This Web site comprises a 10-year archive (from 2000 to the present) of the cumulative electronic contents of ACP Journal Club, with recurrent weeding of out-of-date articles. The content is carefully selected from over 100 clinical journals through reliable application of explicit criteria for scientific merit, followed by assessment of relevance to medical practice by clinical specialists.
Purpose and Procedure
ACP Journal Club's general purpose is to select from the biomedical literature articles that report original studies and systematic reviews that warrant immediate attention by physicians attempting to keep pace with important advances in internal medicine. These articles are summarized in value-added abstracts and commented on by clinical experts. The specific purposes of ACP Journal Club are
1. To detect, using prestated criteria, the best original and review articles on the cause, course, diagnosis, clinical prediction, prevention, treatment, or economics of medical disorders managed by internists and related subspecialists, and on quality improvement and continuing medical education intervention trials in internal medicine
2. To summarize this literature in the form of "structured abstracts" that describe the objectives, methods, results, and evidence-based conclusions of studies in a reproducible, accurate, and applicable fashion
3. To provide brief commentaries on the context, methods, and clinical applications of the findings of each article by clinicians with a high degree of expertise in the topic of the article who have declared no conflict of interest
4. To disseminate the summaries in a timely fashion to internists and internists-in-training to the extent that resources permit.
The American College of Physicians publishes ACP Journal Club, under the editorship of R. Brian Haynes, MD, PhD, at McMaster University, on a monthly basis in Annals of Internal Medicine. The Health Information Research Unit of the Department of Clinical Epidemiology and Biostatistics at McMaster University hosts the editorial office for the service. An international editorial board oversees and reviews policy.
More than 100 journals are reviewed (see Journals reviewed for ACP Journal Club) to identify articles that meet ACP Journal Club criteria. A complete list is available from the editorial office. The list is subject to modification based on relative performance of each journal according to the criteria set out below; we also assess journals nominated by readers and editors. Access to foreign-language journals is provided through the systematic reviews we abstract, especially those in the Cochrane Database of Systematic Reviews, which summarizes articles taken from over 800 journals in many languages.
To meet the basic criteria, all original research and review articles must
Studies of prevention or treatment must also include
Studies of diagnosis must also include
Studies of prognosis must also include
Studies of etiology must also include
Studies of quality improvement or continuing education must also include
Studies of the economics of health care programs or interventions must also include
Studies of clinical prediction guides must also include
Studies of differential diagnosis must also include
Systematic review articles must also include
These criteria are subject to modification if, for example, it is found feasible to apply higher standards that increase the validity and applicability of studies for clinical practice. The objective of ACP Journal Club is to abstract only the very best literature, consistent with a reasonable number of articles "making it through the filter."
Articles meeting the criteria set out above are abstracted according to the procedure for more informative abstracts (1), with the following modifications: Abstracts can be up to 425 words in length. Abstracts are reviewed by an expert in the content area covered by the article. A commentary is added to provide the context of the article in the research that has preceded it, any important methodological problems that affect interpretation, and recommendations for clinical application. The author of the article is given an opportunity to review the abstract and commentary before publication.
The stars found immediately adjacent to the citation of each abstracted article are averaged scores for clinical relevance and newsworthiness from the McMaster Online Rating of Evidence (MORE) system. This Internet-based system gathers ratings of new articles, already assessed for scientific merit, from sentinel readers, a panel of over 2000 physicians from around the world. Each sentinel reader assigns ratings to new articles for both relevance and newsworthiness on a scale from 1 to 7). These ratings are then averaged for at least 3 raters for each pertinent discipline. For example, an article about diabetes would be sent to raters in primary care and raters in endocrinology; the ratings from at least 3 raters are averaged for each discipline. Ratings that average 6 or higher help to keep your knowledge up-to-date for essential new evidence. The areas in which the articles are rated are shown as follows: General Internal medicine/Family Practice/General Pracyice (GIM/FP/GP), Hospitalists, Emergency Medicine (Emergency Med), Allergy & Immunology (Allerg & Immunol), Cardiology, Dermatology, Endocrinology, Gastroenterology, Genetics, Geriatrics, Hematology/Thrombosis (Hematol/Thrombo), Infectious Disease, Tropical & Travel Medicine (Trop & Travel Med), Critical Care, Nephrology, Neurology, Oncology, Physical Medicine & Rehabilitation (Phys Med & Rehab), Pulmonology, Rheumatology, Occupational/Environmental Health (Occup/Envir Health), Public Health, and Mental Health.
Refurbishing of acpjc.org
Abstracts and their accompanying commentaries are reviewed after 5 years (e.g., content from 2004 is updated in 2009). The reviews are done by the editor and associate editors of the journal, the author of the original article, the commentator, and a research associate familiar with study design and biostatistics. Outdated studies are archived, and the remaining reports are updated, if necessary. Updates could include revisions to the title of the abstract, additions to the commentary, addition of a table to the abstract and possibly calculation of more clinically useful statistics (e.g., number needed to treat), and links to other relevant studies in the database. Articles are culled from the database after 10 years.
ACP Journal Club is also included in Evidence-Based Medicine Reviews from Ovid Technologies; telephone 800-950-2035.
1. Haynes RB, Mulrow CD, Huth EJ, Altman DG, Gardner MJ. More informative abstracts revisited. Ann Intern Med. 1990;113:69-76.
Copyright ©2012 American College of Physicians. The information contained herein should never be used as a substitute for good clinical judgment.