The Well-Built, Patient-Oriented Clinical Question
The Well-Built, Patient-Oriented Clinical Question
|Question Components |Your Question |
|P – Patient or Population | |
| | |
|Describe the most important characteristics of the patient. | |
|(e.g., age, disease/condition, gender) | |
|I – Intervention; Prognostic Factor; Exposure | |
| | |
|Describe the main intervention. | |
|(e.g., drug or other treatment, diagnostic/screening test) | |
|C – Comparison (if appropriate) | |
| | |
|Describe the main alternative being considered. | |
|(e.g., placebo, standard therapy, no treatment, the gold standard) | |
|O – Outcome | |
| | |
|Describe what you’re trying to accomplish, measure, improve, affect. | |
|(e.g., reduced mortality or morbidity, improved memory, accurate and timely | |
|diagnosis) | |
|The well-built clinical question: |
| |
| |
| |
|Type of Question |Ideal Type of Study |
| Therapy |RCT |
| Prevention |RCT > Cohort Study > Case Control |
| Diagnosis |Prospective, blind controlled trial comparison to gold standard |
| Prognosis |Cohort Study > Case Control > Case Series/Case Report |
| Etiology/Harm |RCT > Cohort Study > Case Control |
| Cost analysis |economic analysis |
|Note: Meta-analyses and systematic reviews, when available, often provide the best answers to clinical questions. |
Search Strategy Development
| |Primary search term |Synonym 1 |Synonym 2 |
|P | | | |
|I | | | |
|C | | | |
|O | | | |
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