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Medical Databases: PICO

Tutorials that will guide you through the choosing and using of the many databases that the library has to offer.

PICO

Standing for Population, Intervention, Comparison, Outcome, PICO, is an easy way to focus your search.   Translating a medical scenario into a concise  and focused question will ensure that your search strategies are trained on finding you the most relevant answers to your query.  Then, complete your search by limiting to the correct study type for your question and critically appraising the results.

For a more in-depth look at PICO and how to use it check out PICO: The Secret Ingredient to Clinical Research

What is PICO?

P I C O

Ask yourself:

  Population

(patient/condition)

How would you describe a group of patients similar to yours?

What are the most important characteristics of the patient?

This may include the primary problem, disease, or co-existing conditions.

Sometimes the sex, age or race of a patient might be relevant to the diagnosis or treatment of a disease.

  Intervention

(drug, procedure, diagnostic test, exposure)

Which main intervention, prognostic factor, or exposure are you considering?

What do you want to do for the patient? Prescribe a drug?

Order a test? Order surgery?

What factor may influence the prognosis of the patient? Age? Co-existing problems?

What was the patient exposed to? Asbestos? Cigarette smoke?

  Comparison

What is the main alternative to compare with the intervention?

Are you trying to decide between two drugs, a drug and no medication or placebo, or two diagnostic tests?

Your clinical question does not always need a specific comparison.

  Outcome

What can you hope to accomplish, measure, improve or affect?

What are you trying to do for the patient? Relieve or eliminate the symptoms?

Reduce the number of adverse events? Improve function or test scores?

Create a Good PICO Question