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Evidence Based Practice by Elaine Cox

PICO Basics

Asking for and locating evidence depends upon asking an effective clinical question.
Use the PICO mnemonic to build that question.

P =   Patient     Population     Problem  (includes demographic information)

I   Intervention   Treatment    Therapy     Prognostic Factor    Exposure

C  =  Comparison  (could be placebo or no treatment)

O  =  Outcome       (what you hope to accomplish; measurable)

 

P I C O

     P -- patient, population, participant, problem (diagnosis)
     I -- intervention, therapy, treatment
     C -- comparison  (not always required)
     O -- outcome


P I C O T

     P -- patient, population, participant, problem (diagnosis)
     I -- intervention, therapy, treatment
     C -- comparison  (not always required)
     O -- outcome

     T  -- time


P I C O (T)

     P -- patient, population, participant, problem (diagnosis)
     I -- intervention, therapy, treatment
     C -- comparison  (not always required)
     O -- outcome

     T  -- type of studies or questions


P I C O T T

     P -- patient, population, participant, problem (diagnosis)
     I -- intervention, therapy, treatment
     C -- comparison  (not always required)
     O -- outcome

     T  -- type of question 
              (therapy/treatment, diagnosis, prognosis, harm/etiology)

     T  -- type of study 
              (research method/design)

 5 Types of PICO Questions

     1. Diagnosis
     2. Therapy (treatment / intervention)
     3. Etiology (cause)
     4. Prognosis (future / forecast)
     5. Prevention

Diagnosis PICO:
In children with respiratory infection, is the respiratory rate as effective as chest x-ray in detecting pneumonia?

Prognosis PICO
:
In premature infants (compared to full-term infants), what is the lifetime prevalence of hearing deficit?
 

Therapy PICO:
In patients with recurrent infection, do antibiotics, compared to no treatment, reduce recurrence rate?
 

Etiology PICO:
In post-menopausal women, does hormone replacement therapy increase the risk of breast cancer?

Building a P I C O Question

Help with PICO

Get help identifying MeSH terms for a comprehensive, high-quality serach.

  1. Find an article that you think works really well.
  2. Go to MeSH on Demand (link below).
  3. Copy/Paste the article abstract into the textbox.
  4. Click the Find MeSH Terms button.
  5. Wait for Processing. (30-45 seconds depending on length of abstract)
  6. See list of MeSH terms to explore in order to find additional high-quality articles.

MeSH on Demand search interface


 

Cochrane Library Database PICO Search Feature

Cochrane database PICO search

Click on Advanced Search beneath SEARCH button

Cochrane PICO Search overview