0% found this document useful (0 votes)
48 views7 pages

PICO Question Examples in Healthcare

The documents provide examples of PICO questions on various medical topics. PICO stands for Population, Intervention, Comparison, and Outcome, and is a framework for structuring clinical questions. The examples cover questions related to diagnosing and treating conditions like DVT, breast cancer, obesity, smoking cessation, and more.

Uploaded by

sara sallaq
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
48 views7 pages

PICO Question Examples in Healthcare

The documents provide examples of PICO questions on various medical topics. PICO stands for Population, Intervention, Comparison, and Outcome, and is a framework for structuring clinical questions. The examples cover questions related to diagnosing and treating conditions like DVT, breast cancer, obesity, smoking cessation, and more.

Uploaded by

sara sallaq
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PICO Examples

Your patient has a history of blood clots and after they came in to your clinic with right calf discomfort and
tightness, you're concerned about DVT. You remember reading about the limitations of duplex ultrasound
and calfveins, and are wondering if a d-dimer assay can help you rule out DVT more accurately.

P- adults

I- d-dimer assay

C- ultrasound

O- more accurate diagnosis of DVT

Question: Is d‐dimer assay more accurate at ruling out deep vein thrombosis compared to ultrasound?

Your female patient is concerned about her risk of developing breast cancer. Her friend was recently
diagnosed, and mentioned that her smoking might have been a factor. Your patient and her wife have lived
together for 10 years, and while she doesn't smoke, her partner does. Is she at an increased risk over
someone without daily exposure to second-hand smoke?

P- female non smokers w/ daily second hand smoke exposure

I-

C- female non smokers w/o daily smoke exposure

O- develop breast cancer

T- over ten years

Question: Are female non-smokers with daily exposure to second-hand smoke over a period of ten years or greater
more likely to develop breast cancer when compared with female non-smokers without daily exposure to second
hand smoke?

Your patient, who owns a bakery, recently participated in their employer's wellness program. Their BMI is
within a normal range, but they have a family history of obesity, and are concerned about the impact carbs
may have on maintaining a healthy weight.

P- pts w/ family history of obesity

I- carb intake; specific diet?


C-

O- keeping BMI below 25; healthy weight management

Question: Does dietary carbohydrate intake influence healthy weight maintenance (BMI <25) in patients who have family history of obesity
(BMI >30)?

Tom is 55 years old and has smoked one pack of cigarettes a day for the last 30 years. He is ready to
quit, and is wondering about his options. He has heard of a medication called bupropion, but is also
familiar with nicotine replacement therapy options such as patches, lozenges, and gum. Tom wants to
know which option will work best to help him quit and abstain from smoking again in the future.

Patient/problem/population: mid-50s male with a 30 pack-year history of smoking


Intervention: bupropion
Comparison intervention: nicotine replacement therapy
Outcome: long-term abstinence from smoking

Janet is 42 years old and just had her first mammogram. She does not have a history of breast cancer
in her family, and she has heard from her friends that she doesn’t need to have a mammogram every
year, only every three years because of new guidelines. She wants to know if she has to come back
every year for a mammogram, or if she can make an appointment every three years.

Patient/problem/population: woman in her 40s with no family history of breast cancer


Intervention: mammograms every three years
Comparison: yearly mammograms
Outcome: early detection of breast cancer

you have a patient who has difficulty exercising due to COPD and you wonder if pursed lip breathing
techniques may improve their endurance.

P = patients with COPD

I = pursed lip breathing

C = regular breathing

O = improved exercise endurance

"In patients with COPD, does using pursed lip breathing, as compared to regular breathing, improve
exercise endurance?"

You are working with a recent stroke patient who is having balance issues and you are considering
using virtual reality in their therapy.

P = recent stroke, balance issues

I = virtual reality
C = no virtual reality

O = improved balance

"In recent stroke patients, how does using virtual reality affect or improve balance?"

Your patient is a recent veteran who is experiencing insomnia and you wonder how effective
sleep restriction therapy might be in improving her sleep patterns.

P = insomnia

I = sleep restriction therapy

C = no therapy

O = improved sleep patterns

"In recent veterans with insomnia, how effective is sleep restriction therapy at improving sleep
patterns?"

A clinician wants you to undertake a literature search for him. He is interested in finding out
whether ibuprofen is better than paracetamol at reducing fever in young children

P Young children with fever

I Ibuprofen

C Paracetamol

O Reducing Fever
Is an MRI scan more sensitive/specific than bone scintigraphy at diagnosing scaphoid fractures in the
elderly?

Elderly
P
Scaphoid fracture

MRI scan
I
Bone scintigraphy
C
Sensitivity/specificity
O

Can ultrasound accurately detect obstructive biliary disease in adults with acute abdominal pain?

Adults with acute abdominal pain Obstructive


P biliary disease

Ultrasound
I
NOT APPLICABLE
C
Accurate diagnosis (as measured by sensitivity
O and specificity of test)

How effective is vitamin 3D in preventing relapses in patients with multiple sclerosis?


P Multiple sclerosis

I Vitamin 3D

C No comparison

O Preventing relapses

How does laparoscopic colectomy compare with open surgery in terms of cost-effectiveness, recurrence
and survival rates in patients with colon cancer?

P Colon Cancer

I Laparoscopic colectomy

C Open Surgery

O Cost-effectiveness, recurrence
and survival rates

How effective is vitamin 3D in preventing relapses in patients with multiple sclerosis?


P Multiple sclerosis

I Vitamin 3D

C No comparison

O Preventing relapses

Common questions

Powered by AI

In determining the frequency of mammograms for women in their 40s without a family history of breast cancer, considerations should include assessing the potential for overdiagnosis and the benefits of early detection. Less frequent mammograms (every three years) may reduce the exposure to radiation and the likelihood of false positives, whereas yearly mammograms may improve early cancer detection rates but come with increased potential for incidental findings .

The choice between a d-dimer assay and ultrasound for diagnosing deep vein thrombosis (DVT) involves evaluating the specificity and sensitivity of the tests. D-dimer assays are very sensitive and can help rule out DVT in low-risk patients, reducing the need for ultrasound investigations that might have limitations in sensitivity, especially concerning calf veins. However, because d-dimer assays lack specificity, they might lead to false positives. Ultrasound is typically more specific but has limitations in accuracy concerning certain body parts and situations .

Individuals with a family history of obesity may be advised to monitor carbohydrate intake more closely, as a high intake could potentially lead to weight gain, even if their current BMI is in a healthy range. This is due to a possibly increased genetic predisposition to obesity which influences how the body stores and metabolizes carbohydrates. Specific dietary advice might focus on the quality and quantity of carbohydrate consumption to maintain a healthy BMI under 25 .

Pursed lip breathing can improve exercise endurance in COPD patients by allowing for better control of breathing patterns, thus reducing breathlessness. This technique helps maintain airway pressure and prevent airway collapse, thereby improving ventilation efficiency during physical activity compared to regular breathing techniques .

Long-term exposure to second-hand smoke in non-smoking females may increase their risk of developing breast cancer by introducing carcinogenic compounds into their system, akin to the risks faced by active smokers. Such exposure over a period of ten years or more can potentially cause DNA mutations that can increase the likelihood of cancer development, similar to direct smoking exposure .

MRI scans offer the advantage of being more detailed and non-ionizing, making them safer for diagnosing scaphoid fractures in elderly patients compared to bone scintigraphy. MRI can better visualize bone and soft tissue contrasts without the radiation exposure associated with scintigraphy. However, they may be costlier and less accessible than scintigraphy, which is effective for highlighting bone metabolism and turnover and potentially faster in acute settings .

Bupropion may aid in achieving long-term smoking abstinence by acting on the neurochemical pathways associated with the addiction to nicotine, potentially reducing withdrawal symptoms and cravings. Compared to nicotine replacement therapies like patches or gums, bupropion may present a pharmacological alternative that does not involve nicotine, thus potentially helping to break the dependency not only on behaviors associated with smoking but the nicotine itself. Effectiveness can vary based on individual responses and withdrawal management .

Sleep restriction therapy helps improve insomnia in recent veterans by consolidating the sleep schedule and gradually increasing sleep efficiency. This behavioral intervention contrasts with no therapy, which might allow insomnia symptoms to persist. By limiting time in bed to actual sleep time, the therapy encourages falling asleep more quickly and maintaining sleep, thus improving overall sleep patterns over time .

Laparoscopic colectomy may offer better cost-effectiveness, potentially due to shorter hospitalization and recovery times compared to open surgery. The minimally invasive nature of the procedure can result in a quicker return to normal activities and possibly fewer postoperative complications. Recurrence rates might be comparable, though dependent on surgical expertise and patient-specific factors. Survival rates can also vary, with no significant differences reported in long-term outcomes in many studies, yet this depends on the cancer stage and the overall health of the patient .

Factors influencing the use of virtual reality in stroke rehabilitation for balance improvement include the severity of balance issues, patient comfort with technology, and the effectiveness of traditional therapies. Virtual reality offers engaging and interactive environments which may enhance motivation and provide real-time feedback, potentially leading to improved motor control and balance compared to no intervention or traditional methods .

You might also like