Evidence-Based Health Care

Oxford University
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The broad aim of the Centre for Evidence Based Medicine is to develop, teach and promote evidence-based health care and provide support and resources to doctors and health care professionals to help maintain the highest standards of medicine. Many of the talks are taken from the Oxford Evidence-Based Health Care Programme and delivered by members of the Nuffield Department of Primary Care Health Sciences, the Centre of Evidence Medicine and leaders in the field of Evidence-based Health Care internationally.

Episodes

  1. MAR 28 · VIDEO

    Misunderstandings and misuses of commonly-cited methods for systematic reviews & meta-analyses.

    Professor Julian Higgins explains why he believes the systematic review and meta-analysis methods described in many highly cited papers are routinely misunderstood or misused. Julian Higgins is Professor of Evidence Synthesis at the Bristol Evidence Synthesis, Appraisal and Modelling (BEAM) Centre at the University of Bristol. His research has focussed on the methodology of systematic review and meta-analysis and he has been senior editor of the Cochrane Handbook for Systematic Reviews of Interventions since 2003. He is an NIHR Senior Investigator and currently co-directs the NIHR Bristol Evidence Synthesis Group. Systematic reviews and meta-analyses have become influential and popular. Papers describing aspects of the systematic review and meta-analysis toolkit have become some of the most highly cited papers. I will review those that appear at the top of the most-cited list and explain why I believe the methods described are routinely misunderstood or misused. These include a test for asymmetry in a funnel plot, the I-squared statistic for measuring inconsistency across studies, the random-effects meta-analysis model and the PRIMSA reporting guideline.

    38 min

  2. JAN 28 · VIDEO

    Not just "what," but also "how well:" Intervention fidelity in clinical trials of complex interventions in healthcare

    The concepts of intervention fidelity and how they can influence the results of clinical trials. The focus of clinical trials is typically interventions' efficacy, or whether they attain their desired outcomes. Comparatively less attention is focused on understanding how or why interventions succeed, or fail to attain, those outcomes. This may be particularly important in trials of complex interventions such as surgery or physiotherapy, which are multifaceted and often tailored to individual participants, providers, or settings, increasing the potential for variations in intervention delivery and effects. The correspondence between the intervention that was planned and what was actually delivered in a trial is the intervention's fidelity. In this presentation, we will discuss intervention fidelity and concepts related to it such as participant adherence (the actions of patients and participants in a clinical trial), and how they can influence the results of a clinical trial, as well as our level of confidence in the results of published trials. A checklist for assessing intervention fidelity in clinical trial publications will also be presented. Dr. Paez is a post-doctoral fellow at the Sleep, Cognition, and Neuroimaging Laboratory at Concordia University, Montreal, an Assistant Professor of Medicine and Clinical Skills Training, NAPCA, and a Senior Lecturer at the Bouvé College of Health Sciences, Northeastern University, Boston. He obtained an MSc and DPhil in Evidence-based Healthcare from the University of Oxford, UK, a PhD in Health and Exercise Science from Concordia University, and doctoral degree in Physiotherapy from Northeastern University, Boston. Dr. Paez is also a visiting scholar and council member of the IDEAL Collaboration, Nuffield Department of Surgical Sciences, University of Oxford, which focuses on improving innovation and evidence for complex interventions in healthcare, such as Surgery and Rehabilitation.

    42 min

  3. 10/24/2024 · VIDEO

    Stein's paradox

    Dr Jason Oke, gives a talk on Stein's work, the paradox and some of its more controversial results and consider the implications for evidence-based medicine Dr Jason Oke, Principal Statistician at Abbott Diabetes Care, was previously a senior statistician at the Nuffield Department of Primary Care Health Sciences, University of Oxford. He has a wealth of experience in applying statistics and data analysis across many health care domains. He is passionate about advancing evidence-based health care practice and policy through rigorous research and teaching. Next to counting, averaging is the most basic and important practice in statistics. For over 150 years it was thought that nothing was uniformly better than the sample average for the purposes of estimation or prediction. In 1955, Charles Stein proved this wasn't true when considering three or more independent unobservable quantities. In 1961, Willard James and Charles Stein proposed an alternative estimator - the James-Stein estimator - which improved on the simple averaging approach no matter what the true values of the unobservable quantities. Although Stein's work was initially met with resistance and was slow to be accepted among statisticians, its principal idea is now used widely across statistics and evidence-based medicine.

    34 min

  4. 10/03/2022 · VIDEO

    How should we teach evidence-based medicine in the 21st century?

    Dr Gordon Guyatt provides a guest talk on how we should teach evidence-based medicine in the 21st century This free guest lecture is part of the Teaching Evidence-Based Practice module, part of the Oxford University Evidence-Based Health Care (EBHC) programme. About the speaker: Dr Gordon Guyatt is a Distinguished Professor in the Department of Clinical Epidemiology and Biostatistics, McMaster University and one of the founders of Evidence-Based Medicine. He has played a key role in over 30 major clinical studies (including both large-scale observational and randomized trials) and has extensive expertise in study methodology. As co-founder and co-chair of the GRADE working group, he has been intimately involved in the development and evolution of the GRADE approach. Questions? Please contact the Evidence-Based Health Care (EBHC) team by emailing: cpdhealth@conted.ox.ac.uk To stay informed of programme news, including lectures and research news, sign up to the EBHC mailing list: https://conted.us6.list-manage.com/subscribe?u=b349338a9a&id=9769482733

    21 min

  5. 07/01/2022 · VIDEO

    The Role of Social Endometriosis Research in Improving Care and Addressing Intersectional Health Disparities

    Dr Annalise Weckesser will discuss her qualitative studies exploring women’s experiences of endometriosis and doctors’ perspectives on treating the condition and how to improve care. This episode explores what this research, and the growing body of social research on endometriosis more generally, contributes to efforts to improve care and address health disparities at the intersections of gender and race, and reflect on the ‘work to be done’ going forward in qualitative investigations of the condition.

    42 min

  6. 11/02/2020 · VIDEO

    How do species postpone or even escape from senescence?

    Dr Rob Salguero-Gomez, Associate Professor in Ecology, Department of Zoology, gives a talk on lessons for a longer, better human life for the EBHC podcast series.

    55 min

  7. 11/27/2019 · VIDEO

    Evidence isn't enough: The politics and practicalities of communicating health research

    The logic and principles behind the drive for evidence-based health care are so compelling that often the limitations of evidence go unacknowledged. Despite a strong evidence base demonstrating the health risks associated with higher body weights, and health professionals routinely instructing patients to lose weight to improve their health, the incidence of obesity is predicted to continue to rise. Calling on his research into the relationships between obesity, inequality and health, Oli Williams - a fellow of The Healthcare Improvement Studies Institute - will argue that when it comes to reducing the burden on, and improving, health care a more critical approach to the way we generate, select, apply and communicate evidence is needed. Oli Williams completed his PhD in the Department of Sociology at the University of Leicester. He was subsequently awarded the NIHR CLAHRC West Dan Hill Fellowship in Health Equity which he held at the University of Bath. He later re-joined the University of Leicester in the Department of Health Sciences working in the SAPPHIRE Group and is now based at King's College London after being awarded a THIS Institute Postdoctoral Fellowship. His research focuses on health inequalities, the promotion of healthy lifestyles, obesity, weight stigma, equitable intervention and co-production. He co-founded the art collective Act With Love (AWL) to promote social change. The Weight of Expectation comic is one example of their work, view others at: www.actwithlove.co.uk In recognition of his work on weight stigma the British Science Association invited Oli to deliver the Margaret Mead Award Lecture for Social Sciences at the British Science Festival 2018. This talk was held as part of the Qualitative Research Methods course which is part of the Evidence-Based Health Care Programme.

    1h 2m

  8. 01/28/2019 · VIDEO

    Systematic reviews: the past the present and the future

    Making decisions and choices about health and social care need access to high-quality evidence from research. Systematic reviews provide this by both highlighting the quality of existing studies and by themselves providing a high-quality summary. Mike Clarke and Iain Chalmers [1], Iain Chalmers (James Lind Library and Fellow of CEBM), Carl Heneghan ( Professor of EBM and Director CEBM) and Kamal Mahtani (Associate Professor and Director of the MSc in Systematic Reviews) talk about the history and development of systematic reviews, their current delivery and the shortcomings in current review production and the future directions of systematic reviews, including the launch of CEBM's Evidence Synthesis Toolkit. This talk was held as part of the Practice of Evidence-Based Health Care course which is part of the Evidence-Based Health Care Programme. [1] Clarke M, Chalmers I Reflections on the history of systematic reviews. BMJ Evidence-Based Medicine 2018;23:121-122.

    51 min

  9. 05/16/2018 · VIDEO

    Value-based healthcare: Health economics re-packaged or re-packaging health economics?

    Sir Muir Gray and Lucy Abel debate: Is value-based health care nothing more than health economics re-packaged or is health economics nothing more than only one of the six contributors to value-based healthcare? Health economics is concerned with how to allocate resources in healthcare to optimise outcomes. Health economists have developed a variety of methods to evaluate whether the cost of providing healthcare interventions is worth the benefits. In other words, whether they are good value. These are based on preferences expressed by wider society relating to the value of increasing the length and quality of life. These values can be applied to an intervention by linking them via clinical outcomes. Sir Muir Gray is now working with both NHS England and Public Health England to bring about a transformation of care with the aim of increasing value for both populations and individuals and published a series of How To Handbooks for example, How to Get Better Value Healthcare, How To Build Healthcare Systems and How To Create the Right Healthcare Culture. Lucy Abel is a health economist working within the field of primary care and is part of the Nuffield Department of Primary Care Health Sciences at the University of Oxford. She collaborates with research groups to bring the tools of economic evaluation to primary care health science research.

    26 min

  10. 10/13/2017 · VIDEO

    Critical Appraisal and EBM in the Real World

    The overwhelming volume of evidence and its lack of relevance to patient care and decisions means health professionals require skills to sift evidence more efficiently: discarding what doesn't make a difference to focus on evidence that matters for health This talk will present a simple effective appraisal system based on two first steps to rapidly appraise and sift the evidence for its relevance and application to actual patient care, prior to assessing its validity. Professor Carl Heneghan is Director of CEBM, and an NHS Urgent Care GP, and has been interested for over twenty years in how we can use evidence in real world practice. This talk is being held as part of the Practice of Evidence-Based Health Care module which is part of the MSc in Evidence-Based Health Care and the MSc in EBHC Systematic Reviews.

    33 min
  • 10 Episodes

About

The broad aim of the Centre for Evidence Based Medicine is to develop, teach and promote evidence-based health care and provide support and resources to doctors and health care professionals to help maintain the highest standards of medicine. Many of the talks are taken from the Oxford Evidence-Based Health Care Programme and delivered by members of the Nuffield Department of Primary Care Health Sciences, the Centre of Evidence Medicine and leaders in the field of Evidence-based Health Care internationally.

Information

  • Creator
    Oxford University
  • Years Active
    2022 - 2025
  • Episodes
    10
  • Rating
    Clean
  • Copyright
    © Oxford University
  • Show Website
    Evidence-Based Health Care