‘PICO-D Management’; a decision-aid for evidence-based chiropractic education and clinical practiceReport as inadecuate




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Chiropractic and Manual Therapies

, 24:49

First Online: 12 December 2016Received: 16 May 2016Accepted: 10 November 2016

Abstract

BackgroundVarious 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 clinicalinterventions 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.

ConclusionsFor 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.

KeywordsAlgorithms Chiropractic Evidence-based practice Practice guidelines AbbreviationsADHDAttention deficit hyperactivity disorder

CPDContinuing professional development

CPGClinical practice guideline

EBCPEvidence-based chiropractic practice

EBGEvidence-based guideline

EBPEvidence-based practice

GIGastro-intestinal

LBPLow back pain

NHNatural history

NSAIDsNon-steroidal anti-inflammatory drugs

SMARTSpecific measurable achievable relevant timed Goals

UCCUsual chiropractic care

UMCUsual medical care.

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Author: Lyndon G. Amorin-Woods - Barrett E. Losco

Source: https://link.springer.com/



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