HEALTH INFORMATION ON THE INTERNET
Use of the
internet to obtain healthcare related information is a growing
aspect of drug information. The Drug Information Center
at the University of Illinois at Chicago routinely uses
web sites to aid in retrieving information. Advantages of
using internet sites include fast retrieval of information
and the fact that the most current healthcare information
is often posted on the internet before it is available in
any published form. However, the quality of healthcare information
on the World Wide Web may be suspect. Internet users should
be aware of ways to evaluate the quality of a web site including:
of the authorship of the web page.
of references for the clinical content provided. Information
without references should receive low weight in clinical
of owner/sponsor of the web page.
of updates for the site.
or not the site has an expert advisory board that evaluates
content of the site.
- Seal of
approval from organizations that review health care sites
(e.g. HONcode, Internet Healthcare Coalition, VIPPS, and
affiliation (commercial, educational, nonprofit, military,
is a list of useful internet sites that may aid you in retrieving
information relevant to your clinical practice. Many of
these sites are free to use, will allow you to sign up for
email notifications on important clinical information, and
provide links to other healthcare related sites.
www.mdconsult.com Current version of over 30 major
textbooks including Cecils Textbook of Internal Medicine.
Subscription service - $200/year. Ten-day free trial.
Principals of Internal Medicine www.harrisononline.com Textbook online. Subscription
service - $89/year. Four-week free trial.
www.merck.com Diagnosis and Therapy/Geriatrics.
Both manuals are available online for free.
www.emedicine.com Free on-line textbooks
for various medical and surgical specialty areas.
Healthcare Research and Quality www.ahcpr.gov On-line clinical practice guidelines
for disease states including heart failure, unstable angina,
otitis media, pressure ulcer prevention, tobacco cessation,
urinary incontinence, acute pain, etc.
Academy of Pediatrics www.aap.org The AAP site contains
useful information on pediatric issues including news releases
and guidelines. Examples of guidelines include circumcision,
ADHD, urinary tract infections, Lyme disease, and vaccines.
Pharmaceutical Association www.aphanet.org Web site contains information on current drug
shortages, abstracts of articles from JAPhA, and clinical
Thoracic Society www.thoracic.org Contains statements and
position papers in reference to microbiology, tuberculosis,
and other pulmonary infections. Also contains information
on adult and pediatric respiratory diseases.
Society of Clinical Oncology www.asco.org Contains ASCO guidelines for chemotherapy-related
nausea and vomiting, role of bisphosphonates in breast cancer,
etc. All downloadable in PDF format.
Society of Health-System Pharmacists www.ashp.org. Site contains Technical Assistance Bulletins,
Practice Resource Areas, AHFS First Fax (updated monographs),
ASHP therapeutic guidelines and position statements.
Diseases Society of America www.idsociety.org Contains various infectious
diseases guidelines in PDF format.
for Safe Medication Practices www.ismp.org Home of the ISMP Medication Safety Alert newsletter.
Contains information on medication error reporting as well
as a link to the recent Institute of Medicine report on
Medical Association www.ama-assn.org Web site for the AMA. Contains information centers
on HIV/AIDS, asthma, migraine, and womens health.
Links to JAMA on-line and Archives journals. Will soon be
viewable only by subscription.
Society of Parenteral and Enteral Nutritionists www.clinnutr.org -- Web site contains guidelines for
use of parenteral and enteral nutrition in adult and pediatric
patients and standards of practice.
Society of Consultant Pharmacists www.ascp.com Site of The Consultant Pharmacist journal
full-text. Also include guidelines related to long-term
care including Psychotherapeutic Medications in Older Adults.
Science in the Public Interest www.cspinet.com Consumer-focused site. Educates the public
about nutrition and alcohol issues.
for Disease Control and Prevention www.cdc.gov Site contains the on-line version of
Morbidity and Mortality Weekly Report, Emerging Infectious
Disease journal, information on travelers health,
CDC prevention guidelines, and health-related hoaxes.
www.centerwatch.com Listing of ongoing clinical
trials by disease state, NIH studies, new FDA drug approvals,
and a clinical trial notification service.
College of Chest Physicians www.chesnet.org Contains clinical information including evidence
based practice guidelines, consensus statements, and patient
Guideline Clearinghouse www.guideline.gov Guidelines, guidelines, and
Institutes of Health www.nih.gov Contains links to the
following health-related institutes and centers:
Heart, Lung, and Blood Institute
Human Genome Research Institute
Institute on Aging
Institute on Alcohol Abuse and Alcoholism
Institute of Allergy and Infectious Diseases
Institute of Arthritis and Musculoskeletal and Skin Diseases
Institute of Child Health and Human Development
Institute on Deafness and Other Communication Disorders
Institute of Dental and Craniofacial Research
Institute of Diabetes and Digestive and Kidney Diseases
Institute on Drug Abuse
Institute of Environmental Health Sciences
Institute of General Medical Sciences
Institute of Mental Health
Institute of Neurological Disorders and Stroke
Institute of Nursing Research
Library of Medicine Free Medline
- Warren Grant
Magnuson Clinical Center
Center for Complementary and Alternative Medicine
- Center for
Pharmacology Online cp.gsm.com Now subscription-based
on-line version. Contains drug information, patient monographs,
drug interactions, adverse drug reactions, IV compatibility,
and product identification components.
Trials www.clinicaltrials.gov This site is a service of the
National Institutes of Health and was developed by the National
Library of Medicine. Contains current information about
clinical research studies.
Drug Administration www.fda.gov Contains consumer drug information,
information on the MedWatch reporting program, orphan drug
news,the electronic orange book of therapeutic equivalence,
drug shortages, and information on foods, human drugs, animal
drugs, biologics, and cosmetics.
www.quackwatch.com Web-based guide to health care
Research and Manufacturers of America www.phrma.org Information on drugs in development and
the drug development and approval process. Also contains
the annual business reports for the pharmaceutical industry.
www.oncolink.com Web site produced by the University of Pennsylvania
Cancer Center. Searchable site focused on cancer therapy.
that prolong the Q-T interval www.torsades.org contains a list of drugs that
prolong the Q-T interval and/or induce Torsades de Pointes.
The list is frequently updated and contains comments as
to the severity of the effect. Additionally, if the user
clicks on "More Info", they are automatically
brought to the results of a MEDLINE search regarding the
drug in question with Q-T interval and Torsades de Pointes.
The site is maintained by Georgetown University Medical
www.cardiosource.com Large cardiology-focused
web site containing trial news, cardiology journals (view
abstracts for free), and links to the American College of
Cardiology/American Heart Association guidelines. Registration
Heart www.theheart.org - Additional cardiology-focused web
site with daily news, journals, cybersessions, etc.
Pharmacopoeia www.usp.org Contains information on dietary
supplements, veterinary medicine, and basic drug information.
Database www.naturaldatabase.com On-line version of Natural Medicines
Comprehensive Database. Contains monographs on a variety
of herbal products. Cost: $92/year for web version.
on Accreditation of Healthcare Organizations www.jcaho.org -Home page of JCAHO. Contains information on standards
for various practice settings.
Allergy www.njha.com/html/latex.html - Site developed by the New Jersey
Hospital Association. Extensive listings of products containing
www.micromedex.com Home page of the Micromedex
system. Does contain daily news updates and information
on how to subscribe to the system.
Guide www.docguide.com Web site contains daily health
news updates, new drugs/indications, webcasts, cases, and
health channels. Free registration for your own personal
www.rxassist.org Web site dedicated to aiding
health care professionals and their patients access pharmaceutical
patient assistance programs.
kali.ucsf.edu Site covering all aspects of HIV/AIDS
including medical journals, journal club, journal scan,
various guidelines, and the AIDS Knowledge Base.
Information Service www.hivatis.org Site of the living documents for current treatment
guidelines related to HIV/AIDS including treatment of HIV-infected
adults and adolescents, pediatric HIV infection, perinatal
infection, healthcare worker exposure guidelines, nonoccupational
exposure, opportunistic infection guidelines, and tuberculosis
www.medscape.com Vast website covering an array
of medical and pharmaceutical information. Free registration.
May sign up to have certain information emailed directly
to the individual on a regular basis.
www.medmatrix.org Index of medical sites that
is peer-reviewed by physicians. Contains an extensive list
of medical "hypertextbooks". Free registration.
www.drkoop.com General medical information
web site with extensive health-care related data.
www.intelihealth.com General health database with
featured health areas. Drug search capability. On-line medical
www.healthanswers.com Information on a variety of
health topics, diseases, and healthy lifestyles.
www.dynamicmedical.com Very general information on
diseases from A to Z. Includes treatment, diagnosis, risks,
description, and etiology. Free registration.
Journals www.freemedicaljournals.com - Web site contains access to many
free medical journals available throughout the internet.
Journal of Medicine www.nejm.org Available on the internet to
subscribers. The site does post early release full-text
articles for free download.
Reports www.fdcreports.com On-line version of Pink, Gold,
Tan, Gray, and various other sheets. Contains summaries
of the information contained within the present publication.
Healthcare/Freedom LLC www.mmhc.com Home site of the following full-text journals:
Annals of Long-Term Care, Clinical Geriatrics, HHC Consultant,
Journal of Gender-Specific Medicine, and MD net guide.
Letter www.pharmacistsletter.com On-line version of Pharmacists
Letter. Available to all subscribers via personal login
Letter www.medicalletter.com On-line version of Medical Letter.
Available to all subscribers via personal login and ID.
www.webmedlit.com Site scans the literature daily.
Full text available for articles from numerous journals.
Line www.pharminfo.com/pubs/pnn/pnnordr.html Summaries of latest medical
information obtained via daily fax or email. Subscription
www.uspharmacist.com On-line site of US Pharmacist
www.drugtopics.com On-line home of Drug Topics
Times www.pharmacytimes.com Site contains online CE, an
internet column, and an extensive compounding section.
www.health.org National clearinghouse for alcohol
and drug abuse information.
Beyond this list, all the major
pharmaceutical companies have web sites, which may contain
full prescribing information as well as patient information
for their marketed medications. The specific web address
for most pharmaceutical companies may be found within Facts
and Comparisons. In addition, specific medications may have
their own web site as well (e.g. http://www.zocor.com/simvastatin/zocor/consumer/index.jsp.) On-line pharmacies such as www.planetRx.com, www.drugstore.com, and www.virtualdrugstore.com may also be useful to find information on over-the-counter
or natural products. Plus, search engines such as go.com,
altavista.com, metacrawler.com, and dogpile.com aid individuals
in sifting through the vast amount of healthcare related
information that is available on the World Wide Web.