{"id":55,"date":"2009-05-04T22:07:06","date_gmt":"2009-05-04T21:07:06","guid":{"rendered":"https:\/\/blogs.bmj.com\/adc-archimedes\/?p=55"},"modified":"2009-06-02T23:14:37","modified_gmt":"2009-06-02T22:14:37","slug":"move-over-reading-riting-and-rithmatic","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/","title":{"rendered":"Move over reading, &#8216;riting and &#8216;rithmatic &#8230;"},"content":{"rendered":"<p>&#8220;The 3Rs are dead; long live the 3Rs.&#8221; So might a herald cry from the battlements of an evidence-based hill. <a title=\"CMAJ Full Text\" href=\"http:\/\/www.cmaj.ca\/cgi\/content\/full\/180\/9\/942\">Sharon Straus and Brian Haynes<\/a> have captured beautifully the need to move beyond just publishing your paper to making evidence available that is &#8216;reliable, relevant, and readable&#8217;.<\/p>\n<p>Why these three Rs? <!--more-->Well, evidence that isn&#8217;t valid and important is going to be no use to a practising clinician.  Information that doesn&#8217;t apply to our population&#8217;s irrelevant. And if we can&#8217;t understand what&#8217;s been done in the study &#8211; what the intervention actually consisted of or what the outcomes actually mean &#8211; then that&#8217;s unhelpful too.<\/p>\n<p>While this might all be incredibly obvious, it&#8217;s also concealing some subtle truths&#8230; If we switch the order, and instead look for stuff that&#8217;s readable, relevant and reliable we may end up with a different cut of studies. If we throw out all the tough to read, I guess we&#8217;d loose about a third of the stuff that&#8217;s useful! If we looked next at the relevant, and found it was readable and relevant to our patients, we&#8217;d be quite sold into that study. It might well be that we may well be a little more lenient on the critical appraisal than we ought to. So the order suggested makes the best use of our time: seek (without &#8216;buy in&#8217;) reliable evidence, see how relevant it is to out practise, and if we can&#8217;t work out how everything works in the study we can always contact the authors to clarify details.<\/p>\n<p>References:<\/p>\n<p>Sharon Straus &amp; R Brian Haynes. Managing evidence-based knowledge: the need for reliable, relevant and readable resources.          CMAJ \u2022 April 28, 2009; 180 (9). doi:10.1503\/cmaj.081697<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;The 3Rs are dead; long live the 3Rs.&#8221; So might a herald cry from the battlements of an evidence-based hill. Sharon Straus and Brian Haynes have captured beautifully the need to move beyond just publishing your paper to making evidence available that is &#8216;reliable, relevant, and readable&#8217;. Why these three Rs? [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[79,80],"tags":[],"class_list":["post-55","post","type-post","status-publish","format-standard","hentry","category-archimedes","category-critical-appraisal-note"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Move over reading, &#039;riting and &#039;rithmatic ... - ADC Online Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Move over reading, &#039;riting and &#039;rithmatic ... - ADC Online Blog\" \/>\n<meta property=\"og:description\" content=\"&#8220;The 3Rs are dead; long live the 3Rs.&#8221; So might a herald cry from the battlements of an evidence-based hill. Sharon Straus and Brian Haynes have captured beautifully the need to move beyond just publishing your paper to making evidence available that is &#8216;reliable, relevant, and readable&#8217;. Why these three Rs? [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/\" \/>\n<meta property=\"og:site_name\" content=\"ADC Online Blog\" \/>\n<meta property=\"article:published_time\" content=\"2009-05-04T21:07:06+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2009-06-02T22:14:37+00:00\" \/>\n<meta name=\"author\" content=\"Bob Phillips\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bob Phillips\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2009\\\/05\\\/04\\\/move-over-reading-riting-and-rithmatic\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2009\\\/05\\\/04\\\/move-over-reading-riting-and-rithmatic\\\/\"},\"author\":{\"name\":\"Bob Phillips\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/person\\\/9e94029681ecf36e73bbd1eb2be2ef94\"},\"headline\":\"Move over reading, &#8216;riting and &#8216;rithmatic &#8230;\",\"datePublished\":\"2009-05-04T21:07:06+00:00\",\"dateModified\":\"2009-06-02T22:14:37+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2009\\\/05\\\/04\\\/move-over-reading-riting-and-rithmatic\\\/\"},\"wordCount\":295,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\"},\"articleSection\":[\"archimedes\",\"critical appraisal note\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2009\\\/05\\\/04\\\/move-over-reading-riting-and-rithmatic\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2009\\\/05\\\/04\\\/move-over-reading-riting-and-rithmatic\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2009\\\/05\\\/04\\\/move-over-reading-riting-and-rithmatic\\\/\",\"name\":\"Move over reading, 'riting and 'rithmatic ... - ADC Online Blog\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#website\"},\"datePublished\":\"2009-05-04T21:07:06+00:00\",\"dateModified\":\"2009-06-02T22:14:37+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2009\\\/05\\\/04\\\/move-over-reading-riting-and-rithmatic\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2009\\\/05\\\/04\\\/move-over-reading-riting-and-rithmatic\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2009\\\/05\\\/04\\\/move-over-reading-riting-and-rithmatic\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Move over reading, &#8216;riting and &#8216;rithmatic &#8230;\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/\",\"name\":\"ADC Online Blog\",\"description\":\"Education, debate, and meandering thoughts on child health, using evidence and research.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\",\"name\":\"ADC Online Blog\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/files\\\/2017\\\/10\\\/blog-logo-adc.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/files\\\/2017\\\/10\\\/blog-logo-adc.png\",\"width\":285,\"height\":34,\"caption\":\"ADC Online Blog\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/person\\\/9e94029681ecf36e73bbd1eb2be2ef94\",\"name\":\"Bob Phillips\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g\",\"caption\":\"Bob Phillips\"},\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/author\\\/bphillips\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Move over reading, 'riting and 'rithmatic ... - ADC Online Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/","og_locale":"en_GB","og_type":"article","og_title":"Move over reading, 'riting and 'rithmatic ... - ADC Online Blog","og_description":"&#8220;The 3Rs are dead; long live the 3Rs.&#8221; So might a herald cry from the battlements of an evidence-based hill. Sharon Straus and Brian Haynes have captured beautifully the need to move beyond just publishing your paper to making evidence available that is &#8216;reliable, relevant, and readable&#8217;. Why these three Rs? [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/","og_site_name":"ADC Online Blog","article_published_time":"2009-05-04T21:07:06+00:00","article_modified_time":"2009-06-02T22:14:37+00:00","author":"Bob Phillips","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Bob Phillips","Estimated reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/"},"author":{"name":"Bob Phillips","@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/person\/9e94029681ecf36e73bbd1eb2be2ef94"},"headline":"Move over reading, &#8216;riting and &#8216;rithmatic &#8230;","datePublished":"2009-05-04T21:07:06+00:00","dateModified":"2009-06-02T22:14:37+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/"},"wordCount":295,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/adc\/#organization"},"articleSection":["archimedes","critical appraisal note"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/","url":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/","name":"Move over reading, 'riting and 'rithmatic ... - ADC Online Blog","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/adc\/#website"},"datePublished":"2009-05-04T21:07:06+00:00","dateModified":"2009-06-02T22:14:37+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/adc\/2009\/05\/04\/move-over-reading-riting-and-rithmatic\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/adc\/"},{"@type":"ListItem","position":2,"name":"Move over reading, &#8216;riting and &#8216;rithmatic &#8230;"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/adc\/#website","url":"https:\/\/blogs.bmj.com\/adc\/","name":"ADC Online Blog","description":"Education, debate, and meandering thoughts on child health, using evidence and research.","publisher":{"@id":"https:\/\/blogs.bmj.com\/adc\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/adc\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/adc\/#organization","name":"ADC Online Blog","url":"https:\/\/blogs.bmj.com\/adc\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/adc\/files\/2017\/10\/blog-logo-adc.png","contentUrl":"https:\/\/blogs.bmj.com\/adc\/files\/2017\/10\/blog-logo-adc.png","width":285,"height":34,"caption":"ADC Online Blog"},"image":{"@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/person\/9e94029681ecf36e73bbd1eb2be2ef94","name":"Bob Phillips","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g","caption":"Bob Phillips"},"url":"https:\/\/blogs.bmj.com\/adc\/author\/bphillips\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/55","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/comments?post=55"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/55\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/media?parent=55"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/categories?post=55"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/tags?post=55"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}