ACADEMY OF PROSTHODONTICS

EVIDENCE BASED DENTISTRY SESSION  Friday, May 16th 2008   

FOCUS ON APPLICATION OF THE EVIDENCE

Drs. Clark Stanford and Alan Carr led a morning session designed to assist participants in their understanding of how to construct a PICO question.  For those less familiar with the term "PICO", the construct consists of the following:

}         Patient, Population or Problem

          What are the characteristics of the patient or population?

          What is the condition or disease you are interested in?

}         Intervention or exposure

          What do you want to do with this patient (e.g. treat, diagnose, observe)?

}         Comparison

          What is the alternative to the intervention (e.g. placebo, different drug, surgery)?

}         Outcome

          What are the relevant outcomes (e.g. morbidity, death, complications)?

Patient scenarios were reviewed by groups who put this methodology into action.

Reference articles have been provided:

PICO-EBD Overview ---- a PowerPoint presentation by Dr.Clark M. Stanford,  DDS, Ph.D., Associate Dean for Research and Centennial Fund Professor for Clinical Research, The University of Iowa.

Review Article:  Primer: demystifying risk—understanding and communicating medical risks

 

Article:  Hierarchy of evidence: a framework for ranking evidence evaluating healthcare interventions

 

Article:  Perils, Pitfalls, And Possibilities In Talking About Medical Risk

 

Article:  Explaining risks: turning numerical data into meaningful pictures

 

Article:  Understanding and overcoming the barriers of implementing patient decision aids in clinical practice