Comments on: Time to weed the (EBM-)pyramids?!

By: amy dietz

amy dietz — Mon, 18 Feb 2013 18:52:34 +0000

I am trying to create a small lesson to go along with a beginning journal club for my labor and delivery department. I love figure number 7 because it has 7 layers that coincide with our system wide epb council and shows filtered from nonfiltered sources of evidence. Is there any way I can print this out for handouts?

By: Amanda

Amanda — Thu, 21 Jun 2012 22:38:59 +0000

Hi Laika,
May I have permission to reformat your #9 chart into a pyramid for use? It’s a great recap of the levels of evidence for my reps when speaking with clinicians. It would be formatted into a pyramid and used as a discussion tool. Please let me know – thank you!

By: Evidence Based Point of Care Summaries [1] No “Best” Among the Bests? « Laika's MedLibLog

Thu, 13 Oct 2011 16:19:27 +0000

[...] an evidence pyramid (because they aggregate individual studies, represented by the lowest layer). There are confusingly many pyramids, however [8] with different kinds of hierarchies and based on different [...]

By: laikaspoetnik

laikaspoetnik — Sun, 08 May 2011 21:38:21 +0000

You’re welcome, Jackie. Thanks for letting me know.
Success with your workshop presentation. Would love to see it. Do you put (part of) your presentation online?

Jacqueline

By: Jackie MacDonald

Jackie MacDonald — Mon, 02 May 2011 23:08:47 +0000

hi Laika,

May Neera Bhatnagar, McMaster – and I reproduce your “time to weed the pyramids” graphic slide in a workshop presentation at the Canadian Health Libraries Association meeting in Calgary in June.

with thanks

Jackie MacDonald
Nova Scotia

By: An Evidence Pyramid that Facilitates the Finding of Evidence « Laika’s MedLibLog

Sat, 20 Mar 2010 15:27:48 +0000

[...] Evidence Pyramid that Facilitates the Finding of Evidence 20 03 2010 Earlier I described that there are so many search- and EBM-pyramids that it is confusing. I described 3 categories of [...]

By: Seamus sweeney

Seamus sweeney — Sun, 14 Mar 2010 22:01:10 +0000

Oh and check out this key-shaped pyramid – http://www.atsu.edu/ebm/making_site_work/site_navigation/large/5-Evidence%20Pyramid.jpg

By: Seamus sweeney

Seamus sweeney — Sun, 14 Mar 2010 22:00:11 +0000

Hi there,

I am a Senior Registrar in Psychiatry in Ardee, Co Louth, Ireland (essentially a senior registrar is a sort of senior resident) For a long time, i’ve been mulling over some of the ideas you’ve mentioned here. What concerns me is that pyramids do not capture the complexity of evidence, and of clinically useful evidence. Its well documented that studies of effectiveness may not have the methodological rigour of studies of efficacy, but that very rigour may limit the applicability of studies. Also, much clinically useful information (for instance H Pylori’s identification) comes originally from studies way down the pyramid, and if pyramids are used to teach medical students that everything that isn’t an RCT is useless, this may be missed.

maybe it isn’t so much time to weed the pyramid as to consider another shape?

By: laikaspoetnik

laikaspoetnik — Sun, 31 Jan 2010 21:48:20 +0000

Yes, sure. Thanks for asking.

By: Jackie MacDonald

Jackie MacDonald — Sun, 31 Jan 2010 21:45:40 +0000

hello – could I please have permission to reproduce your pyramid graphic for an in class discussion

By: Kevin Ward

Kevin Ward — Tue, 08 Sep 2009 20:20:35 +0000

Can you send me “jpeg” options on the pyramid styles shown above (re: versions #1 – #8)? I would like to utilize these for some marketing I am doing for my fitness business presentations.

Thank you …

Kevin Ward, C.S.C.S.