When diagnosed with a serious illness
like a brain tumor, many people want to learn more about their condition
and possible treatments. At some point, they may wish to consult medical
journals and read research articles to find out about new treatment
options. However, complicated medical and scientific jargon can be an
obstacle to obtaining vital information. By following a few basic
guidelines and learning a few research terms, the world of medical
literature can become more understandable to the amateur researcher.
To begin, it is helpful to know the basic
structure of scientific papers. They generally begin with an abstract (a
brief summary). Reading the abstract is a great way to get an overview
of what the author was researching-the main question of the study- and
the results. The rest of the paper usually will include the following
sections: an introduction or background, methods, results, discussion,
and bibliography. The introduction or background section discusses the
reasons the researcher was doing the study and typically cites previous
studies. The methods section explains how the study sample participants
were selected and how the study was conducted (for example, through
personal interviews or by examining hospital records). The results
section gives the data from the study and tends to present a lot of
numbers (percentages and statistics). In the discussion section, the
researcher analyzes the results in relation to the original research
question and draws conclusions. The discussion section is generally less
technical than other sections of the paper. It can be a good way to get
a summary of the findings and what they mean.
Remember that research findings should be
carefully interpreted. It is helpful to look for information in journals
that are "peer reviewed." This means other scientists and
researchers in the field have had a chance to read and evaluate the
studies before they are accepted and published by the journal. Major
medical journals such as the Journal of the American Medical Association
(JAMA) and the New England Journal of Medicine are peer reviewed.
Internet sites such as Medscape (www.medscape.com) and Medline (www.medline.com)
have a directory of peer-reviewed journals and allow you to search by
topic of interest (i.e. brain tumors, temozolomide, etc.).
Some Internet sites are not reliable. If
you read about a study on the Internet that sounds interesting and want
to know more about it, it is a good idea to search the major medical
research databases to see what they have published on the topic.
Here are a few key research terms to help
you get started:
Clinical Trial - A research study
conducted with patients to scientifically determine the effectiveness of
new treatments or to improve existing ones. Each study tries to answer
scientific questions and to find better ways to prevent, diagnose, or
treat diseases.
Confidence Interval - A statistical range
of values for a particular variable or characteristic, set up so that
the variable lies within that range. (Example: The 95% confidence
interval for height is 5'9"-6'. This means that 95 out of 100
people will be within that height range). Generally, the more narrow the
confidence intervals, the more reliable the study results.
Control - An individual or group used as
a standard of comparison for checking or verifying the results of an
experiment.
Double-blind Study - A type of study in
which neither the doctors nor participants know who is receiving a drug
and who is receiving a placebo. This method helps to assure objective
results by avoiding prejudice either for or against the treatment.
Placebo - An inactive substance given as
a control (standard for comparison) in an experiment to test the
effectiveness of a drug.
Qualitative Research - A study with
findings that are not arrived at by using statistics. This type of
research generally looks at opinions and personal viewpoints.
Quantitative Research - A study that uses
measurements and statistical methods to identify causes, make
predictions, and determine if the findings of a study can be applied to
the general population as a whole.
Randomized Control Trial - A type of
study where participants are randomly selected to receive either a
placebo or the treatment being tested.
Sample - The group of people that
participate in a study. The sample may be random or may represent a
particular population group.
These terms are a good starting point to
understanding medical research. The best way to become more comfortable
with scientific research is to start reading.