1. Define the clinical question
Using the acronym PICO
Patient or population: description of the patient or of the disorder in question
Intervention: could be therapy, diagnostic test, patient perception
Comparison: most relevant when looking at questions of therapy
Outcome: clinical outcome of interest
From the Centre for Evidence Based Medicine from Oxford University asking focused questions
Some examples of PICO questions:
In a patient with periodontal disease who is on oral bisphosphonates for osteoporosis, what is the likelihood of sucess of a dental implant?
Can children with dental anxiety be effectively treated with behavioral therapy?
3. Assess the evidence
Next the evidence must be criticallly reviewed to determine if it is valid and is applicable to the patient.
4. Apply the evidence
Combining the best evidence, clinical expertise & the patient's preferences
Can the results be applied to your patient
Decide with the patient if the results can be used
5.Evaluating the outcome
Is the patient better off as a result?