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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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1Sunday, 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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