Literature DB >> 10164145

What proportion of primary psychiatric interventions are based on evidence from randomised controlled trials?

J R Geddes1, D Game, N E Jenkins, L A Peterson, G R Pottinger, D L Sackett.   

Abstract

OBJECTIVES: To estimate the proportion of psychiatric inpatients receiving primary interventions based on randomised controlled trials or systematic reviews of randomised controlled trials.
DESIGN: Retrospective survey.
SETTING: Acute adult general psychiatric ward.
SUBJECTS: All patients admitted to the ward during a 28 day period. MAIN OUTCOME MEASURES: Primary interventions were classified according to whether or not they were supported by evidence from randomised controlled trials or systematic reviews.
RESULTS: The primary interventions received by 26/40 (65%; 95% confidence interval (95% CI) 51% to 79%) of patients admitted during the period were based on randomised trials or systematic reviews.
CONCLUSIONS: When patients were used as the denominator, most primary interventions given in acute general psychiatry were based on experimental evidence. The evidence was difficult to locate; there is an urgent need for systematic reviews of randomised controlled trials in this area.

Entities:  

Mesh:

Year:  1996        PMID: 10164145      PMCID: PMC1055418          DOI: 10.1136/qshc.5.4.215

Source DB:  PubMed          Journal:  Qual Health Care        ISSN: 0963-8172


  16 in total

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Authors:  C G BURT; W F GORDON; N F HOLT; A HORDERN
Journal:  J Ment Sci       Date:  1962-09

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3.  Treatment of the acute alcohol withdrawal state: a comparison of four drugs.

Authors:  S C Kaim; C J Klett; B Rothfeld
Journal:  Am J Psychiatry       Date:  1969-06       Impact factor: 18.112

4.  Users' guides to the medical literature. VI. How to use an overview. Evidence-Based Medicine Working Group.

Authors:  A D Oxman; D J Cook; G H Guyatt
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6.  Clinical trials in psychiatry.

Authors:  A L Johnson
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