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Evidence Based Practice
Clinical Question Categories

Your clinical question will probably fall into one of the following areas:

  • diagnosis
  • therapy
  • harm or etiology
  • prognosis
  • prevention
  • qualitative
The type of question will influence the search strategies you will pursue, and the types of resources you will consult.

Table of Contents

Overview

Asking the Clinical Question

Clinical Question Categories

Finding the Evidence: Search Strategies

Levels of Evidence and the Systematic Review
Resources
Diagnosis: How to select a diagnostic test or how to interpret the results of a particular test.
  • In patients with suspected depression what is the accuracy of a two-question case-finding instrument for depression compared with six previously validated instruments?

Therapy: Which treatment is the most effective, or what is an effective treatment given a particular condition.

  • In children with colds, are zinc lozenges safe and effective for relief of cold symptoms?
  • In patients with acute bronchitis, do antibiotics reduce sputum production, cough or days off work?
  • in children with cancer what are the current treatments that manage fever and infection?
  • In patients with PMS, does traditional medical treatment or alternative (complementary) treatments improve patient symptoms better?

Harm or Etiology: Are there harmful effects of a particular treatment, or how can these harmful effects be avoided.

  • What are the risks of treating asthma patients with beta-adrenergic agonists?
  • Is there an increased risk of breast cancer for a healthy post-menopausal patient on HRT?
  • In women taking oral contraceptives, is there an association between their use and cardiovascular disease?

Prognosis: What is the patient's likely course of disease, or how to screen for or reduce risk.

  • In a healthy woman who has suffered a miscarriage, what is the normal grief process and are any factors associated with longer than normal grieving?
  • What are the risk factors for developing diabetes mellitus type II in adolescent males?

Prevention: How can the patient's risk factors be adjusted to help reduce the risk of disease?

  • For patients 65 years and older, does the use of influenza vaccine reduce the future risk of pneumonia compared with patients who have not received the vaccine?

Qualitative: Helps to understand clinical phenomona with emphasis on understanding the experiences and values of patients.

  • How do women diagnosed with fibromyalgia perceive others' perceptions of their physical limitations?
After you identified your question type, you can move on to finding the evidence.
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  Last Updated: Wednesday, 17-Jan-2007 13:32:46 EST
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