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NU 512: Nursing Research for Advanced Nursing Practice (Professor Sciscione): PICO Question & Search Strategy

PICO

Patient/problem: describe the patient and problem

Intervention: What do you want to do for the patient? (medication, surgery...)

Comparison: What is the main alternative to the intervention?

Outcome: What do you expect to accomplish, measure, improve? 

 

 

Guides for PICO

PICO question to search strategy

Clinical question is:

In patients with type 2 diabetes and obesity, is bariatric surgery more effective than standard medical therapy at increasing the probability of remission of diabetes?

It is a therapy question and the best evidence would be a randomized controlled trial (RCT). If we found numerous RCTs, then we might want to look for a systematic review.

PICO

Clinical Question

Search Strategy

Patient/Problem

Obese, diabetes type 2

Diabetes type 2, obesity

Intervention

Stomach stapling (gastric bypass surgery; bariatric surgery)

Bariatric surgery

Comparison

Standard medical care

 

Outcome

Remission of diabetes; weight loss; mortality

 

Type of question

Therapy

 

Type of study

RCT

Clinical query – therapy/narrow

Or

Limit to randomized controlled trial as publication type