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C LINICAL E PIDEMIOLOGY
H OW TO D O C LINICAL
P RACTICE R ESEARCH
Copyright © by R. BrianHaynes, David L. Sackett, Gordon H. Guyatt, and Peter Tugwell.
Clinical Epidemiology: How to Do Clinical Practice Research .
 
Copyright © by R. BrianHaynes, David L. Sackett, Gordon H. Guyatt, and Peter Tugwell.
Clinical Epidemiology: How to Do Clinical Practice Research .
 
C LINICAL E PIDEMIOLOGY
H OW TO D O C LINICAL
P RACTICE R ESEARCH
Third Edition
R. Brian Haynes, MD, PhD, FRCPC, FACP, FACMI
Professor of Clinical Epidemiology and Medicine
Michael G. DeGroote School of Medicine
Faculty of Health Sciences
McMaster University
Hamilton, Ontario, Canada
David L. Sackett, OC, MD, FRSC, FRCP (Canada, London, Edinburgh)
Director, Kilgore S. Trout Research & Education Centre
at Irish Lake, Canada
Gordon H. Guyatt, MD, MSc, FRCPC, FACP, FACCP
Professor of Clinical Epidemiology and Medicine
Michael G. DeGroote School of Medicine
Faculty of Health Sciences
McMaster University
Hamilton, Ontario, Canada
Peter Tugwell, MD, MSc, FRCPC
Professor of Medicine, and Epidemiology and Community Medicine
University of Ottawa
Ottawa, Ontario, Canada
Copyright © by R. BrianHaynes, David L. Sackett, Gordon H. Guyatt, and Peter Tugwell.
Clinical Epidemiology: How to Do Clinical Practice Research .
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3rd Edition
© 2006 by R. Brian Haynes, David L. Sackett, Gordon H. Guyatt, and Peter Tugwell
© 1991 by David L. Sackett, R. Brian Haynes, Gordon H. Guyatt, and Peter Tugwell
© 1985 by David L. Sackett, R. Brian Haynes, and Peter Tugwell
All rights reserved. This book is protected by copyright. No part of this book may be
reproduced in any form or by any means, including photocopying, or utilizing by any
information storage and retrieval system without written permission from the copyright owner,
except for brief quotations embodied in critical articles and reviews.
Printed in the United States
Clinical epidemiology: how to do clinical practice research / R. Brian Haynes … [et al.].— 3rd ed.
p. ; cm.
Includes bibliographical references.
ISBN 0-7817-4524-1
1. Clinical epidemiology. 2. Medicine—Research—Epidemiology. I. Haynes, R. Brian.
[DNLM: 1. Biomedical Research—methods. 2. Epidemiologic Methods. 3. Research Design.
WA 950 C6413 2005]
RA652.C45 2005
614.4—dc22
2005008293
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Copyright © by R. BrianHaynes, David L. Sackett, Gordon H. Guyatt, and Peter Tugwell.
Clinical Epidemiology: How to Do Clinical Practice Research .
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