Pg. Shekelle et al., A BRIEF INTRODUCTION TO THE CRITICAL-READING OF THE CLINICAL LITERATURE, Spine (Philadelphia, Pa. 1976), 19(18), 1994, pp. 190002028-190002031
Clinicians are bombarded by reports of new diagnostic tests or treatme
nts for patients with spine problems. To provide the best possible pat
ient care, clinicians need to be able to critically appraise the resul
ts of such studies for validity and relevance to patient care. Importa
nt questions to be asked of any description of diagnostic or treatment
studies are the following questions: 1) Are the patients described in
detail so that you can decide whether they are comparable to those th
at you see in your practice? 2) Are the treatments or assessments desc
ribed well enough so that you could provide the same for your patients
? 3) Was a clinically relevant endpoint measured? 4) Is there an appro
priate comparison group? 5) Are potential sources of bias appropriatel
y attended to? 6) Are the results clinically significant?