Lecture 3 - Asking Clinical Questions and Searching for Answers PICO

Question 1

Which database would you use for therapy questions?

Answer 1

Cochrane library

Question 2

Which database would you use for specific clinical question type?

Answer 2

PubMed Clinical Queries

Question 3

What is the EMB cycle?

Answer 3

Ask a critical question / Decide on what designs best answer this question / Find such a study or next best design if optimal is not available / Analyze study protocol and results / Infer conclusions

Question 4

What does PICO stand for?

Answer 4

P = patient or population
I = intervention or indicator
C = comparison
O = outcome

Question 5

What are benefits of using PICO?

Answer 5

• Development of search terms and synonyms
• Helps identify the clinical questions type (eg treatment vs prognosis) and refining it (eg Drug X or Drug Y, placebo/no treatment)
• Assists in identifying the better matching ‘hits’ in your search that match your clinical question
• More accurate application of study results back to your clinical case

Question 6

When should you not use the Cochrane Library?

Answer 6

• General healthcare questions (casual, prognosis, epidemiology)
• Statistics (prevalence and incidence)
• Primary research other than RCTs
• Guidelines
• Current Research

Question 7

What is Turning Research Into Practice (TRIP) database good for?

Answer 7

Finding evidence summaries and clinical guidelines

Question 8

What is BMJ Best Practice database good for?

Answer 8

• Latest research evidence, guidelines and expert opinion

- Covering prevention, diagnosis, treatment, and prognosis

Question 9

What is UpToDate database good for?

Answer 9

Answer clinical questions that arise in daily practice at the point of care