Critical Appraisal Worksheet For Diagnosis

							                         Critical Appraisal Worksheet : Systematic Review

    Department [      ] 1. Med [         ] 2. Pediatrics [    ] 3. Surgery [       ] 4. OB-GYN [     ] 5. EYE [       ] 6. ENT
                  [    ] 7. Radio [       ] 8. Ortho. [        ] 9. Anaes. [        ] 10. Rehab. [    ] 11. Patho [   ] 12. Forensic
    Activity: [ ] 1. Journal Club     [ ] 2. Interesting Case             [ ] 3. Others………………….……………..
    Date(DD/MM/YY): [ ] [ ] / [ ] [ ] / [ ] [ ]
    Main Appraiser: [ ] 1. Resident ปีที่……… [ ] 2. แพทย์ใช้ทุนปีที่ ……….[ ] 3. อื่นๆ………………………………………..
    Name of Appraiser/Staff ………………………………………………………………………………………………………………………..
    Scenario:…………………………………………………………..…………………….……………………………………..……..
   ……….………………………………………………….……………………………………………………………………..…………
    Four-part clinical question:
     1. Patient/Health problem:……………………………………………………………………………………..…..………………
     2. Intervention:…………………………………………………………………………………………………..…..………………
     3. Comparison:……………………………………………………………………………………………...……….………….......
      4. Outcome:……………………………………………………………………………………………….…………...………….…
    Clinical Question:………….………………………………………………………………………………………………………..
    Search Strategies:
       1. Search terms & Syntax ………………………………………………………………..………………………………………
          …………………………………………………………………………………………………………………………………….
       2. Databases ………………. ……………………………………………………………………..………………………………
      Date of Search ……………………………………………………………………………………………………………………
      Number of Retrieved Articles: ………………………………………………………………………………………………….
      Article to be appraised :…….……………………….……………………………………………………………………………
       ………………………………………………………….……………………………………………………………………………
      Method of study:
       [   ] 1. Systematic Review     [     ] 2. Clinical Trial (experimental study) [   ] 3. Cohort study [ ] 4. Case-control
       [   ] 5. Cross-sectional study [     ] 6. Descriptive study                  [    ] 5. Others …….……………………….……
    I. Study validity:
Did the overview address a focused clinical                   [ ] Yes [ ] No [ ] Can’t tell
question?                                                     Note……………………………………………………………………
Were the criteria used to select articles for                 [ ] Yes [ ] No [ ] Can’t tell
inclusion appropriate?                                         Note……………………………………………………………………
Is it unlikely that important, relevant studies               [ ] Yes [ ] No [ ] Can’t tell
were missed?                                                  Note……………………………………………………………………
Did the reviewers do enough to assess the                     [ ] Yes [ ] No [ ] Can’t tell
quality of the included studies                               Note……………………………………………………………………
Were assessments of studies reproducible?                     [ ] Yes [ ] No [ ] Can’t tell
                                                              Note……………………………………………………………………

   คณะกรรมการเวชศาสตร์เชิงประจักษ์ _สิงหาคม 2548 ปรับปรุงจาก JAMA 1994;272:1367-71 และ Critical Appraisal Skills 1
   Programme (CASP), Public Health Resource Unit, Institute of Health Science, Oxford.
 If the results of the studies have been          [ ] Yes [ ] No [ ] Can’t tell
 combined, was it reasonable to do so?            Note……………………………………………………………………
  Were the results similar from study to
    study?
  Are the results of each study clearly
    displayed?
  Are the results of the different studies
    similar?
  Are the reasons for any variations
    discussed?
 Score of validity (0-10)
 Overall validity?                                [ ] Accept [ ] Reject
     II. Are the valid results of this systematic review important?
 What are the overall results? & How precise?                           Point Estimate 95%CI
 1………………………………………………………………                                           ……………………… ………………….
 2.………………………………………………………………                                          ……………………… ………………….
 3.………………………………………………………………                                          ……………………… ………………….
 4.………………………………………………………………                                          ……………………… …………………
 5.………………………………………………………………                                          ……………………… …………………
 6.………………………………………………………………                                          ……………………… …………………
 7.………………………………………………………………                                          ……………………… …………………
     Note ……………………………………………………………………………………………………………………
     III. Applicability and Limitations:
  Is your patient so different from those in the [ ] Yes [ ] No [ ] Can’t tell
  overview that its results can’t help you?       Note……………………………………………………………………
  Were all clinically important outcomes          [ ] Yes [ ] No [ ] Can’t tell
  considered?                                     Note……………………………………………………………………
  Are the benefits worth the harms and costs? [ ] Yes [ ] No [ ] Can’t tell
                                                  Note……………………………………………………………………
     Note ……………………………………………………………………………………………………………………
Clinical Bottom Line of the Article………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
Resolution of the Scenario ……………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
Comments .…………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………

   คณะกรรมการเวชศาสตร์เชิงประจักษ์ _สิงหาคม 2548 ปรับปรุงจาก JAMA 1994;272:1367-71 และ Critical Appraisal Skills 2
   Programme (CASP), Public Health Resource Unit, Institute of Health Science, Oxford.