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Liberating the literature

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What’s new for early 2017

We’re really excited by the release of the latest upgrade to the Trip Database.  There are a number of major upgrades to the site:

The Answer Engine: delivers answers to your clinical questions, quickly, with a single click!  For more information see this post for more details.

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SmartSearch: an amazingly useful system to help speed up your search and to help users avoid missing important documents.  More information can be seen here.

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Search suggestions: a pre-existing system that has been integrated much more intimately with your search experience.  Now appearing mid-way down the page; designed to prompt users to use it if the initial results aren’t focused enough.

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Broken links: broken links are problematic for any search system.  We have an automated system which works reasonably well, but not perfectly.  Our new manual system should allow users to easily let us know if one of our links to a dead end!  Take our your frustration by clicking the link!

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Other improvements: there are a number of other, minor changes:

  • We have improved the display and integration of the automatic assessment of bias via the RobotReviewer system.  For details of this automated system see this article.
  • We have tidied up the top of the results making it all much cleaner.

SmartSearch

SmartSearch is an amazingly useful tool designed to help you avoid missing any important articles you may have missed. Or, it can be seen as a tool that speeds up your searching!

After you’ve searched our systems monitor the articles you’ve clicked to give us a better idea of your specific intention for this particular search.  If our system find articles it believes are relevant it pops an alert below the last article you clicked on:

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Clicking on that reveals your suggested results:

 

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SmartSearch is powered by our unique clickstream data.  In that respect SmartSearch is based on the collective wisdom of Trip users.  Or, to paraphrase the Isaac Newton quote, you’ll be ‘standing on the shoulders of giants‘.

Pro users get full access to this feature while free users use is restricted.  Users can upgrade here. Institutional subscriptions are also available (click here).

The Answer Engine

Many year ago Muir Gray stated – in relation to the access to evidence – that ‘Three clicks are two clicks too many’.  This statement inspired the invention of the Trip Answer Engine and we have delivered on Muir’s vision.  Answers to clinical questions, quickly, with a single click!

So, what is the answer engine?

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The answer engine explores the search terms used to try to understand the intention.  In this case the likely interest of the user is ‘Is minocycline useful in the treatment of acne?‘.  Our system then finds the best available answer to that question; in this case a Cochrane Systematic Review.

Incredibly simple (conceptually) powered by some incredibly powerful/clever/magical systems behind the scenes!

Currently, the system is semi-automated and will answer around 1000 of the most common questions asked of Trip.  We hope to move to a fully automated system in mid-2017 and that will then answer hundreds of thousands of questions.

 

2016 – the impact of Trip

For the first time we have breached 5 millions minutes of usage on the site.  Granted a weird metric, but it just stands out!  As does the over 1 million separate sessions on the site.

Lots of big numbers, but what was the impact?  We were searched around 7.8 million times in 2016.  We estimate, from previous work, that 40.8% of searches help improve patient care (NOTE: see our post on why this figure might underestimate and/or overestimate the impact).

So, 40.8% of 7.8 million indicates the number of times Trip has improved patient care.  Therefore we can happily/proudly announce:

3,182,400 times!

That’s a huge number.

 

Top Trip articles for 2016

A list of the top twenty most popular articles via Trip (in reverse order):

20) Adult chest infections – Community-acquired pneumonia. CKS
19) Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada. Canadian Diabetes Association
18) Acute low back pain (up to 6 weeks). CKS
17) What is the effect of family presence on the efficacy of pediatric trauma resuscitation? BestBETs
16) Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study. NIHR HTA
15) Migraine in Adults: Preventive Pharmacologic Treatments. AHRQ
14) Dementia – Managing end-of-life problems. CKS
13) Type 2 diabetes – Managing glucose control. CKS
12) Effectiveness of Family and Caregiver Interventions on Patient Outcomes among Adults with Cancer or Memory-Related Disorders. Veterans Affairs Evidence-based Synthesis Program Reports
11) Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Diabetes in the elderly. Canadian Diabetes Association
10) Chronic heart failure – End-stage chronic heart failure. CKS
9) Randomised controlled trial: Presence during cardiopulmonary resuscitation is beneficial to family members in the out-of-hospital setting. Evidence-Based Medicine
8) Family presence during resuscitation attempts is associated with positive psychological effects for the observers. Evidence-Based Mental Health
7) Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders. Anxiety Disorders Association of Canada
6) Saline versus Heparin for Maintaining Patency of Central Venous Catheters: A Review of Clinical Effectiveness and Safety. CADTH
5) Acute pain management: scientific evidence. Australian and New Zealand College of Anaesthetists
4) Chronic low back pain (more than 6 weeks). CKS
3) Vitamin C for preventing and treating the common cold. Cochrane
2) A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia. NIHR HTA
1) Australian Guidelines for the Prevention and Control of Infection in Healthcare. National Health and Medical Research Council

If you want more list of top results we’ve created a number of speciality specific top fives (note there are separate lists for each category, we’ve placed multiple lists per page):

Top articles last year – Ophthalmology, Pediatrics, Mental health and Women’s health

Ophthalmology

  1. Type 2 diabetes – Managing eye problems. CKS
  2. Amblyopia. BMJ Clinical Evidence
  3. Canadian Ophthalmological Society evidence-based clinical practice guidelines for the management of glaucoma in the adult eye. Canadian Ophthalmological Society
  4. National retinoblastoma strategy Canadian guidelines for care. Canadian Retinoblastoma Society
  5. Acute infective conjunctivitis. CKS

Pediatrics

  1. Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study. NIHR HTA
  2. What is the effect of family presence on the efficacy of pediatric trauma resuscitation? BestBETs
  3. Infant Feeding Guidelines: information for health workers. National Health and Medical Research Council
  4. Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults, Adolescents and Children in Australia. National Health and Medical Research Council
  5. Otitis Media – Acute Otitis Media & Otitis Media with Effusion. Clinical Practice Guidelines and Protocols in British Columbia

Mental health

  1. A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia. NIHR HTA
  2. Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders. Anxiety Disorders Association of Canada
  3. Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study. NIHR HTA
  4. Psychosis and schizophrenia, The routine schizophrenia or psychosis review. CKS
  5. The clinical effectiveness, cost-effectiveness and acceptability of community-based interventions aimed at improving or maintaining quality of life in children of parents with serious mental illness: a systematic review. NIHR HTA

Women’s health

  1. Urinary tract infection (lower) – women, Asymptomatic bacteriuria in pregnancy. CKS
  2. Osteoporosis – prevention of fragility fractures: Management. SIGN
  3. Urinary tract infection (lower) – women, Recurrent UTI ? (no visible haematuria, not pregnant or catheterized). CKS
  4. Hypertension in pregnancy – Pre-existing hypertension, or hypertension before 20 weeks. CKS
  5. Osteoporosis – prevention of fragility fractures: Assessment. CKS

Top articles last year – Geriatrics, Infectious Diseases and Oncology

Geriatrics

  1. A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia. NIHR HTA
  2. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Diabetes in the elderly. Canadian Diabetes Association
  3. Dementia – Managing end-of-life problems. CKS
  4. Cognitive tests for dementia: MMSE, Mini-Cog and ACE-R. Mental Elf
  5. CPG on the comprehensive care of people with Alzheimer’s Disease and other Dementias. GuiaSalud

Infectious diseases

  1. Australian Guidelines for the Prevention and Control of Infection in Healthcare. National Health and Medical Research Council
  2. Vitamin C for preventing and treating the common cold. Cochrane
  3. Adult chest infections – Community-acquired pneumonia. CKS
  4. Guidelines on Prevention, Diagnosis and Treatment of Infective Endocarditis. European Society of Cardiology
  5. Community-acquired pneumonia. BMJ Clinical Evidence

Oncology

  1. Effectiveness of Family and Caregiver Interventions on Patient Outcomes among Adults with Cancer or Memory-Related Disorders. Veterans Affairs Evidence-based Synthesis Program Reports
  2. Do African-American men need separate prostate cancer screening guidelines? BMC Urology
  3. Familial breast cancer: classification, care and managing breast cancer and related risks in people with a family history of breast cancer. NICE
  4. Palliative cancer care – Managing pain – non-emergency. CKS
  5. Cervical cancer and HPV – Prevention. CKS

Next to follow: Ophthalmology, Pediatrics, Mental health and Women’s health

Top articles last year – Emergency Medicine, Endocrinology and Gastroenterology

Emergency medicine

  1. What is the effect of family presence on the efficacy of pediatric trauma resuscitation? BestBETs
  2. Guideline Summary: Traumatic brain injury medical treatment guidelines. Colorado Division of Workers’ Compensation
  3. Emergency Care Acute Pain Management Manual. National Health and Medical Research Council
  4. Guidelines for concussion/mild traumatic brain injury & persistent symptoms: second edition – for adults (18+ years of age). Ontario Neurotrauma Foundation
  5. Suspected acute stroke. CKS

Endocrinology

  1. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Diabetes in the elderly. Canadian Diabetes Association
  2. Type 2 diabetes – Managing glucose control. CKS
  3. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada. Canadian Diabetes Association
  4. Assessment and Management of Foot Ulcers for People with Diabetes, Second Edition. Registered Nurses’ Association of Ontario
  5. Type 2 diabetes – Managing foot problems. CKS

 

Gastroenterology

  1. Neonatal jaundice. Queensland Maternity and Neonatal Clinical Guideline
  2. Constipation – adults. CKS
  3. Established Crohn’s disease. CKS
  4. Constipation in older adults: Stepwise approach to keep things moving. RxFiles
  5. Clinical practice guideline: Irritable bowel syndrome in adults: diagnosis and management of irritable bowel syndrome in primary care. RCN

Geriatrics, Infectious diseases and Oncology to follow.

Top articles last year – Cardiology, Critical Care and Dentistry

Which articles were viewed most in 2016 for the following topics?

Cardiology

  1. Saline versus Heparin for Maintaining Patency of Central Venous Catheters: A Review of Clinical Effectiveness and Safety. CADTH
  2. Randomised controlled trial: Presence during cardiopulmonary resuscitation is beneficial to family members in the out-of-hospital setting. EBM
  3. Chronic heart failure – End-stage chronic heart failure. CKS
  4. Management of patients with stroke: rehabilitation, prevention and management of complications, and discharge planning. SIGN
  5. Guidelines on Prevention, Diagnosis and Treatment of Infective Endocarditis. European Society of Cardiology

Critical Care

  1. Guideline Summary: Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012., Society of Critical Care Medicine]
  2. Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. Cochrane
  3. Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock. Cochrane
  4. An evaluation of the feasibility, cost and value of information of a multicentre randomised controlled trial of intravenous immunoglobulin for sepsis (severe sepsis and septic shock): incorporating a systematic review, meta-analysis and value of information analysis. NIHR HTA
  5. Guideline Summary: Traumatic brain injury medical treatment guidelines. Colorado Division of Workers’ Compensation

Dentistry

  1. Temporomandibular disorders (TMJ). CKS
  2. Dental interventions to prevent caries in children. SIGN
  3. Non-Fluoride Caries Preventive Agents. DARE
  4. Oral Health: Nursing Assessment and Intervention. Registered Nurses’ Association of Ontario
  5. Gingivitis and periodontitis. CKS

Emergency medicine, Endocrinology and Gastroenterology to follow.

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