Focused Key Questions in Clinical Research

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Questions and Answers

What is the purpose of focused KEY questions in a systematic review?

  • To guide the literature search and identify relevant studies (correct)
  • To determine the quality of the included studies
  • To present the authors' personal opinions on the topic
  • To summarize the findings of the review

Which component of the PICO(TS) framework is used to specify the intervention or exposure being evaluated?

  • Intervention (correct)
  • Population
  • Outcome
  • Comparator

When considering the Intervention component of the PICO(TS) framework, what should be taken into account?

  • The dose, duration, frequency, and intensity (DDFI) (correct)
  • The cost of the intervention
  • The geographical location of the study
  • The qualifications of the healthcare provider

What is the purpose of reviewing the reference lists and grey literature during the literature search process?

<p>To identify additional relevant studies that may have been missed by the initial search (C)</p> Signup and view all the answers

What does the 'C' in the PICO(TS) framework represent?

<p>Comparator (A)</p> Signup and view all the answers

Which of the following is NOT a component of the PICO(TS) framework?

<p>Study design (D)</p> Signup and view all the answers

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Study Notes

Defining Key Questions

  • Key questions should be important, specific, and reflect an area of uncertainty in clinical knowledge or literature.
  • A well-defined key question should provide the following information:
  • Type of population being studied
  • Type of exposure or intervention
  • Comparator
  • Outcomes that will be addressed

Framework for Key Questions: PICOTs

  • PICOTs stands for Population, Intervention, Comparator, Outcomes, and Timing
  • Population:
    • Includes both nature of the condition being studied and underlying characteristics of the population (age, sex, etc.)
  • Intervention:
    • Drug
    • Medical procedure
    • Other healthcare intervention being assessed
    • Must consider DDFI (dose, duration, frequency, intensity)
  • Comparator:
    • Placebo
    • Active comparator
    • Added to an existing treatment
    • Must consider DDFI
  • Outcomes:
    • Endpoint measurements
    • Clinical endpoints preferred over surrogate ones
  • Timing:
    • When the outcome will be measured
    • How long the measurement will continue
  • Setting:
    • Provides information on how the healthcare was delivered (e.g., at clinic, teaching hospital, pharmacy, etc.)

Searching the Literature

  • Review titles and abstracts to assess whether articles may be useful to the systematic review
  • Review full-text articles to determine if they meet the eligibility criteria
  • Hand search reference lists and grey literature
    • Grey literature: any literature that isn’t published in journals (e.g., white papers, posters, clinicaltrials.gov, etc.)

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