The application of the methods of evidence-based practice to occupational health.

Evidence-based methods of practice are becoming widely used in many areas of healthcare. The techniques of data appraisal, systematic review and meta-analysis and their application to clinical and preventative medicine through clinical guidelines and economic analyses are well established. These methods have only been applied to occupational health risks and interventions in a very limited way and there is considerable scope for wider use, especially in the clinical aspects of practice. This should improve the quality of prevention and would also enable practitioners to give more soundly based advice and to secure their professional positions as providers of quality assured information. Human and financial resources and commitment to the development of evidence-based approaches by the professions and those they work for are pre-requisites for success.

[1]  S. Scheer,et al.  Randomized controlled trials in industrial low back pain relating to return to work. Part 1. Acute interventions. , 1995, Archives of physical medicine and rehabilitation.

[2]  T. Greenhalgh How to read a paper: Papers that tell you what things cost (economic analyses) , 1997 .

[3]  T. Greenhalgh,et al.  Education and debate , 1997 .

[4]  D. Sackett,et al.  Cochrane Collaboration , 1994, BMJ.

[5]  A. Seaton,et al.  A meta-analysis of mortality among workers exposed to organic solvents. , 1996, Occupational medicine.

[6]  Jenny Field,et al.  General practitioners' perceptions of the route to evidence based medicine: a questionnaire survey , 1998, BMJ.

[7]  Trisha Greenhalgh,et al.  How to read a paper: Papers that report diagnostic or screening tests , 1997, BMJ.

[8]  Jeremy M. Grimshaw,et al.  Using clinical guidelines , 1999 .

[9]  J. Grimshaw,et al.  Potential benefits, limitations, and harms of clinical guidelines , 1999, BMJ.

[10]  Trisha Greenhalgh,et al.  How to read a paper: The Medline database , 1997, BMJ.

[11]  B. Haynes,et al.  Barriers and bridges to evidence based clinical practice , 1998, BMJ.

[12]  G. Dinant,et al.  Medicine based evidence, a prerequisite for evidence based medicine , 1997, BMJ.

[13]  Siep Thomas,et al.  Attributes of clinical guidelines that influence use of guidelines in general practice: observational study , 1998, BMJ.

[14]  J. Stradling Sleep apnoea and the misuse of evidence-based medicine , 1997, The Lancet.

[15]  M. Thompson,et al.  Meta-analysis and occupational epidemiology. , 1998, Occupational medicine.

[16]  I. Symington,et al.  Do occupational physicians agree about ill-health retiral? A study of simulated retirement assessments. , 1994, Occupational medicine.

[17]  B. Harvey The Pocket Guide to Critical Appraisal: A Handbook for Health Care Professionals , 1997 .

[18]  J. Walsworth-Bell Sleep apnoea and the misuse of evidence-based medicine , 1997, The Lancet.

[19]  P. Cullinan,et al.  Stepwise health surveillance for bronchial irritability syndrome in workers at risk of occupational respiratory disease. , 1998, Occupational and environmental medicine.

[20]  M. Chan-yeung,et al.  Longitudinal decline in lung function in patients with occupational asthma due to western red cedar. , 1996, Occupational and environmental medicine.

[21]  A. Maynard Evidence-based medicine: an incomplete method for informing treatment choices , 1997, The Lancet.

[22]  D. Pencheon,et al.  Guidelines in general practice: the new Tower of Babel? , 1998, BMJ.

[23]  Gene Feder,et al.  Guidelines for clinical guidelines , 1998, BMJ.

[24]  J. Marsden,et al.  Assessing methodological quality of published papers , 1998, BMJ.

[25]  E A Crouch,et al.  A meta-analysis of the relation between cumulative exposure to asbestos and relative risk of lung cancer. , 1997, Occupational and environmental medicine.

[26]  A. Malmivaara Evidence-based intervention for musculoskeletal disorders. , 1997, Scandinavian journal of work, environment & health.

[27]  Corbett McDonald,et al.  Epidemiology of Work Related Diseases , 1999 .

[28]  P. Shekelle,et al.  Clinical guidelines: developing guidelines. , 1999, BMJ.

[29]  G. Waddell,et al.  Occupational Health Guidelines for the Management of Low Back Pain - Evidence Review and Recommendations , 2000 .

[30]  B. Hurwitz,et al.  Legal and political considerations of clinical practice guidelines , 1999, BMJ.

[31]  Clinical guidelines , 1997 .

[32]  O. Wong,et al.  Application of meta-analysis in reviewing occupational cohort studies. , 1996, Occupational and environmental medicine.

[33]  J. Cotes,et al.  Lung function testing: methods and reference values for forced expiratory volume (FEV1) and transfer factor (TL). , 1997, Occupational and environmental medicine.

[34]  H. N. Plomp,et al.  Occupational stress management programmes: a practical overview of published effect studies. , 1997, Occupational medicine.

[35]  L. Weed New connections between medical knowledge and patient care , 1997, BMJ.

[36]  Papers that report diagnostic or screening tests , 1998 .

[37]  D L Sackett,et al.  Evidence-based medicine. , 1997, Seminars in perinatology.

[38]  D. Sackett,et al.  Evidence based medicine: what it is and what it isn't , 1996, BMJ.

[39]  C. Stiller,et al.  Trends in survival for childhood cancer in Britain diagnosed 1971-85. , 1990, British Journal of Cancer.

[40]  D. Black The Limitations of Evidence , 2015, Journal of the Royal College of Physicians of London.

[41]  Cochrane Injuries,et al.  Human albumin administration in critically ill patients: systematic review of randomised controlled trials. , 1998, BMJ.