How the Read a Paper: The Basics of Evidence Based Medicine

TLDR: This book not only helps you read a paper but tries to make you a better paper writer as well and fulfils its advertised aim of being a compressed introduction to the usefulness and potential applications of evidence-based medicine in the clinical setting.

Abstract: Do you need to read published papers? Or are you a scientific paper non-reader or recluse? This book (very thoughtfully) starts off by asking whether you need to read this book—how many textbooks actually ask you whether you need to use/read/buy it? The need for such a book is certainly there, as this excellent little book is intended to help existing readers read, and actually interpret, medical papers better. Current non-readers and scientific recluses may even be encouraged to open medical journals for once! The book provides an excellent practical and pragmatic approach to critical analysis of much of the uninspiring and unread published literature (which often makes you wonder how it got into print in the first place!). There is a systematic discussion on evidence-based medicine and a thoughtful practical section on how to search the medical literature. Despite the age of the Internet and computerised databases, even the most experienced Medline surfer often only manages to find approximately a third of the published material on a particular subject—handy tips are provided to improve searches, to increase one’s gain and to reduce eye strain or repetitive strain injury from a long, tiring session at the Medline computer terminal. The book describes the various sections of a published paper, including appraisal of the nature of the study and statistics for the non-statistician. It then discusses what you would hope to gain from reading a particular paper, including papers that report drug trials, diagnostic screening tests, systematic reviews and guidelines. It also has information on economic analyses and qualitative research. Finally, it gives some examples of how to implement evidence-based findings. Since much of clinical medicine is still not evidence-based, perhaps this goes some way to rectify this appalling state of affairs. I also found the Appendix with a checklist for finding, appraising and implementing evidence fairly helpful. Readers of this excellent book who are like me — struggling to understand much of the published literature and also to produce an intelligible published paper every so often—this book not only helps you read a paper but tries to make you a better paper writer as well. Perhaps my understanding of evidence-based medicine will improve after reading this book, and make me a better teacher and researcher. Perhaps it will make me reject more of the papers submitted to the journal I help edit! At the cost of £14.95, this book is an absolute bargain and it fulfils its advertised aim of being a compressed introduction to the usefulness and potential applications of evidence-based medicine in the clinical setting. I recommend it wholeheartedly as an obligatory read.