Annex B: Key question proforma

[Thistle]  
S I G N

Guideline topic:

This form has been adapted from:
Centre for Clinical Effectiveness. (2009) Evidence-Based Answers to Clinical Questions for Busy Clinicians: Workbook. Available from URL:http://www.southernhealth.org.au/icms_docs/2145_EBP_workbook.pdf
Please use the PICO framework when formulating your key questions. This makes all the following stages, from searching the literature to formulating recommendations, much easier.

PICO stands for:

Please be as detailed and explicit as you can.

How would you describe the patient group? Things like age, sex, disease stage, ethnic group(s) etc can all be important. Consider also how care is likely to be delivered (home care / primary care, in-patient, etc.)

 

What intervention or indicator (therapy, diagnostic test or exposure) are you interested in?

 

What do you want to compare your intervention to? (eg placebo, no treatment, alternative treatments)

 

 

Now re-write your question in one of the following general formats:

 

Should <intervention>be used for <patient population>?
Eg Should adalumibab be used in patients with psoriatic arthritis?

Should <intervention 1> be used in <patient population> in preference to <intervention 2>?
eg Should high-impact exercise be used for patients at risk of osteoporotic fracture in preference to resistance training?

How effective is <intervention> in <patient population>
eg How effective is aspirin in preventing VTE/PE in patients undergoing orthopaedic surgery?

How effective is <intervention 1> in <patient population> compared to <intervention 2>?
eg How effective is aspirin in preventing VTE/PE in patients undergoing orthopaedic surgery compared to LMWH?

Format is less important than the presence of all the elements.

Outcomes, the final part of the question, are dealt with in a separate document.

Draft Key Question:









 

[Contents][Back][Top] [Next]

SIGN 50: A guideline developer's handbook <Methodology <Home