Kvalitetsvurderte enkeltstudier

Transkript

1 Hoftebrudd Nasjonale faglige retningslinjer Kunnskapsbaserte kliniske fagprosedyrer Kunnskapsbaserte retningslinjer Kunnskapsbaserte kliniske oppslagsverk Kunnskapsbaserte systematiske oversikter Kvalitetsvurderte enkeltstudier Retningslinjer Enkeltstudier Treff i 1 database Treff i 2 databaser Treff i 6 databaser Treff i 3 databaser Treff i 6 databaser Treff i 4 databaser PICO-skjema og emneord Søkestrategi Kommentar Brukerveiledning Dato utført: 25/02/2014 Revidert: X Ansvarlig bibliotekar: Hanne Elise Rustlie Kvalitetssikret av: X

2 Nasjonale faglige retningslinjer Helsedirektoratet Nasjonal faglig retningslinje for forebygging og behandling av osteoporose og osteoporotiske brudd Kunnskapsbaserte kliniske fagprosedyrer Nasjonalt nettverk for fagprosedyrer Ingen funn Vårdhandboken Ingen funn NHS NICE Pathways Hip fracture overview Nursing Reference Center Evidence-Based Care Sheets og Quick Lessons Pressure Ulcers: Patients with Hip Injuries Kunnskapsbaserte retningslinjer National Guideline Clearinghouse Hip fracture. The management of hip fracture in adults. Management of hip fracture in older people. A national clinical guideline. Hip & pelvis (acute & chronic). Atypical subtrochanteric and diaphyseal femoral fractures: report of a task force of the American Society for Bone and Mineral Research. American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of pediatric diaphyseal femur fractures. Kliniske retningslinjer, Danmark Klinisk retningslinje for forebyggelse af trykskader hos patienter med hoftebrud NHS NICE Guidelines Hip fracture: The management of hip fracture in adults Socialstyrelsen, Sverige Lenke til resultat (i denne lenken kommer du til Kot- eller höftfraktur efter lågenergivåld oberoende av frakturrisk enligt FRAX. Se til høyre på denne siden du kommer inn på, og under Relaterat finner du flere variasjoner av samme tema) SIGN, Scottish Intercollegiate Guideline Network Management of hip fracture in older people

3 Sundhedsstyrelsen, Danmark Systematiske forebyggelse og behandling af knogleskørhed hos patienter med hoftebrud : en medicinsk teknologivurdering Kunnskapsbaserte kliniske oppslagsverk UpToDate Hip fractures in adults Medical consultation for patients with hip fracture Hip fractures in children Distal femoral fractures in children Midshaft femur fractures in adults Femoral shaft fractures in children Clinical Evidence Hip fracture BMJ BEST Practice Hip fractures Kunnskapsbaserte systematiske oversikter Cochrane Reviews Arthroplasties (with and without bone cement) for proximal femoral fractures in adults Antibiotic prophylaxis for surgery for proximal femoral and other closed long bone fractures Perioperative fluid volume optimization following proximal femoral fracture Co-ordinated multidisciplinary approaches for inpatient rehabilitation of older patients with proximal femoral fractures Pre-operative traction for hip fractures in adults Internal fixation versus arthroplasty for intracapsular proximal femoral fractures in adults Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults Interventions for improving mobility after hip fracture surgery in adults Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures Condylocephalic nails versus extramedullary implants for extracapsular hip fractures Internal fixation implants for intracapsular hip fractures in adults Anaesthesia for hip fracture surgery in adults Nutritional supplementation for hip fracture aftercare in older people Extramedullary fixation implants and external fixators for extracapsular hip fractures in adults Nerve blocks (subcostal, lateral cutaneous, femoral, triple, psoas) for hip fractures Hip protectors for preventing hip fractures in older people Surgical approaches and ancillary techniques for internal fixation of intracapsular proximal femoral fractures Multidisciplinary rehabilitation for older people with hip fractures Rehabilitation interventions for improving physical and psychosocial functioning after hip fracture in older people Intramedullary nails for extracapsular hip fractures in adults Osteotomy, compression and other modifications of surgical techniques for internal fixation of extracapsular hip fractures

4 Conservative versus operative treatment for hip fractures in adults Replacement arthroplasty versus internal fixation for extracapsular hip fractures in adults Thiazide diuretics and the risk of hip fracture Nerve blocks for initial pain management of femoral fractures in children Interventions for treating fractures of the distal femur in adults Intramedullary nailing for femoral shaft fractures in adults Interventions for treating femoral shaft fractures in children and adolescents DARE Concurrent ipsilateral fractures of the hip and femoral shaft: a meta-analysis of 659 cases (Structured abstract) A systematic review of protein and energy supplementation for hip fracture aftercare in older people (Structured abstract) Meta-analysis of the efficacy of alendronate for the prevention of hip fractures in postmenopausal women (Structured abstract) Complications after intracapsular hip fractures in young adults: a meta-analysis of 18 published studies involving 564 fractures (Structured abstract) Proximal femoral nail versus dynamic hip screw fixation for trochanteric fractures: a meta-analysis of randomized controlled trials (Provisional abstract) Do hip protectors decrease the risk of hip fracture in institutional and communitydwelling elderly: a systematic review and meta-analysis of randomized controlled trials (Structured abstract) Anti-hip fracture efficacy of bisphosphonates: a Bayesian analysis of clinical trials (Structured abstract) A critical review of literature regarding the effectiveness of physical therapy management of hip fracture in elderly persons (Structured abstract) Does dietary calcium have a protective effect on bone fractures in women: a metaanalysis of observational studies (Provisional abstract) Gamma versus DHS nailing for extracapsular femoral fractures: meta-analysis of ten randomised trials (Structured abstract) Systematic review of home physiotherapy after hip fracture surgery (Provisional abstract) Treatment of trochanteric fractures with proximal femoral nail antirotation or dynamic hip screw systems: a meta-analysis (Provisional abstract) Pathogenesis of and management strategies for postoperative delirium after hip fracture: a review (Provisional abstract) Minimally invasive versus conventional dynamic hip screw fixation in elderly patients with intertrochanteric fractures: a systematic review and meta-analysis (Provisional abstract) Evidence summary: systematic review of surgical treatments for geriatric hip fractures (Provisional abstract) Extended exercise rehabilitation after hip fracture improves patients' physical function: a systematic review and meta-analysis (Provisional abstract) General versus regional anaesthesia for hip fracture surgery: a meta-analysis of randomized trials (Structured abstract) A meta-analysis of percutaneous compression plate versus sliding hip screw for the management of intertrochanteric fractures of the hip (Provisional abstract) Absorbable and non-absorbable cement augmentation in fixation of intertrochanteric femur fractures: systematic review of the literature (Provisional abstract) Antirotation proximal femoral nail versus dynamic hip screw for intertrochanteric fractures: a meta-analysis of randomized controlled studies (Provisional abstract) Radiotherapy vs. nonsteroidal anti-inflammatory drugs for the prevention of heterotopic ossification after major hip procedures: a meta-analysis of randomized trials (Provisional abstract) Meta-analysis of alendronate preventing hip fracture risk of postmenopausal women (Provisional abstract) Antibiotic prophylaxis in hip fracture surgery: a metaanalysis (Provisional abstract) Artificial femoral head replacement versus dynamic hip screws in elderly intertrochanteric

5 fracture: a meta analysis (Provisional abstract) Closed suction surgical wound drainage after hip fracture surgery: a systematic review and meta-analysis of randomised controlled trials (Provisional abstract) The validity of administrative data to identify hip fractures is high a systematic review (Provisional abstract) Metaanalysis of risk factors for mortality in patients with hip fracture (Provisional abstract) Efficacy of supplemental peripheral nerve blockade for hip fracture surgery: multiple treatment comparison (Provisional abstract) Cemented versus uncemented hemiarthroplasty for hip fractures: a systematic review of randomized controlled trials (Provisional abstract) The percutaneous compression plate versus the dynamic hip screw for treatment of intertrochanteric hip fractures: a systematic review and meta-analysis of comparative studies (Provisional abstract) Psychotropic-related hip fractures: meta-analysis of first-generation and secondgeneration antidepressant and antipsychotic drugs (Provisional abstract) Need for additional calcium to reduce the risk of hip fracture with vitamin D supplementation: evidence from a comparative metaanalysis of randomized controlled trials (Provisional abstract) Hip fracture risk in relation to vitamin D supplementation and serum 25-hydroxyvitamin D levels: a systematic review and meta-analysis of randomised controlled trials and observational studies (Provisional abstract) Effectiveness of hip protectors for preventing hip fractures in elderly people: systematic review (Structured abstract) A systematic review of growth hormone for hip fractures (Provisional abstract) Routine blood tests as predictors of mortality in hip fracture patients (Provisional abstract) Assessment of people with cognitive impairment and hip fracture: a systematic review and meta-analysis (Provisional abstract) Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis (Structured abstract) Physical activity and predisposition for hip fractures: a review (Structured abstract) The relationship between short-term mortality and quality of care for hip fracture: a meta-analysis of clinical pathways for hip fracture (Structured abstract) Proton pump inhibitors therapy and risk of hip fracture: a systematic review and metaanalysis (Structured abstract) Timing of surgery for hip fractures: a systematic review of 52 published studies involving 291,413 patients (Structured abstract) Comparative effectiveness of pain management interventions for hip fracture: a systematic review (Structured abstract) Treatment of common hip fractures (Structured abstract) Multi-disciplinary rehabilitation after hip fracture is associated with improved outcome: a systematic review (Structured abstract) The effect of care pathways for hip fractures: a systematic review (Structured abstract) Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis (Structured abstract) Calcium intake and hip fracture risk in men and women: a meta-analysis of prospective cohort studies and randomized controlled trials (Structured abstract) Internal fixation compared with arthroplasty for displaced fractures of the femoral neck: a meta-analysis (Structured abstract) Ortho-geriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis (Structured abstract) Timing matters in hip fracture surgery: patients operated within 48 hours have better outcomes - a meta-analysis and meta-regression of over 190,000 patients (Structured abstract) Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures: meta-analysis of randomized trials (Structured abstract)

6 Outcomes after displaced fractures of the femoral neck: a meta-analysis of one hundred and six published reports (Structured abstract) Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis and systematic review of randomized trials (Provisional abstract) Meta-analysis of studies on mortality of early surgery vs delayed surgery for patients with femoral neck fractures (Provisional abstract) Which is the best alternative for displaced femoral neck fractures in the elderly? A metaanalysis (Structured abstract) Meta analysis of total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in elderly patients (Provisional abstract) Arthroplasty compared with internal fixation for displaced femoral neck fractures in the elderly: a meta-analysis (Provisional abstract) Total hip replacement versus femoral head replacement in treatment of elderly femoral neck fracture: meta analysis of efficacy and safety (Provisional abstract) Choice of implant for internal fixation of femoral neck fractures: meta-analysis of 25 randomised trials including 4,925 patients (Structured abstract) Cemented versus uncemented hemiarthroplasty for femoral neck fractures in elderly patients: a meta-analysis (Provisional abstract) A meta-analysis of total hip arthroplasty and hemiarthroplasty outcomes for displaced femoral neck fractures (Structured abstract) Hemiarthroplasty vs primary total hip arthroplasty for displaced fractures of the femoral neck in the elderly: a meta-analysis (Structured abstract) Systematic review of cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures in older patients (Structured abstract) Arthroplasty or internal fixation for displaced femoral neck fractures: which is the optimal alternative for elderly patients? A meta-analysis (Structured abstract) Systematic review of cemented and uncemented hemiarthroplasty outcomes for femoral neck fractures (Structured abstract) Primary arthroplasty is better than internal fixation of displaced femoral neck fractures: a meta-analysis of 14 randomized studies with 2,289 patients (Structured abstract) Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis (Structured abstract) Minimally invasive hip fracture surgery: are outcomes better? (Structured abstract) Primary total hip arthroplasty versus hemiarthroplasty for displaced intracapsular hip fractures in older patients: systematic review (Structured abstract) The impact of cognitive impairment on rehabilitation outcomes in elderly patients admitted with a femoral neck fracture: a systematic review (Structured abstract) Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture (Structured abstract) The treatment of femoral shaft fractures in children: a systematic overview and critical appraisal of the literature (Structured abstract) The effect of corticosteroids on the prevention of fat embolism syndrome after long bone fracture of the lower limbs: a systematic review and meta-analysis (Provisional abstract) Timing of definitive treatment of femoral shaft fractures in patients with multiple injuries: a systematic review of randomized and nonrandomized trials (Provisional abstract) Bisphosphonates and risk of subtrochanteric, femoral shaft, and atypical femur fracture: a systematic review and meta-analysis (Structured abstract) Are short femoral nails superior to the sliding hip screw: a meta-analysis of 24 studies involving 3,279 fractures (Structured abstract) Early rehabilitation following less invasive surgical stabilisation plate fixation for distal femoral fractures (Structured abstract) Systematic review of reamed intramedullary nailing versus unreamed intramedullary nailing for femoral shaft fractures in adult patients (Provisional abstract) The clinical and radiological outcomes of the LISS plate for distal femoral fractures: a systematic review (Structured abstract) A systematic review of rigid, locked, intramedullary nail insertion sites and avascular

7 necrosis of the femoral head in the skeletally immature (Provisional abstract) Reamed intramedullary nailing versus unreamed intramedullary nailing for shaft fracture of femur: a systematic literature review (Structured abstract) McMaster PLUS Perioperative fluid volume optimization following proximal femoral fracture. Efficacy of supplemental peripheral nerve blockade for hip fracture surgery: multiple treatment comparison. Extramedullary fixation implants and external fixators for extracapsular hip fractures in adults. Extended exercise rehabilitation after hip fracture improves patients` physical function: a systematic review and meta-analysis. Which is the best alternative for displaced femoral neck fractures in the elderly?: A metaanalysis. Hip fracture management: tailoring care for the older patient. Hemiarthroplasty vs primary total hip arthroplasty for displaced fractures of the femoral neck in the elderly: a meta-analysis. Pre-operative traction for hip fractures in adults. Hemiarthroplasty and total hip arthroplasty for treating primary intracapsular fracture of the hip: a systematic review and cost-effectiveness analysis. Comparative effectiveness of pain management interventions for hip fracture: a systematic review. Evidence summary: systematic review of surgical treatments for geriatric hip fractures. Interventions for improving mobility after hip fracture surgery in adults. Hip protectors for preventing hip fractures in older people. Fear of falling after hip fracture: a systematic review of measurement instruments, prevalence, interventions, and related factors. Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Arthroplasties (with and without bone cement) for proximal femoral fractures in adults. Bisphosphonates and fractures of the subtrochanteric or diaphyseal femur. Antibiotic prophylaxis for surgery for proximal femoral and other closed long bone fractures. Meta-analysis: excess mortality after hip fracture among older women and men. Nutritional supplementation for hip fracture aftercare in older people. Multidisciplinary rehabilitation for older people with hip fractures. Treatment of common hip fractures. Intramedullary versus extramedullary fixation for subtrochanteric femur fractures. Minimally invasive hip fracture surgery: are outcomes better? Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis. Osteotomy, compression and other modifications of surgical techniques for internal fixation of extracapsular hip fractures. Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture. Systematic review of hip fracture rehabilitation practices in the elderly. Conservative versus operative treatment for hip fractures in adults. Factors associated with a second hip fracture: a systematic review. Metabolism and catabolism in hip fracture patients: nutritional and anabolic intervention- -a review. Intramedullary nails for extracapsular hip fractures in adults. Primary arthroplasty is better than internal fixation of displaced femoral neck fractures: a meta-analysis of 14 randomized studies with 2,289 patients. Replacement arthroplasty versus internal fixation for extracapsular hip fractures in adults. Effectiveness of hip protectors for preventing hip fractures in elderly people: systematic review.

8 Best practices for elderly hip fracture patients. A systematic overview of the evidence. Surgical approaches and ancillary techniques for internal fixation of intracapsular proximal femoral fractures. Unstable pertrochanteric femoral fractures. Anaesthesia for hip fracture surgery in adults. PEDro Exercise, nutrition and managing hip fracture in older persons [with consumer summary] The effect of care pathways for hip fractures: a systematic overview of secondary studies Rehabilitation in patients with dementia following hip fracture: a systematic review [with consumer summary] Systematic review of home physiotherapy after hip fracture surgery Physical exercise after hip fracture: an evidence overview Comparative effectiveness of pain management interventions for hip fracture: a systematic review Hip fracture management, before and beyond surgery and medication: a synthesis of the evidence vidence-based guidelines for the management of hip fractures in older persons: an update A scoping review of strategies for the prevention of hip fracture in elderly nursing home residents Fear of falling after hip fracture: a systematic review of measurement instruments, prevalence, interventions and related factors Musculoskeletal rehabilitation after hip fracture: a review Systematic review of hip fracture rehabilitation practices in the elderly The impact of cognitive impairment on rehabilitation outcomes in elderly patients admitted with a femoral neck fracture: a systematic review The relationship between short-term mortality and quality of care for hip fracture: a meta-analysis of clinical pathways for hip fracture Multi-disciplinary rehabilitation after hip fracture is associated with improved outcome: a systematic review A critical review of literature regarding the effectiveness of physical therapy management of hip fracture in elderly persons Evidence-based guidelines for fixing broken hips: an update Geriatric rehabilitation following fractures in older people: a systematic review Acute management of patients with hip fracture: a research literature review Early rehabilitation following less invasive surgical stabilisation plate fixation for distal femoral fractures OT Seeker Mobilisation strategies after hip fracture surgery in adults How necessary are hip restrictions for avoiding dislocation following hemiarthroplasty or total hip arthroplasty in older patients with a hip fracture? Rehabilitation in Patients with Dementia Following Hip Fracture: A Systematic Review Extended Exercise Rehabilitation After Hip Fracture Improves Patients' Physical Function: A Systematic Review and Meta-Analysis Systematic review of hip fracture rehabilitation practices in the elderly Rehabilitation interventions for improving physical and psychosocial functioning after hip fracture in older people Multi-disciplinary rehabilitation after hip fracture is associated with improved outcome: A systematic review Interventions for improving mobility after hip fracture surgery in adults Multidisciplinary rehabilitation for older people with hip fractures Co-ordinated multidisciplinary approaches for inpatient rehabilitation of older patients with proximal femoral fractures

9 Geriatric rehabilitation following fractures in older people: a systematic review. Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures Health and healthcare costs and benefits of exercise. Kunnskapssenteret Tidlig rehabilitering av eldre pasienter med hoftebrudd Campbell Library Ingen funn Kvalitetsvurderte enkeltstudier Evidence-Based Medicine Evidence-Based Nursing Evidence-Based Mental Health Evidence-Based Dentistry McMaster PLUS EHS Protocols Retningslinjer Helsebiblioteket Ingen funn Medline, retningslinjer Lenke til resultat Denne lenken sender deg videre til et Google Docs. Har du problemer med å få det opp kan du henvende deg til hanne.rustlie@sykehuset-innlandet for å få en wordversjon av resultatlisten. Embase, retningslinjer Lenke til resultat Denne lenken sender deg videre til et Google Docs. Har du problemer med å få det opp kan du henvende deg til hanne.rustlie@sykehuset-innlandet for å få en wordversjon av resultatlisten.

10 Cinahl, retningslinjer Reducing pressure ulcers in hip fracture patients Thompson, Mark; British Journal of Nursing, 2011 Aug 11; (Suppl [1]): S10-8. Abstract: This article describes how a collaborative project within an NHS hospital reduced the incidence of pressure ulcers in hip fracture patients by 79.8%, thus improving outcomes of care and patient experience. The impetus for the project came from the negative effects on functional recovery that pressure ulcers can cause, a prevalence of 9.3% in the existing patient group, and the trust's commitment to reduce pressure ulcers for all patients by 50%, as per local quality indicators. Using a multiprofessional collaborative team approach, issues with current practice and how improvements could be made were identified. Following this, a best practice guideline and educational session based on national guidelines, but tailored to the local and holistic needs of hip fracture patients, was developed. The author proposes that the tailoring of an intervention to the specific needs of high risk patient groups is transferable to any area of practice where pressure ulcers are prevalent. Innovations in aged care. A multidisciplinary practice guideline for hip fracture prevention in residential aged care Scherer S; Jennings C; Smeaton M; Thompson P; Stein M; Australasian Journal on Ageing, 2002 Dec; 21 (4): Abstract: High numbers of hip fractures in residential aged care make the institution of a practical prevention program an urgent priority. We developed and implemented a pilot multidisciplinary practice guideline integrating fall prevention, hip protectors, and osteoporosis management in a group of 50 residents at very high risk of hip fracture. We describe the characteristics of these residents and report the outcome of this observational study, which resulted in an implementation rate of between 50% and 86% for six individually considered interventions at 6-month follow-up. Må være på SI-nettverk for å komme inn på disse lenkene NEL, Norsk elektronisk legehåndbok Lenke til resultat (hoftebrudd) Lenke til resultat (lårhalsbrudd) Enkeltstudier Medline Embase PsycInfo Svemed+

11 PICO-skjema og emneord PICO-skjema ikke mottatt. P I C O Medline (MeSH) Embase Tekstord Kommentar Hip Fractures Hip Fracture Hip Fracture* Femoral Fractures Femur Fracture Femur* Femur Fracture* Hip Hip* Fractures, Bone Søkestrategi Nasjonale faglige retningslinjer: lista skumlest Nasjonalt nettverk for fagprosedyrer: lista skumlest EHS Protocols: lista skumlest Vårdhandboken: lista skumlest NHS NICE Pathways: lista skumlest Nursing Reference Center: hip fracture, femoral fracture, femur fracture, hip AND fracture, femur AND fracture NHS NICE Guidelines: hip fracture, femoral fracture, femur fracture National Guideline Clearinghouse: hip fracture, femoral fracture, femur fracture Kliniske retningslinjer, Danmark: lista skumlest SIGN: lista skumlest Socialstyrelsen, Sverige: höftfraktur, fraktur Sundhedsstyrelsen, Danmark: hoftebrud, knoglebrud UpToDate: hip fracture, femoral fracture, femur fracture Clinical Evidence: hip fracture, femoral fracture, femur fracture BMJ Best Practice: hip fracture, femoral fracture, femur fracture NEL: hoftebrudd, lårhalsbrudd Cochrane Review og DARE: se lenke McMaster PLUS, systematiske oversikter: hip fracture, femoral fracture, femur fracture PEDro: hip fracture, femoral fracture, femur fracture OT Seeker: hip fracture, femoral fracture, femur fracture Kunnskapssenteret, systematiske oversikter: hoftebrudd, lårhalsbrudd Campbell Library: hip fracture, femoral fracture, femur fracture Evidence-Based Nursing: ikke søkt her Evidence-Based Medicine: ikke søkt her Evidence-Based Mental Health: ikke søkt her Evidence-Based Dentistry: ikke søkt her McMaster PLUS, enkeltstudier: ikke søkt her Helsebiblioteket, retningslinjer: lista skumlest Medline, retningslinjer: se lenke til resultat Embase, retningslinjer: se lenke til resultat Ovid Nursing: ikke søkt her PsycInfo: ikke søkt her AMED: ikke søkt her

12 Svemed+: ikke søkt her Kommentar Dette litteratursøket er til en behandlingslinje som er bestilt av Helse Sør-Øst som inngår i Oppdrags- og bestillingsdokumentet. Brukerveiledning Fargekoder Det vil være en grønn farge på de nivåene som er kunnskapsbaserte. Der det må kvalitetssikres er farget med rødt. Praktisk Bibliotektjenesten gjør litteratursøk til fagprosedyrer, behandlingslinjer og veiledende behandlingsplaner. Gjerne med representanter fra arbeidsgruppa. Litteratursøk skal bestilles av prosjektleder for kunnskapsbaserte fagprosedyrer i SI. Arbeidsgruppene kan gjøre litteratursøkene, men må være klar over minstekravene. Litteratursøket skal kvalitetssikres av bibliotekar hvis arbeidsgruppen gjør litteratursøket selv. Det er krav til dokumentasjon av litteratursøket og søkestrategi. Teori Brian Haynes kunnskapspyramide er utgangspunktet for hvordan vi utfører systematiske litteratursøk til fagprosedyrer. Brian Haynes utviklet denne 6S-modellen, som den kalles. Pyramiden ble utviklet ved McMaster universitetet i Canada, som er et internasjonalt arnested for kunnskapsbasert praksis. Ideen til Haynes er å søke etter kunnskap der den er gått gjennom en kvalitetskontroll først slik at det man prioriterer først er å søke i kunnskapsbaserte retningslinjer, oppslagsverk, systematiske oversiker. Teorien til Haynes er også at hvis vi finner gode svar på spørsmålet vi måtte ha høyt oppe i pyramiden er det helt ok å stoppe der. Det er ikke nødvendig å søke seg gjennom alle de relevante enkeltstudiedatabasene for å være sikker på å få nok svar. Det vil selvfølgelig være tilfeller hvor man ikke finner svar øverst i pyramiden, og da må litteratursøkene helt ned til enkeltstudier. Vær oppmerksom på at de artiklene MÅ kvalitetssikres før de kan brukes. Nasjonal metodebeskrivelse for systematiske litteratursøk Den metoden Bibliotektjenesten i SI utfører litteratursøk er etter Nasjonal metodebeskrivelse for systematiske litteratursøk, som er utviklet av Bibliotekargruppa i Nasjonalt nettverk for fagprosedyrer. Alle foretakene som er med i dette nasjonale nettverket bruker denne metoden for å gjøre litteratursøk. Minstekravet er punkt som er retningslinjer fra Helsedirektoratet, kunnskapsbaserte fagprosedyrer og retningslinjer i Norge og i andre land, samt kliniske oppslagsverk og systematiske oversikter av god kvalitet. Punkt 1 6* er minstekravet: Nasjonale faglige retningslinjer fra Helsedirektoratet Kunnskapsbaserte fagprosedyrer utviklet innenfor Nasjonalt nettverk for fagprosedyrer Kunnskapsbaserte prosedyrer utviklet i andre land Norskspråklige retningslinjer (merket anbefalt i Helsebiblioteket) Kunnskapsbaserte utenlandske retningslinjer

13 Kunnskapsbaserte kliniske oppslagsverk Kunnskapsbaserte systematiske oversikter (* Til og med Cochrane Reviews, er det lite treff kan det søkes i alle databasene under dette punktet) Metodebeskrivelsen finnes på Krav til arbeidsgruppene Som oftest vil ikke arbeidsgruppene utføre litteratursøkene selv. Men vi ønsker at dere bruker tid på spørsmålsformuleringen i forkant (gjerne også emneord) og at dere klarer å bruke litteratursøk-resultatet. Selv om dere hovedsakelig ikke skal utføre litteratursøkene er det veldig viktig at dere vet hvordan og hvorfor bibliotekarene gjør som de gjør, og ikke minst at dere vet hvordan resultatskjemaet skal gås gjennom. Når et litteratursøk fra bibliotektjenesten er ferdig vil dere få tilsendt en lenke av deres veileder. Alle litteratursøk skal bestilles elektronisk av veileder for fagprosedyrer i SI. Artikler i fulltekst I noen tilfeller vil det kun være lenke til abstrakt eller kun en enkel referanse. For å få tak i fulltekstversjonen et det et par ting du kan gjøre selv for å sjekke om SI har abonnement på dette tidsskriftet elektronisk. Sjekk om tidsskriftet finnes i fulltekst her. Har vi ikke tidsskriftet i fulltekst kan du kontakte ditt nærmeste fagbibliotek i SI.