Find

How to find evidence

We are constantly bombarded with information from a wide range of sources. Traditional sources of information (books, journals and colleagues) as with other sources have their limitations.

With the rise of the internet, an increasing number of electronic databases are available which can provide access to the best current evidence. The most widely available free database is Medline which can be accessed via the PubMed interface. Increasingly databases are providing explict evidence; a good example is the Evidence-based Medicne reviews product from Ovid, which combines a number of electronic databases (Cochrane Database of Systematic Reviews, Best Evidence, Evidence-based Mental Health and Evidence-based Nursing, Cancerlit, Healthstar, Aidsline, Bioethicsline and Medline). Academic institutions and NHS staff (with an ATHENS Password) have access to these services which normally require subscriptions.

Knowledge is of two kinds. We know a subject ourselves, or we know where we can find information on it.
Samuel Johnson (1709 – 1784)

The Cochrane Library is freely available to any UK resident (and a number of other countries) and contains a number of databases:

  • The Cochrane Database of Systematic Reviews
  • Database of Abstracts of Reviews of Effects (DARE)
  • The Cochrane Central Register of Controlled Trials (CENTRAL)
  • The Cochrane Database of Methodology Reviews
  • The Cochrane Methodology Register
  • Health Technology Assessment Database (HTA)
  • NHS Economic Evaluation Database (NHS EED)

The Cochrane Library is probably the best single source of reliable evidence about the effects of healthcare.

Structured approach to searching

In order to be really effective in searching for evidence, specific training or access to an information specialist is required. However for a busy practitioner a quick structured approach is

  • First define the question – then search for each of the following in turn
    • Evidence-based Guidelines
    • Cochrane Reviews
    • Evidence summaries (e.g from Specialist Library for Oral Health)
    • Medline – for appropriate studies to answer your question

Relevant Links

Resources

Papers on searching from the Canadian Dental Journal series on Evidence-based Dentistry

Search filters

Databases

Search Engines

  • EviDents - Dental PICO based search engine for real-time searches of PubMed
  • NHS Evidence – The principle aim of the NHS Evidence service is to provide easy access to a comprehensive evidence base for everyone in health and social care who takes decisions about treatments or the use of resources – including clinicians, public health professionals, commissioners and service managers – thus improving health and patient care.
  • SUMSearch - medical meta-search engine which searches a range of databases and  internet site
  • TRIP Turning Research into Practice - another meta search engine UK-based

Other