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How to write a Critically Appraised Topic: evidence to underpin routine clinical practice
J Callander1, A V Anstey1, J R Ingram2
1Department of Dermatology, Ysbyty Gwynedd, Penrhosgarnedd, Bangor, U.K.
This article explains how to create a critically appraised topic (CAT), a tool for busy clinicians to find and use high-quality evidence in daily practice. The process involves four steps: formulating a focused question, searching for the best evidence, critically appraising the evidence, and applying the findings to a patient scenario. CATs help clinicians make informed decisions and share knowledge internationally through publication. The method is designed to be efficient and structured, supporting both individual patient care and broader evidence-based practice.
Area of Science:
- Evidence-based dermatology
- Clinical decision-making in medicine
- Medical education and practice
Background:
Clinicians often face recurring patient-centered questions in daily practice. Evidence-based medicine requires structured approaches to address these. Prior research has shown that traditional literature reviews may lack focus and efficiency. This gap motivated the development of tools like critically appraised topics (CATs). CATs are designed to provide concise, high-quality evidence summaries. They aim to bridge the gap between research and clinical practice. No prior work had resolved the need for a step-by-step guide to creating CATs. This paper introduces a structured method for clinicians to use.
Purpose Of The Study:
The goal of this work is to offer a practical guide for creating CATs. Clinicians need a reliable way to answer patient-oriented questions. The study addresses the challenge of synthesizing evidence quickly. It supports clinicians in making informed decisions. The motivation comes from the need for structured, evidence-based tools. This study aims to standardize the CAT creation process. It also encourages knowledge sharing through publication. The approach ensures CATs remain relevant and up-to-date.
Main Methods:
The authors outline a four-step process for creating CATs. First, a focused clinical question is formulated. Next, a search is conducted for the highest-quality evidence. The third step involves critically appraising the selected evidence. Finally, the results are applied to the patient scenario. The method emphasizes structured and reproducible steps. It uses evidence-based dermatology as a model. The process is designed for busy clinicians. It allows for international knowledge sharing through publication.
Main Results:
The study describes a clear framework for creating CATs. Each step is explained with practical examples. The first step involves formulating a specific clinical question. The second step ensures the search is thorough and structured. The third step includes appraisal of the evidence’s quality. The final step focuses on applying the findings to real patients. The method supports individual patient care and broader knowledge dissemination. It is suitable for publication in evidence-based dermatology journals.
Conclusions:
The authors propose that CATs are valuable for evidence-based practice. They suggest that the four-step method is effective for clinicians. The approach helps answer recurring clinical questions. It supports both individual and shared decision-making. The study claims that CATs can be published for wider use. It emphasizes the importance of structured evidence synthesis. The method is proposed as a tool for clinical education. It may help improve patient care and knowledge sharing.
Frequently Asked Questions
A CAT is a structured summary of high-quality evidence to answer a focused clinical question.
A CAT uses a four-step method to provide concise, evidence-based answers to specific patient-oriented questions.
A focused question ensures the search is efficient and the evidence is directly relevant to the clinical scenario.
Critical appraisal assesses the quality and relevance of the evidence to support clinical decisions.
CATs help clinicians answer patient-oriented questions and share evidence-based knowledge with colleagues.
Yes, CATs can be published in the evidence-based dermatology section of the British Journal of Dermatology.
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