In this article, we describe the strengths and weaknesses of several m
ethods of locating systematic reviews, including electronic databases
such as MEDLINE, Best Evidence (the electronic version of ACP Journal
Club and Evidence-Based Medicine), and the Cochrane Library (a regular
ly updated source of reviews and controlled trials produced by the Coc
hrane Collaboration). We also present steps that can be used to critic
ally appraise review articles; as an example, we use a systematic revi
ew that evaluates the gastrointestinal toxicity of various nonsteroida
l anti-inflammatory drugs in the context of a clinical scenario.