Journal Club by CanadiEM - E03: Randomized Controlled Trials (RCTs) - Part 2

Purpose: 

Learn the importance of treatment studies (RCTs) in EBM  Understand and interpret methods and results of treatment based studies  Become familiar with critically appraising treatment based studies

 

Hosts: 

Dylan Collins  Levi Johnston Dakoda Herman Jayneel Limbachia Jake Domm

 

Paper: 

Warren, Jaimee, et al. "Antacid Monotherapy Is More Effective in Relieving Epigastric Pain Than in Combination With Lidocaine: A Randomized Double‐blind Clinical Trial." Academic Emergency Medicine 27.9 (2020): 905-909. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14069 

 

EBM Checklist for therapy studies (University of Oxford:

https://www.cebm.net/wp-content/uploads/2018/11/RCT.pdf 

 

Episode takeaway 

RCTs are considered gold standard in terms of evidence since the randomization process controls for both known and unknown confounding variables  Understanding how to quickly and efficiently appraise studies by assessing its methods is an important skill that can help you assess its utility to your practice and whether the authors adequately answered the question Use a validated critical appraisal tool. We used the CEBM tool, but there are others. The GATE from by Rod Jackson is another great method to learn. Know that sometimes people use publishing guidelines as critical appraisal tools, like the CONSORT for RCTs, but these are just work arounds.  Be skeptical and curious. If there is a published protocol, check it. Look at who funded the study. Read the COI and method to mitigate bias.