Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 24641
  Title ‘PICO-D Management’; A decision-aid for evidence-based chiropractic education and clinical practice
Journal Chiropr & Manual Ther. 2016 ;24(49):Online access only 11 p
Peer Review Yes
Publication Type Article

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 clinical intervention(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

This abstract is reproduced with the permission of the publisher; click on the above link for free full text.


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