The Critically Appraised Topic

359 Pages·2015·6.88 MB·English

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Table of
Contents
Table of Contents
1. Introduction
2. Background Research:
Overcoming Barriers to Modern Contraceptive Use
3. Evidence Based Medicine:
An Advanced Paradigm for Medical Practice
4. Evidence Based Medicine Tools:
Critically Appraised Topic (CAT)
5. Level of Evidence:
The Best Research
6. Resources
7. Critically Appraised Topics (CATs)
a) Birth Spacing
b) Combined Oral Contraceptives (COCs)
c) Depot Medroxyprogesterone Acetate (DMPA) Injectables
d) Intrauterine Devices (IUDs)
e) Progestin-Only Pills (POPs)
f) Implants
g) Vaginal Ring
h) Special Topics
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Introduction
Introduction
Dear Health Colleagues,
The Jordan Evidence-Based Medicine/Reproductive Health (JEBM/RH)
Group is pleased to present this first set of Critically Appraised Topics, or
“CATs,” on issues related to family planning methods. The evidence-based
findings presented in these CATs represent the best and frequently the latest
available medical research that address clinical questions regarding contra-
ceptive methods available in Jordan. In line with the evidence-based medicine
(EBM) process, we encourage you to interpret these research findings in
the context of your experience as a clinician and your patient’s values. This
publication of CATs complements the Ministry of Health’s recently released
“Evidence-Based Clinical Practice Guidelines for Contraceptive Use (2013).”
We also encourage you to visit the Electronic Library of Medicine – Jordan
(www.elm.jo/), where we have posted the CATs.
The JEBM/RH Group was formed in early 2011 to promote the practice of
evidence-based medicine in reproductive health. Our group currently consists
of 12 obstetrician-gynecologist professors, epidemiologists and practicing
clinicians.
The mission of the JEBM/RH Group is to:
• Critically appraise research on issues related to reproductive medicine,
initially focusing on contraception
• Disseminate the best evidence on contraceptive methods to health
providers, patients and the public
• Promote updates to the Jordanian health provider community identi-
fying the “best evidence” in addressing patient problems related
to contraceptive side effects and health concerns as well as on the
benefits of modern contraceptive methods, including non-contracep-
tive benefits
We have conducted a series of roundtable discussions on the evidence concern-
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ing contraceptive methods and birth spacing throughout the kingdom. We will
keep you informed about these roundtable discussions and invite you to join
them if you wish to learn more about the practice of EBM and the evidence
concerning contraception in particular. We also invite you to contact us if
would like the JEBM/RH Group to assist you in researching a reproductive
health issue that you have encountered in your clinical practice, or if you are
interested in joining our group.
Sincerely,
The Jordan Evidence-Based Medicine/Reproductive Health Group
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Jordan Evidence-Based Medicine
Reproductive Health Group Members
Abdul Malek Abdul Malek, MD, Mb. Bch., DOG,
JBOG, FICS, FRCOG
Senior Consultant Obstetrician and Gynecologist
President (former), Jordanian Society of Obstetrician
and Gynecologists
Vice Chairman, Jordan Evidence-Based Medicine Society,
Jordan Medical Association
Member of the maternal mortality steering committee, Higher
Population Council
Abu El Heija Adel, MBBC, FRCOG
Professor, Obstetrics and Gynecology, Faculty of Medicine,
Mutah University
Published 50 papers in international and regional journals
Chairman (former), Obstetrics & Gynecology Departments,
Jordan University of Science and Technology and Mutah
University
Dean (former), Faculty of Medicine, Mutah University (two
terms)
Examiner, Arab and Jordanian Boards for Obstetrics &
Gynecology
Reviewer of national, regional, and international journals
Al Daoud Maysoon, MD
Consultant Obstetrician and Gynecologist
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Al Hamaly Sawsan, MD
Consultant Obstetrician and Gynecologist
Advisor, Arab Gynecology Board
Al Kuran Oqba, MD, MRCOG
Consultant Obstetrician and Gynecologist, Feto-Maternal
medicine
Associate Professor, Jordan University of Science and
Technology
Al-Jefout Moamar, MD, PhD Reproductive Health
Sciences and Human Genetics
Assistant Professor and Specialist Consultant in
Reproductive Medicine and Endoscopic Surgery, Mutah
University
Ambassador, World Endometriosis Society
Chair, Endometriosis Special Interest Group, Middle East
Fertility Society
Award, Society of Gynecological Investigation
Author, scientific articles, textbook chapters on
endometriosis
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Al-Mehaisen Lama, MD, MRCOG
Associate Professor, Jordan University of Science and
Technology
Consultant obstetrician and gynecologist - Urogynecology
Al-Musa Abed El Halim, MD, PhD Epidemiology
Chairman, Evidence-Based Medicine Society, Jordan
Medical Association
Community medicine consultant
Amarin Zouhair, MD, MSc (Med Sci), FMGEMS,
FRCOG, MHPE (Med Edu), FFPH
Professor, Obstetrician and Gynecologist
Dean of Faculty of Medicine, Mutah University-karak
Hawa Nather, MD
Professor, Obstetrics and Gynecology, Faculty of Medicine,
Mutah University
Chairman, Obstetrics and Gynecology Department
Committee member for updating obstetrics and gynecological
academic educational programs
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Khadra Maysa’, MD, MMed, JBOG
Consultant, Obstetrics and Gynecology
Assistant Professor, Faculty of Medicine, University of
Jordan
Reproductive and infertility consultant
Head of the IVF Unit, Jordan University Hospital
Fellowship, Reproductive Endocrinology and Infertility,
Sydney, Australia
Master of Medicine (Reproductive Health and Human
Genetics), University of Sydney
Ihsan Nu`eimat
Consultant Obstetrician and Gynecologist
Qatawneh Ayman, MD
Assistant Professor, Urogynecology, Faculty of Medicine,
University of Jordan
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