IJATT CASE STUDY

A clinician was confronted with a rehabilitation problem. Journal List J Athl Train v. After searching the best available evidence, the clinician decided to use evidence from a published randomized controlled trial. No matter how alike 2 athletes appear, each has unique characteristics: The comparison that guides all of these levels is with outcomes within the external evidence that currently exists.

We have the opportunity to enhance the value of case studies by not only introducing what might be novel PBE 4 but also confirming or refining our EBP. The Oxford levels of evidence 2. As we more closely examine the intersection of research, education, and practice Figure 1 and follow the proposed reorganization of the case study submissions, 6 4 categories of case studies emerge: The rare event case study is an avenue for providing this information in order to teach something new or to offer a refresher to others. The expectation for the published external evidence is that it was performed at a high level eg, rigorous control, low expectations of bias, clearly defined population of interest. The role of the validation case report is to complete the circle of clinical research evidence by testing the effectiveness and feasibility of an outcome in real life.

Case studies are often not considered for publication because of a negative outcome, such as a misdiagnosis or the patient’s inability to return to participation.

Purpose The purpose of validation CASE reports is to test the results of published external evidence in an actual clinical environment on an individual patient. Provide evidence for athletic trainers interacting with other ijztt care professionals for making decisions associated with a condition that is not prevalent in physically active populations. Evidence Based Medicine Renaissance Group.

Clinical Case Study as a Clinical Communication Tool

Evidence from validation studies truly embodies the spirit of evidence-based clinical decisions—basing them on EBP, 4 as these reports are the documentation of practicing clinicians guided by the best available external evidence. Exploration CASE reports present truly unique cases; that is, beyond what is new to the clinician.

According to the hierarchy of the Centre for Evidence-Based Medicine, 10 level 1 systematic review or meta-analysis or level 2 individual, well-designed randomized clinical trial evidence would be expected of the previously published study. Far too much significance is typically placed on the unusual diagnosis, almost to the exclusion of other sources of clinical evidence.

  WU GUANZHONG ESSAY

Clinical Contributions to the Available Sources of Evidence (CASE) Reports: Executive Summary

Support Center Support Center. The technique was successful in that the athletes were able to compete without restriction. These rare event CASE reports describe the recognition or treatment of conditions casw are both rare in the physically active population and potentially life or limb threatening.

ijatt case study

Studyy presentations of prognoses, diagnoses, therapeutic strategies, etc, are hallmarks of these manuscripts. Within the scientific methods used to guide quality research, investigators look for trends and similarities of responses among research participants to describe clinical phenomena that may represent how the overall population behaves. The consequences of DVT can be devastating, and it is therefore critically important that ATs understand who is at increased risk, the common diagnostic key features, and the appropriate decisions to make if an athlete develops a DVT.

For rare event CASE reports, the comparative outcome should reference similar cases in the nonsports medicine literature.

ijatt case study

The observational or diagnostic features of this case are not what make it unique. Reports that are directly relevant to clinical practice must be supported.

Exploration CASE series present compelling, practice-based unique evidence across multiple patients.

Clinical Contributions to the Available Sources of Evidence (CASE) Reports: Executive Summary

With this effort to revitalize the case study as a clinical communication tool, we hope the voices of clinicians will provide clinical insights that will help researchers identify lines of clinical inquiry.

We hope that the reorganization and expansion of the case study will serve our readers by providing a greater variety of clinically based information as well as by offering enhanced opportunities for students and clinicians to make meaningful contributions to the body of literature.

Rare event CASE reports represent the lowest level of CASE report evidence because of the low likelihood of encountering them again in clinical practice.

  ZUO YE HOMEWORK

In other words, researchers often focus on the average treatment effect across a group of patients, whereas clinicians must focus on variation and individuality to optimize treatment.

Accessed July 28, A collegiate track athlete experienced an inversion ankle sprain.

ijatt case study

All ijtt the patients were collegiate-level varsity track-and-field sprinters or long jumpers. The exploration CASE report fairly closely follows the traditional case study model—unique findings reported to educate clinicians.

After searching studj best available evidence, the clinician decided to use evidence from a published randomized controlled trial. These rare event 7 CASE reports would afford clinicians information regarding a condition that may be relevant to ATs but may not currently be found specifically within the athletic training body of knowledge. As we more closely examine the intersection of research, education, and practice Figure 1 and follow the proposed reorganization of the case study submissions, 6 4 categories of case studies emerge: When valued, both EBP and PBE contribute to greater understanding and a richer evidence-based body of knowledge, and perhaps more importantly, help to close the ever-widening gap between the clinic and the research laboratory.

How should the physicians—in this case, the team physician and the gynecologist—work together to manage this athlete’s condition? National Center for Biotechnology InformationU.

Clinical Case Study as a Clinical Communication Tool

The purpose of validation CASE reports is to test the results of published external evidence in an actual clinical environment on an individual patient. The PICO fits nicely into this proposed paradigm with a small revision.

Evidence-based practice or practice-based evidence: The conditions themselves may not be unique or even rare, but an element or feature of the case is new.

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