Clinical questions

Types of pico questions

Clinical management guidelines for obstetrician-gynecologists; 1 Rosen R. To benefit patients and clinicians, such questions need to be both directly relevant to patients' problems and phrased in ways that direct your search to relevant and precise answers. These questions typically concern a specific patient or particular population. Common Clinical Question Types The table below explains the primary types of clinical questions and types of evidence to answer the question. Consider the following scenario: Angela is a patient on the general medical ward who recently moved to the area to be closer to her son and his family. Case Series: A report on a series of patients with an outcome of interest. Why might this be? These are the most frequently asked. Does the thought of not having your preceptor around to answer your clinical questions terrify you? You could answer your clinical questions by reading an expert opinion article, or consulting a colleague. What are the clinical manifestations of menopause? Or whether a particular face lift technique is associated with better outcomes and less complication rate is a timely study question. Your preference is for flap reconstruction of the limb.

What are the most important characteristics of the patient? It is for this reason why asking the right type of questions is paramount to successful navigation of all this information.

identify primary statistics used to answer clinical questions

Case Series: analysis of series of people with the disease there is no comparison group in case series. The Cochrane Database of Systematic Reviews, for example, only addresses treatment and prevention questions.

May include drugs, surgical intervention, change in diet, counseling, etc.

Pico question

Entering the term PROM in the SumSearch engine led us to 7 practice guidelines, 18 systematic reviews, and many original research articles. Sometimes the gender, age or race of a patient might be relevant to the diagnosis or treatment of a disease. When the method of allocation is by random selection, the study is referred to as a randomized controlled trial RCT. A randomized controlled trial RCT is the preferred study type for answering treatment questions. Clinical management guidelines for obstetrician-gynecologists. This paper is a guide to plastic surgeons in how to begin the practice of EBM by developing clinical questions and finding evidence to answer these questions. If we found numerous RCTs on this topic, we might want to consider searching for a systematic review that synthesizes the results of these trials. Relieve or eliminate the symptoms?

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clinical research questions

Going back to one of the principles of Evidenced-based medicine which is to find the best available evidence, for our question the highest level of evidence is a systematic review of randomised controlled trials.

By simply scanning the titles, we saw that 4 were clearly relevant to our question. In both cases, you have identified a gap in your knowledge, and need to identify research evidence to fill that gap.

Understandably this is an emotional issue for the patient and he wants the leg to be saved using reconstructive surgery.

Pico question examples for falls

Are you trying to decide between two drugs, a drug and no medication or placebo, or two diagnostic tests? She returns 18 hours later to the labour and delivery unit with contractions every 3 to 5 minutes and delivers a healthy baby 6 hours later. Consider the following scenario: Angela is a patient on the general medical ward who recently moved to the area to be closer to her son and his family. Order surgery? You always want to look for the study design that will yield the highest level of evidence. You want an answer to your question but you also want to avoid spending precious free time aimlessly searching through journals. So how to answer this question? What are the most important characteristics of the patient? Background questions ask for general knowledge about an illness, disease, condition, process or thing. A well-built question will address four important items: Patient or Problem, Intervention, Comparison, and Outcome. Planned early birth vs expectant management for PROM. RCT or Cohort Study Prognosis Forecast Questions about the probable cause of a patient's disease or the likelihood that he or she will develop an illness. Have you ever had difficulty finding the answer to a clinical question? Cohort Study: Involves identification of two groups cohorts of patients, one which received the exposure and one which did not, and following these cohorts forward for the outcome of interest. Prospective cohort studies which track participants forward in time are more reliable than retrospective cohort studies.
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What makes a good clinical question? A Fellow’s view.