-Based Medicine?
• Time - Easily accessible information on your desk• Information Overload - We trawl all the relevant
research so you don’t have to• Up to Date - Online edition updated and
expanded monthly
Clinical Evidence
Rating the research in Clinical Evidence
• Beneficial
• Likely to be beneficial
• Trade off between benefits and harms
• Unknown effectiveness
• Unlikely to be beneficial
• Likely to be ineffective or harmful
HOME PAGE
www.clinicalevidence.com
Lipodystrophy syndrome: There is increasing concern about the association between antiretroviral treatment and lipodystrophy syndrome.[28] This syndrome consists of elevated serum lipid levels, redistribution of fat storage in the body leading to changes in body shape (morphological lipodystrophy), and insulin resistance. One systematic review (search date 2002, 14 RCTs, 57 observational studies, narrative synthesis only) concluded that there was evidence that use of protease inhibitor based regimens was associated with increased serum levels of total cholesterol, triglycerides, and low density lipoprotein, and with morphological changes in vasculature known to be associated with increased cardiovascular risk (carotid intima thickening or presence of atherosclerotic lesions).[29] Preliminary evidence from long term observational studies suggested that protease inhibitor use may increase the risk of myocardial infarction.[29] Morphological lipodystrophy is often a cause of psychological distress, loss of quality of life, and treatment non-adherence in people on <G3|HAART>.[28] [30] There is considerable variability in the definition of syndromes involving body fat distribution anomalies.[31] Therefore, estimates of the prevalence of morphological lipodystrophy differ. Prospective observational studies suggest that some patterns of adipose tissue maldistribution may be associated with high adherence to treatment, increasing age, and female gender.[30] [32] [33] Although morphological lipodystrophy was initially thought to be associated with protease inhibitor use, some NRTIs (notably stavudine) have also been suggested to play a role in their development.[21] [32][33][34] Observational studies have estimated that in people receiving protease inhibitor based antiretroviral treatment the prevalence of diabetes is about 6<en>7%, whereas 16<en>18% have impaired glucose tolerance.[35] [36] Further studies are needed on the issue of glucose intolerance
New Harms
What is Best Treatments?
• Evidence based website explaining 60 of the
commonest medical conditions and 20 surgical
procedures
• Designed to help patients make informed
treatment decisions about their care in
consultation with doctors and nurses
• “Translation” into jargon free, language that the patient can understand
HOME PAGE
www.besttreatments.net
BMJ Journals Online Collection• 22 BMJ specialist Journals published by BMJ
Publishing Group Ltd in conjunction with other professional bodies such as the British Cardiac Society and EULAR.
• Includes 3 evidence based medicine journals
• Leaders in their field covering a wide range of specialities e.g. Heart, Gut, Thorax
• All BMJ Journals available online hosted by HighWire Press: search across 340 journals!
BMJ Journals OnlineCollection• Full text in html and pdf formats
• Fully searchable archive
• Additional material not included in print versions
• Toll free links from references to full text of more than 340 journals hosted by HighWire
• Cross-journal searching
• Direct access to Medline
BMJ Journals OnlineCollection
• Online First publishes ahead of print
• Email a friend facility to send the abstract of an article directly to a colleague
• Previews of future issues
• TOC alerts
• CiteTrack service
• Submission and review of manuscripts online
• eLetters - comment on articles online
HOME PAGE
www.bmjjournals.com
HOME PAGE
http://highwire.stanford.edu
bmj.com• The British Medical Journal is published weekly in print and
online
• rigorous and accessible material, including: original scientific studies, review and educational articles, and papers commenting on the clinical, scientific, social, political, and economic factors affecting health.
• 6000 articles submitted, only around 10% are selected after rigorous peer review
• Over a million visitors a month to the web-site
• Original research papers are freely available and deposited in PubMed Central
• Backfiles will be freely available after 12 months
bmj.com• Online features similar to Journals Online
Collection:
Inter-journal links, Cross-journal searching,Email alerts, Cite track, citation manager, usage statistics, printing and PDFs, news alerts
• Electronic Long, Print Short (ELPS)
• Rapid responses “…probably the place to debate a hot medical issue.”
• Topic collections
• Theme issues and series
HOME PAGE
www.bmj.com
New Developments:BMJ Learning
• A service to help doctors meet their revalidation requirement for continuous professional development.
• Offers a mix of clinical and professional modules
• Currently offered free of charge!
• Collaboration between BMJ PG and
McMaster University’s Health Information
Research Unit
• Searchable database of the best evidence
from over 100 premier clinical journals
• Email alerting system bringing the best
medical evidence straight to your inbox
• Register for free access at bmjupdates.com
New Developments:BMJ Updates
www.bmjupdates.com
Future Developments: Clinical Evidence Diagnosis
• Deeply-discounted prices available to ANKOS members participating in the BMJ PG consortium offer
• Online-only access:
GBP £3000 for BMJ Journals Online Collection
GBP £315 for bmj.com
GBP £2100 for Clinical Evidence
BMJ PG: ANKOS Consortium Offer
BMJ PG: ANKOS Consortium Offer
For more information contact:
Pauline Dilworth at [email protected]
Or
Gussun Gunes at [email protected]
Thank you!