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020 _a9783319946108
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024 7 _a10.1007/978-3-319-94610-8
_2doi
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100 1 _aParkkinen, Veli-Pekka.
_eauthor.
_4aut
_4http://id.loc.gov/vocabulary/relators/aut
_95442
245 1 0 _aEvaluating Evidence of Mechanisms in Medicine
_h[electronic resource] :
_bPrinciples and Procedures /
_cby Veli-Pekka Parkkinen, Christian Wallmann, Michael Wilde, Brendan Clarke, Phyllis Illari, Michael P Kelly, Charles Norell, Federica Russo, Beth Shaw, Jon Williamson.
250 _a1st ed. 2018.
264 1 _aCham :
_bSpringer International Publishing :
_bImprint: Springer,
_c2018.
300 _aXVIII, 125 p. 14 illus.
_bonline resource.
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
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490 1 _aSpringerBriefs in Philosophy,
_x2211-4548
505 0 _a1 Introduction -- 1.1 What is a mechanism? -- 1.2 Where does evidence of a mechanism come from? -- 1.3 Why consider evidence of mechanisms? -- 1.3.1 Evaluating efficacy -- 1.3.2 Evaluating external validity -- 1.3.3 Other questions -- 1.3.4 Importance of considering evidence of mechanisms -- 2 How to consider evidence of mechanisms: a summary -- 2.1 Questions to address -- 2.2 Quality level of evidence and status of claim -- 2.3 Identifying evidence of mechanisms in the literature -- 2.4 Evaluating evidence of mechanisms -- 2.5 Using evidence of mechanisms to evaluate causal claims -- 2.6 Overall approach -- 3 Identifying evidence of mechanisms in the literature -- 3.1 Hypothesize a mechanism -- 3.2 Search the literature -- 3.3 Identify the evidence most relevant to the mechanism hypothesis -- 3.4 Presenting the evidence of mechanisms -- 4 Evaluating evidence of mechanisms -- 4.1 Considerations for evaluating evidence of mechanism -- 4.2 Presenting quality of evidence of mechanisms -- 5 Using evidence of mechanisms to evaluate efficacy and external validity -- 5.1 Efficacy -- 5.2 External validity -- 6 Glossary -- 7 References -- 8 Acknowledgements -- 9 Appendix A. A critical appraisal tool for evidence of mechanisms -- 10 Appendix B. GRADE tables with mechanism assessment -- 11 Appendix C: Databases for evidence of mechanisms -- 12 Appendix D: Assessing exposures -- 12.1 Example: carcinogenicity of benzo[a]pyrene -- 12.2 Comparison to IARC -- 12.3 Molecular epidemiology -- 12.4 Comparison to SYRINA.
506 0 _aOpen Access
520 _aThis book is open access under a CC BY license. This book is the first to develop explicit methods for evaluating evidence of mechanisms in the field of medicine. It explains why it can be important to make this evidence explicit, and describes how to take such evidence into account in the evidence appraisal process. In addition, it develops procedures for seeking evidence of mechanisms, for evaluating evidence of mechanisms, and for combining this evaluation with evidence of association in order to yield an overall assessment of effectiveness. Evidence-based medicine seeks to achieve improved health outcomes by making evidence explicit and by developing explicit methods for evaluating it. To date, evidence-based medicine has largely focused on evidence of association produced by clinical studies. As such, it has tended to overlook evidence of pathophysiological mechanisms and evidence of the mechanisms of action of interventions. The book offers a useful guide for all those whose work involves evaluating evidence in the health sciences, including those who need to determine the effectiveness of health interventions and those who need to ascertain the effects of environmental exposures.
650 0 _aMedicine—Philosophy.
_94544
650 0 _aEpistemology.
_9975
650 1 4 _aPhilosophy of Medicine.
_0https://scigraph.springernature.com/ontologies/product-market-codes/E34030
_94545
650 2 4 _aEpistemology.
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_9975
700 1 _aWallmann, Christian.
_eauthor.
_4aut
_4http://id.loc.gov/vocabulary/relators/aut
_95443
700 1 _aWilde, Michael.
_eauthor.
_4aut
_4http://id.loc.gov/vocabulary/relators/aut
_95444
700 1 _aClarke, Brendan.
_eauthor.
_4aut
_4http://id.loc.gov/vocabulary/relators/aut
_95445
700 1 _aIllari, Phyllis.
_eauthor.
_4aut
_4http://id.loc.gov/vocabulary/relators/aut
_95446
700 1 _aKelly, Michael P.
_eauthor.
_4aut
_4http://id.loc.gov/vocabulary/relators/aut
_95447
700 1 _aNorell, Charles.
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_4http://id.loc.gov/vocabulary/relators/aut
_95448
700 1 _aRusso, Federica.
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_4http://id.loc.gov/vocabulary/relators/aut
_95449
700 1 _aShaw, Beth.
_eauthor.
_4aut
_4http://id.loc.gov/vocabulary/relators/aut
_95450
700 1 _aWilliamson, Jon.
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_4http://id.loc.gov/vocabulary/relators/aut
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710 2 _aSpringerLink (Online service)
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776 0 8 _iPrinted edition:
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776 0 8 _iPrinted edition:
_z9783319946115
830 0 _aSpringerBriefs in Philosophy,
_x2211-4548
_95441
856 4 0 _uhttps://doi.org/10.1007/978-3-319-94610-8
912 _aZDB-2-REP
912 _aZDB-2-SXPR
912 _aZDB-2-SOB
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999 _c1106
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773 _tSpringer Nature Open Access eBook