Pico Question Example for Diagnosis
Situation: Your patient has a background of blood clumps and after they came into your clinic with right calf distress and tightness, you’re worried about DVT. You read about the constraints of duplex ultrasound and calf veins and are thinking about whether a d-dimer test can help you with rule out DVT all the more accurately.
P-patients/adults
I-d-dimer assay/measure
C-ultrasound
O-exact diagnosis of DVT
Question: Is d‐dimer assay more accurate at ruling out profound vein thrombosis compared with ultrasound?
Pico Question Example for Etiology
Situation: Your female patient is concerned about the danger 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 recycled smoke?
P- female non-smokers w/ daily recycled smoke exposure
I-
C- female non-smokers w/o daily smoke exposure
O- develop breast cancer
T- over 10 years
Question: Are female non-smokers with daily exposure to second-hand smoke over 10 years or greater more likely to develop breast cancer when compared with female non-smokers without daily exposure to recycled smoke?
Pico Question Example For Prognosis
Situation: Your patient, who owns a bakery, recently participated in their employer’s health 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 a family history of obesity (BMI >30)?
PICOT Question Examples For Diabetes
The PICO parts are as per the following: P (populace) = women with type 2 diabetes who are of childbearing age. I (intervention) = preconception counseling. C (comparisons) = patients who did and didn’t get preconception counseling.
Traditional DSME includes information about the disease, diet, exercise, health promotion, demonstration of checking blood sugar, insulin management if necessary, and any other medication that is prescribed.
In adults diagnosed with diabetes, does a more comprehensive and multi-disciplinary approach to patient education achieve higher compliance with blood sugar control compared to traditional patient’s education?
PICO Question Example For Hypertension
Home blood pressure monitoring (HBPM) vs. compliance treatment
PICO question for hypertension:
“Among patients with hypertension, does patient monitoring of blood pressure (BP) compared to no monitoring increase compliance with treatment?”
PICO Question Examples For Pregnancy
P – patient/pregnant women of any age and parity.
I – Use iron supplements regularly, either alone or in conjunction with folic acid with vitamins and minerals.
C – similar supplement without iron, no treatment
O – maternal anemia, iron deficiency, and iron-deficiency anemia at term.
Infant: low birth weight, premature birth, HB connection in the first 6 months.
PICO pregnancy question: How do pregnant women (P) who are recently diagnosed with diabetes (I) view the need to report their blood sugar levels (O) to their healthcare providers during their period of pregnancy and six weeks after giving birth (T)?
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