Interactive Journal Of Medical Research Paper

What levels of evidence are present in relation to research and practice, and why are they important regardless of the method you use? I live in El Paso, Texas I work in a Managed Care organization. I look at Hierarchical Condition Category coding (HCC codes) and proper documentation for accurately diagnosing and reimbursement. More specific, I work for WellMed Medical Management. I am a clinical nurse coding consultant. I have been working my papers around diabetes, elderly. more specific type 1 diabetes with continous glucose monitoring.

Assignment of levels of evidence to studies or research is based on the validity, methodological quality of their design, and their use in patient care. They are visually displayed in an evidence pyramid, whereby research with the highest internal validity is usually at the pyramid’s top (Szajewska, 2018). Conversely, expert opinion and observational research reside at the pyramid’s bottom. Sometimes the highest level of evidence might not answer a question, and in this case, one has to use the level down the pyramid after the highest level of evidence. Interactive Journal Of Medical Research Paper.

Level I is evidence obtained from a meta-analysis review of all appropriate randomized controlled trials. It is also obtained from a systematic review of RCT. Level I evidence can be used to answer all clinical questions or a particular clinical issue (Martens et al., 2018). Level II is evidence derived from one or more well-designed randomized control trials. For instance, this can be obtained from large multi-site randomized trials. It can be used to answer a therapeutic clinical question. Level III, on the other hand, is evidence from well-formed controlled trials lacking randomization, such as quasi-experimental. Level IV is evidence derived from a well-conceived cohort or case-control studies. It can be utilized to answer diagnosis, prevention, and prognosis clinical questions. Level V evidence is from systematic reviews of qualitative and descriptive research. Level VI is evidence obtained from a qualitative or descriptive research. Lastly, Level VII evidence is from expert committees’ reports and authorities’ opinion.

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Levels of evidence are crucial in research since the researcher can use them in answering a specific research question. Level I evidence is usually considered the appropriate one in answering research questions, but a researcher can always move down the pyramid. As a clinical nurse coding consultant, I can use level I, II, III, and V to answer the etiological, therapeutic, diagnosis, and prevention clinical questions when researching on diabetes in the elderly population.

References

Martens, J., de Jong, G., Rovers, M., Westert, G., & Bartels, R. (2018). Importance and Presence of High-Quality Evidence for Clinical Decisions in Neurosurgery: International Survey of Neurosurgeons. Interactive Journal Of Medical Research, 7(2), e16. https://doi.org/10.2196/ijmr.9617

Szajewska, H. (2018). Evidence-Based Medicine and Clinical Research: Both Are Needed, Neither Is Perfect. Annals Of Nutrition And Metabolism, 72(3), 13-23. https://doi.org/10.1159/000487375. Interactive Journal Of Medical Research Paper.