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Using clinical cases to guide healthcare

World Journal of Clinical Cases 2024年第9期12卷 1555-1559页

作者： Michael Colwill samantha baillie Richard Pollok Andrew Poullis Department of Gastroenterology St George's University Hospital NHS Foundation TrustLondon SW170QTUnited Kingdom

Evidence-based practice(EBP)has been the gold standard in healthcare for nearly three centuries and aims to assist physicians in providing the safest and most effective healthcare for their *** well-established hierarchy of evidence lists systematic reviews and meta-analyses at the top however these methodologies are not always appropriate or possible and in these instances case-control studies,case series and case reports are utilised to support ***-control studies allow simultaneous study of multiple risk factors and can be performed rapidly and relatively cheaply.A recent example was during the Coronavirus pandemic where case-control studies were used to assess the efficacy of personal protective equipment for healthcare *** series and case reports also play a role in EBP and are particularly useful to study rare diseases such as inflammatory bowel disease in transgender and gender non-conforming *** are also vital in generating and disseminating early signals and encouraging further *** these methodologies have weaknesses,particularly with regards to bias and loss of patient confidentiality for rare pathologies,they have an important part to play in EBP and when appropriately utilised can significantly impact upon clinical practice.

关键词： Evidence based medicine Hierarchy of evidence Case reports Case series

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Biobanks and biomarkers:Their current and future role in biomedical research

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World Journal of Methodology 2024年第4期14卷 77-83页

作者： Michael Colwill samantha baillie Richard Pollok Andrew Poullis Department of Gastroenterology St George's University Hospital NHS Foundation TrustLondon SW170QTUnited Kingdom

The importance and utility of biobanks has increased exponentially since their inception and *** used as part of translational research,they now contribute over 40%of data for all cancer research papers in the United States of America and play a crucial role in all aspects of *** classification systems exist but a simplified approach is to either classify as population-based or disease-oriented *** historically publicly funded institutions,there has been a significant increase in industry funded entities across the world which has changed the dynamic of biobanks offering new possibilities but also new *** face legal questions over data sharing and intellectual property as well as ethical and sustainability questions particularly as the world attempts to move to a low-carbon *** collaboration is required to address some of these challenges but this in itself is fraught with complexity and *** review will examine the current utility of biobanks in the modern healthcare setting as well as the current and future challenges these vital institutions face.

关键词： Biobanks Biomarkers Biomedical research Research methodology Research ethics

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