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. 2016 Dec 12:24:49.
doi: 10.1186/s12998-016-0130-y. eCollection 2016.

'PICO-D Management'; a decision-aid for evidence-based chiropractic education and clinical practice

Lyndon G Amorin-Woods  1 , Barrett E Losco  1
Affiliations

'PICO-D Management'; a decision-aid for evidence-based chiropractic education and clinical practice

Lyndon G Amorin-Woods et al. Chiropr Man Therap. .

Abstract

Background: Various models and decision-making aids exist for chiropractic clinical practice.

Results: "PICO-D Man" (Patient-Intervention-Comparator-Outcome-Duration Management) is a decision-aid developed in an educational setting which field practitioners may also find useful for applying defensible evidence-based practice. Clinical decision-making involves understanding and evaluating both the proposed clinicalintervention(s) and the relevant and available management options with respect to describing the patient and their problem, clinical and cost effectiveness, safety, feasibility and time-frame.

Conclusions: For people consulting chiropractors this decision-aid usually requires the practitioner to consider a comparison of usual chiropractic care, (clinical management including a combination of active care and passive manual interventions), to usual medical care usually including medications, or other allied healthmanagement options while being mindful of the natural history of the persons' condition.

Keywords: Algorithms; Chiropractic; Evidence-based practice; Practice guidelines.

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Figures

Fig. 1
Fig. 1
The ‘PICO-D Man’ schematic clinical and educational chiropractic decision-aid for field practitioners and students
Fig. 2
Fig. 2
A table for applying the PICO-D Man decision-aid in clinical practice
See this image and copyright information in PMC

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References

    1. Nowak NA, Rimmasch H, Kirby A, Kellogg C. Right care, right time, right place, every time. Healthc Financ Manage. 2012;66(4):82–88. - PubMed
    1. Swan BA, Boruch RF. Quality of evidence: usefulness in measuring the quality of health care. Med Care. 2004;42(2 Suppl):Ii12–20. - PubMed
    1. Leach MJ. Evidence-based practice: a framework for clinical practice and research design. Int J Nurs Pract. 2006;12(5):248–251. doi: 10.1111/j.1440-172X.2006.00587.x. - DOI - PubMed
    1. Lubarsky DA, Glass PS, Ginsberg B, Dear GL, Dentz ME, Gan TJ, Sanderson IC, Mythen MG, Dufore S, Pressley CC, et al. The successful implementation of pharmaceutical practice guidelines. Analysis of associated outcomes and cost savings. SWiPE Group. Systematic Withdrawal of Perioperative Expenses. Anesthesiology. 1997;86(5):1145–1160. doi: 10.1097/00000542-199705000-00019. - DOI - PubMed
    1. Fritz JM, Cleland JA, Brennan GP. Does adherence to the guideline recommendation for active treatments improve the quality of care for patients with acute low back pain delivered by physical therapists? Med Care. 2007;45(10):973–980. doi: 10.1097/MLR.0b013e318070c6cd. - DOI - PubMed

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