Critical Appraisal Template



Critical Appraisal Template

Prognosis Article

Clinical Question:

Reference: 1st 2 authors et al, title, journal, date (including date of month), volume, page range.

Methods

Design – RCT / controlled not randomized / cohort / case series / case report / prospective vs. retrospective

Setting – type of hospital / location

Patient Population – number / inclusion criteria / exclusion criteria,

screening/enrollment methods, number screened vs number enrolled

Description of prognostic factors considered

Analysis – statistical models

Outcomes – primary and secondary

Follow-up – duration / completeness, accounting of patients

Validity

Was the patient sample clearly defined, representative of clinical practice, and captured at a similar point in disease progression?

Was duration of follow-up sufficient? Were all patients accounted for?

Were outcome criteria objective and unbiased relative to the prognostic factors?

Was their adjustment for linked prognostic factors?

Were patients in the study treated similarly?

Do the study population characteristics describe your patient?

Results

How likely are the outcomes during a specified period of follow-up?

How precise are the likelihood estimates?

Hazard or Odds Ratios, Kaplan-Meier curves if available.

Comments

Strengths and Weaknesses of Study (internal and external validity)

Study in context of other available literature and/or current standard-of’care

Can the study results change management or counseling of the patient?

Next steps for further study of this problem

Pathophysiologic considerations

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