BMJ Best Practice Comorbidities Manager getting started guide The Comorbidities Manager from BMJ Best Practice is the first of its kind EBM tool, to help clinicians treat the whole patient, and is already supporting healthcare professionals worldwide to make the best decisions.
ADVISOR The Charleston Critical Reviews of Web Products for Information Professionals
ISSN: 1525–4011
www.charlestonco.com
Volume 22, Number 3
January 2021
Contents
Advisor Reviews in This Issue
▼ ADVISOR INTRODUCTIONS Scholarly E-book Interlibrary Loan Gaining Momentum by George Machovec ....................................................... 3 Advisor Review Elements.............................................. 4 Advisor Rating Guidelines............................................. 4 ▼ ADVISOR SCOREBOARD TCA Scoreboard...........................................On the Web
▼ ADVISOR REVIEWS––STANDARD REVIEWS Advance: A SAGE Preprints Community byMargie Ruppel .......................................................... 5 Applied Science and Technology Source Ultimate by Joseph R. Kraus ....................................................... 10 Bloomsbury Architecture Library by Cason Snow ........................................................... 14 BMJ Best Practice by Jamie Saragossi ........................................................ 18 Food and Drink in History byMichael DeNotto ..................................................... 23 Global Environmental Justice Documentaries by Sue Wiegand ........................................................... 29 MEDLINE Complete by Chana Kraus-Friedberg .............................................. 33 OECD iLibrary by Jane C. Duffy.......................................................... 36 ProQuest African American Heritage by Thomas J. Beck ........................................................ 39 Reading Like A Victorian by Stephanie Luke........................................................ 43 Wharton Research Data Services (WRDS) byBreezy Silver .......................................................... 46
ADVERTISERS BMJ Best Practice................................................................... 56 Brepols Publishers................................................................... 52 Cold Spring Harbor Laboratory Press .....................................53
Colorado Alliance of Research Libraries.................................. 54 International Monetary Fund.................................................. 42 Unsub ....................................................................................55
Subscription information on page 22. Scoreboard on the Web. The Charleston Advisor / 6180 E.Warren Ave., Denver CO 80222 / www.charlestonco.com
18
Advisor Reviews / The Charleston Advisor / January 2021
www.charlestonco.com
ADVISOR REVIEWS—STANDARD REVIEW BMJ Best Practice
Date of Review: December 10, 2020
doi:10.5260/chara.22.3.18
Composite Score: HHHH
Reviewed by: Jamie Saragossi
<Jamie.Saragossi@stonybrook.edu>
Health Sciences Library, Stony Brook University, Stony Brook, New York
Abstract BMJ Best Practice is an evidence-based point of care tool that helps support clinical decisions by providing the latest and highest qual- ity research available to clinicians. The target audience for this re- source is anyone delivering health care services. Currently, BMJ Best Practice is available as an institutional subscription in the United States. The resource includes clinical summaries based on the latest evidence, drug information, clinical calculators, evidence-based tool kits, and patient leaflets. The content provided goes through a rigor- ous editorial process by expert reviewers who have been required to disclose any financial conflicts. This process can however be rela- tively time consuming therefore updates that do not pose an imme- diate harm to patient care could potentially take anywhere from 1 to 3 months to be reflected in the clinical topic overviews. Overall, the tools and content provided on the platform are reliable and easy to navigate for the end user. Pricing Options Some content for BMJ Best Practice is freely available however for full access to all resources and features a subscription is required. It would be recommended to use this resource with an institutional sub- scription to avoid providing only partial content on a clinical topic to patients or end users. Pricing models are based on institutional profiles however the exact formula is not shared prior to negotiation. A free institution-wide tri- al is available prior to subscription. The current format is an unlimit- ed access institutional 12-month subscription. The BMJ sales support team are available to discuss pricing options. The current subscription provides full access to all content on the BMJ Best Practice platform with IP and remote authentication. The platform allows for customi- zation of local formularies for drug information as well as personal- ization for registered users. Product Overview/Description BMJ Best Practice is a point of care tool providing clinical decision support and evidence-based information for users across several med- ical specialties (Table 1). The specialty areas included provide a browsable list of topic over- views. Each of these overviews of a condition or disease contain a synopsis broken down into different areas, Theory, Diagnosis, Man- agement, Follow-up, and Resources. The section labeled Theory pro- vides information on the epidemiology and etiology of the disease. The section on Diagnosis depending on the disease or disorder pro- vides categories such as clinical approach, history and exam, investi- gations, potential differential diagnoses, criteria for diagnosis as well
as screening tools that are available for the clinician to make a pos- itive diagnosis. Another section referred to as Management provides information on approaches to treatment, new and emerging treat- ments or disease management, and strategies for prevention. The Fol- low-Up category includes information relating to prognosis as well as monitoring and potential complications to be aware of in long term treatment. The Resources section provides users with links to clinical practice guidelines, the references that have informed the recommen- dations through the aforementioned sections and patient leaflets. BMJ Best Practice is intended for different audiences across the spec- trum of health care delivery. Physicians, nurses, pharmacists, and hospital systems in general would be the target audience as they are providing direct patient care. Updates using the latest evidence-based information are made to clinical overviews, diagnostic criteria, and treatment as they become available. The resource is updated daily and available via website and through an app that can provide information even at the patient bedside. Having all providers accessing the same content provides a level of continuity across the health care institu- tion. Continuing Medical Education credits are also available to regis- tered users who engage with the content available through BMJ Best Practice. Medical students may also find this resource useful during their clinical placements to ensure they have the latest information on the various clinical presentations of a disease as well as the latest treatments. They may also use this to access the references and origi- nal research on a topic area of particular interest.
Table 1 BMJ Specialty Areas
Nephrology Neurology Neurosurgery Nutrition Obstetrics and gynecology Oncology Ophthalmology Orthopedics Palliative care Pediatrics and adolescent medicine Primary care Psychiatry Pulmonary medicine Rheumatology Urology Vascular surgery
Allergy and immunology Anaesthesiology Cardiology Cardiothoracic surgery Critical care medicine Dermatology Ear, nose, and throat Emergency medicine Endocrinology and metabolic disorders Gastroenterology and hepatology General surgery Genetics
Geriatric medicine Health maintenance Hematology Infectious diseases
The Charleston Advisor / January 2021
www.charlestonco.com
19
There is a team of 1,600 clinicians across almost 30 countries that work together to provide the evidence that is included in the clinical content overviews. There is a six-step process for vetting the evidence that is listed as part of the transparent editorial practices. 1. Regular searches of the literature with a particular eye on potential practice changing Randomized Controlled Trials. 2. Continuous in-house screening of drug alerts. 3. Daily monitoring of user feedback by content editors. 4. External peer-review by at least two experts in the related field. 5. Internal peer-review by a pharmacist and senior editor. 6. Continuous updates and highlighting of any practice changing up- dates.
User Interface/Navigation/Searching BMJ Best Practice is a standalone web-based point of care tool. Each of the sections has the ability for PDF download. This feature pro- vides additional accessibility not only for the clinician but for the pa- tient as well. Having the option to provide content to the patient that is above and beyond what can be found on the patient leaflets is a great way for shared decision making to take place. The BMJ Accessibility statement is applicable to their evidence-based platforms: BMJ’s websites and mobile applications adhere to the Web Content Accessibility Guidelines version 2.1 level A, wher- ever viable. Our objective is accessibility by design to ensure we achieve the guidelines and standards outlined by the World Wide Web Consortium (W3C) in their Web Content Accessi- bility Guidelines. Our in-house User Experience (UX), Devel- opers and Multimedia teams all undergo accessibility train- ing, and we strive to work with suppliers and partners with the same standards. We know some of our websites and mobile applications are not currently fully accessible, so we are cur- rently reviewing existing standards across all of our websites and mobile applications and aim to publish details of the areas where we think there is scope for improvement in the future. Categories make navigation throughout complex topics much easier for the user to navigate quickly. Rather than having to scroll through one long clinical overview as is the case with other point of care tools, the ability to drill down directly to the area of focus (i.e., Theory, Fol- low Up) allows end users to quickly access the information that is rel- evant to their immediate need (see Figure 1). Clicking through to related topics and possible recommended differ- ential diagnoses makes exploring potentially relevant content a bit more seamless. However, the ability to search for specific key words within a topic overview is not an available feature. Searches on the main page may be performed for clinical symptoms, diseases, or di- agnostic tests. MeSH (Medical Subject Heading) terms are incorpo- rated into the system to enhance search results. Additionally, syn- onyms are used to help map content for related items. The BMJ Best Practice platform has multiple versions depending on the country of origin. This allows for specific recommendations based on region. This can be a bit confusing for the end user as they may come upon a topic via web searching however it could take you to a country specific version that is not included in your institution’s sub- scription.
ADDITIONAL CONTENT FORMATS Patient Leaflets
Over 300 patient leaflets are available to help foster shared decision making between clinicians and patients. According to BMJ, each of the patient leaflets are accredited by Information Standards and are approved by an internal BMJ patient panel. Assessments The Assessments help to identify potential diagnoses based on clin- ical presentations, abnormal test results, and other signs and symp- toms. Evidence Based Medicine Toolkits Allow users to evaluate the evidence presented in clinical studies to help determine the impact this study should have on one’s practice and/or applicability to patient care. These tools can be useful to the clinician but also the medical student or resident who may be present- ing cases. Videos Procedural videos were introduced in 2017 to cover commonly used techniques and diagnostic tests. They also include lists of potential complications, the necessary equipment for running such tests and procedures as well as implications for follow-up care for the patient. Calculators Over 500 calculators are available through BMJ Best Practice which allow clinicians to assess treatment options and diagnoses at the point of care. Clinicians can enter patient or case specific data and use pre- loaded algorithms to calculate things such as body mass index, num- ber needed to treat, and unit conversions.
FIGURE 1 BMJ Best Practice Topic Headings
20
Advisor Reviews / The Charleston Advisor / January 2021
The mobile app is free to download however much of the content re- quires in-app purchases and/or an institutional subscription. BMJ also touts that the app is available offline however the user will want to be careful to ensure they are reviewing the most updated clinical practice guidelines and recommendations which does require connectivity to update. Critical Evaluation BMJ Best Practice has established different interfaces based on re- gionality. When entering the site there are platforms for USA/Canada, Portuguese, Chinese, and UK/Rest of the World. While this can be helpful for searching for specific guidelines and available drugs/treat- ments based on regional availability and policy, it can also potentially introduce some bias into providing the best available evidence. Cli- nicians may often benefit from the latest news and information from around the globe even if those options are not currently available in their region. This can be most easily evidenced on the news and stud- ies page. The UK/Rest of the World version of the platform has in- formation posted as of November 20, 2020, while the USA/Canada version has not had any updates since early March 2020. Additional- ly, there appears to be a comorbidity tool on the UK version that has not yet been released in the United States version as of the date of this publication. Conflict of interest disclosures are included on each of the overview topics and pages. The clinical experts who have reviewed the content and determined the best available evidence and current literature to support findings are listed on each page along with a disclosure of any potential financial conflicts of interest. This is a topic of discus- sion and growing concern surrounding other evidence-based point of care tools on the market; therefore, prominent disclosures set them apart from other competitor platforms. While there is a level of transparency regarding the evaluation of ev- idence, daily updates versus actual time to reflect changes in clinical overviews vary and can be a bit misleading. The main pages of the platform tout daily updates; however, if you look a bit further into the pages regarding the evaluation of evidence, it is there you will find a more detailed update schedule. Drug withdrawals or changes that may affect patient safety are made within 24 to 48 hours, evidence that changes practice will be reflected within one month while new evidence that confirms current practice guidelines will be made avail- able within three months. BMJ is a world-renowned medical publisher with several journals un- der their umbrella. It would be interesting to see if there is any cor- relation between the evidence graded as high quality and the pub- lisher. Perhaps an independent analysis of content and grading of the included evidence would be a good initiative for this and other point of care tools with similar potentially perceived conflicts of interest. Ultimately, the institutional priorities and clinical needs should be considered when selecting a point of care tool. As described in the Competitive Products section, there are other point of care tools on the market. Each of these, however, cover slightly different clinical specialties and their clinical topics undergo different editorial pro- cesses and peer review which can lead to differences in the content provided. Electronic medical record integration may be essential for some organizations which can ultimately influence the decision as well. Overall, it is important for librarians to obtain input from the
clinical user group during the selection process to identify the re- source that meets the organization’s needs and covers the relevant medical specialties. Competitive Products DynaMed is a point of care tool provided by EBSCO. DynaMed pro- vides evidence-based synopses and recommendations for clinical care in multiple specialty areas listed below. All content goes through a rigorous editorial process and updates are made to the content daily. Currently, over 100,000 evidence and guideline summaries are pre- sented within DynaMed from over 3,500 journals and guideline or- ganizations from across the globe. Additional features such as drug monographs, drug interaction reports, clinical calculators, and patient handouts are also available on this platform. DynaMed does provide integration with most electronic health record management systems currently being used in the United States. There is a mobile app ver- sion of this resource available to subscribed institutions. DynaMed Specialty Areas are shown in Table 2. UpToDate is a clinical point of care tool provided by Wolters Kluwer. UpToDate provides clinical summaries and diagnostic overviews in the medical specialty areas listed below. This platform provides prac- tice changing updates as a highlighted feature. The editorial process allows for a primary author and two peer-reviewers to ensure that the latest evidence is being incorporated into the clinical summary and treatment recommendations. In addition to the clinical topic summa- ries several additional features are also available such as drug mono- graphs, drug interaction information, clinical calculators, and patient education materials. UpToDate is equipped for integration into most electronic health records systems in the United States and there is a mobile app version available to subscribers. UpToDate Specialty Areas are shown in Table 3.
Table 2 DynaMed Specialty Areas
Obstetric Medicine Oncology Ophthalmology Oral Health Orthopedics and Sports Medicine Otolaryngology Palliative Care Pathology and Laboratory Medicine Pediatrics Physical Medicine and Rehabilitation Psychiatry Pulmonary Medicine
Allergy Anesthesiology and Pain Management Cardiology Critical Care Dermatology Emergency Medicine Endocrinology
Family Medicine Gastroenterology Geriatrics Gynecology Hematology Hospital Medicine Immunology Infectious Diseases Internal Medicine Nephrology Neurology Neurosurgery
Rheumatology Sleep Medicine
Surgery Urology
The Charleston Advisor / January 2021
www.charlestonco.com
21
BMJ Best Practice Review Scores Composite: HHHH
The maximum number of stars in each category is 5.
Content: HHHH While the content summaries themselves are evidence-based and appear accurate, the scope and number of clinical special- ties included is not as robust as similar products. User Interface/Searchability: HHHH 1/2 The section headings within a particular topic area provide easy navigation to specific content within a larger clinical area. The interface is clean and user friendly. PDF downloads of content is a helpful feature that is easily located on each page. Pricing: HHH 1/2 Although generally more affordable than competitor products, the pricing is still highly variable based on institution size.
Pricing models are not transparent. Purchase/Contract Options:
HHHH Individual subscriptions are not currently available in the United States or Canada; however. institutional subscriptions al- low for unlimited use and inclusion of the mobile app.
Table 3 UpToDate Specialty Areas
tuity as this platform provides access clinical summaries updated on a regular basis and not static journal content. While BMJ does pro- vide usage statistics for platform access, COUNTER compliant data would not be possible as this platform does not directly provide ac- cess to hosted journal content. Authentication BMJ Best Practice offers IP authentication as well as Proxy Authen- tication for full remote access. The App version can be downloaded for either Android or IOS devices however you must be connected to your institution’s Wi-Fi network or have logged into BMJ Best Prac- tice through your institution’s proxy account to activate the proper permissions and create and individual account on the app. No mention of integration with the Electronic Medical Records in the United States, at the time of publication it appears that the inte- gration efforts are focused primarily on the European versions of this product.
Nephrology and Hypertension Neurology Obstetrics, Gynecology and Women’s Health Oncology Palliative Care Pediatrics Primary Care (Adult) Primary Care Sports Medicine (Adolescents and Adults) Psychiatry Pulmonary and Critical Care Medicine
Allergy and Immunology Anesthesiology Cardiovascular Medicine Dermatology Emergency Medicine (Adult and Pediatric) Endocrinology and Diabetes Family Medicine and General Practice Gastroenterology and Hepatology General Surgery Geriatrics Hematology
Rheumatology Sleep Medicine
Hospital Medicine Infectious Diseases
Purchase & Contract Provisions Individual subscriptions are not available in the United States at this time although it does appear to be an option on the UK version of the platform. Institutions may subscribe by contacting the North Ameri- can BMJ Sales offices or through a subscription agent. The current term length is 12 months, renewing annually. The subscription allows for unlimited users and access to content either from within an IP range or through the institutions’ proxy authentication system. Standard BMJ licensing terms for institutions apply to BMJ Best Practice with some exceptions in terms of holding content in perpe-
Free Text Keywords: clinical practice | clinical decision sup- port | medical best practice Primary Category: Medicine, Nursing & Health Type of product being reviewed: Other Target Audience: Graduate/Faculty/Researcher Access: Subscription
22
Advisor Reviews / The Charleston Advisor / January 2021
Author’s References Kwag, Koren Hyogene, Marien González-Lorenzo, Rita Banzi, Ste- fanos Bonovas, and Lorenzo Moja. 2016. “Providing Doctors with High-Quality Information: An Updated Evaluation of Web-Based Point-of-Care Information Summaries.” Journal of medical Internet research. 18 (1): e15-e15. doi: 10.2196/jmir.5234 Protus, Bridget McCrate. 2014. “BMJ Best Practice.” Journal of the Medical Library Association: JMLA. 102 (3):224-225. doi: 10.3163/1536-5050.102.3.020 About the Author Jamie Saragossi is the Head of the Health Sciences Library at Stony Brook University. Ms. Saragossi had previously worked as the Col- lection Development librarian for the health sciences and has an in- terest in providing innovative tools to support clinical research and
Contact Information BMJ Publishing Group BMJ Americas Office 2 Hudson Place, Suite 300 Hoboken, New Jersey 07030 Phone: (855) 458-0579
E-mail: <ussupport@bmj.com> Producer URL: <https://www.bmj.com/company/americas/> Product URL: <https://bestpractice.bmj.com/info/us/>
health education. She holds her MLS from Queens College and has been working in health sciences libraries since 2007. n
Reprinted with permission, The Charleston Company, Publishers of The Charleston Advisor (www.charlestonco.com) and The Charleston Report (rlenzini@charlestonco.com).
Page 1 Page 2 Page 3 Page 4 Page 5 Page 6Powered by FlippingBook