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PPC IV & V Practice Based Learning and Improvement Presentation Guide: Step 5: Relevance

Step 5: Perform Evaluation, Analysis and Synthesis

  • Evaluate the clinical literature
  • You will want to critique the relevance, validity, and clinical applicability of the literature found in your search to answer the question.
  • Relevance - to the question and the patient
  • Use PPICO
    • Used to form your question
    • Identify PPICO of your article or guideline
  • If they are similar, the article or guideline can answer your question!
  • Use PPICONS to show the relevance of your article to your clinical question
    • P Problem
    • P Patient or Population
    • I  Intervention
    • C Comparison
    • O Outcome
    • N  Number of Subjects
    • S  Statistics

Flaherty R. A simple method for evaluating the clinical literature. Fam Pract Manag. 2004;11(5):47-52. Available from:  http://www.aafp.org/fpm/2004/0500/p47.pdf

 

Relevance: Example of a PPICO and PPICONS Slide for a PBLI Presentation

Is Black Cohosh More Effective Than Conventional Care For Treating Vasomotor Symptoms of Menopause?
PPICO   PP-ICONS  
P

Vasomotor Symptoms

P

Vasomotor Symptoms

P

55 y/o African American woman

P

Peri- or Post-menopausal women

I

Black Cohosh

I

Black Cohosh

C

Conventional Care

C

Red Clover, CEE/ MPA, Placebo

O

Decreased or No Vasomotor Symptoms

O

Decreased Vasomotor Symptoms

    N 89
    S

Decrease in symptoms:

black cohosh (34%), red clover (57%), placebo (63%), and CEE/MPA (94%)*

Article: Geller SE, Shulman LP, Van Breemen RB, et al. Safety and efficacy of black cohosh and red clover for the management of vasomotor symptoms: a randomized controlled trial. Menopause. 2009;16(6):1156-66. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2783540/