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Lecture notes

critical appraisal

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includes: the process, developing a pico question, searching for evidence, questions and study design, systematic reviews, critical appraisal, validity, results, screening questions

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  • December 21, 2023
  • 3
  • 2021/2022
  • Lecture notes
  • Unknown
  • All classes

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Sunday, 16th January 2022
Week 1
Medicine
Critical Appraisal
The process
 Answerable question
o Key point is turn that into a question answerable by research
o PICO
 Find best evidence
 Appraise
 Make a decision
Developing the PICO
 Mr Toosie
o Stroke highly variable
o Multi-disciplinary management
 Clinical question
o Would occupational therapy help him regain functional independence?
 P
o Adults with hemiparesis following stroke
 I
o Occupational therapy
 C
o Occupational therapy not provided
 O
o Independence in activities of daily living
 Most useful when thinking about intervention
 Could add more detail
o Could add specific activities
Search for best evidence
 Match PICO to study design
o Therapy
 Best treatment
o Prognosis
 What would happen if ….
o Diagnosis
 Best test
 How can we tell what is wrong?
o Aetiology
 What caused this to happen?
o Evaluation/acceptance
 What do patients think?
Questions and study design
 Diagnosis
o Cross sectional study
 Aetiology
o Cohort study
o Population based case-control study
 Prognosis

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