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Your first step in searching the literature is to define your question and phrase it so that you don't miss any important evidence. This is harder than you might think!
Foreground vs. Background Questions
Background Questions | Foreground Questions |
General Knowledge about a disorder | Very specific about managing patients |
Usually about well-established facts | Need the current, best information on diagnosis, treatment, etiology, prognosis |
Can often find the answer in a book | Need to look in the research literature |
Formatting Your Question
A well formed answerable question will also make it relatively straightforward to identify appropriate search terms and to combine them in the search strategy.
One way of identifying the key concepts is to use The PICO Method.
You may not need to use all of PICO - it depends on what you want to find out!
Patient or Population | Who is the relevant patient or population? Be as specific as possible e.g. puppies, geriatric patients, pregnant bitches, spaniels? What's the problem? |
Intervention | How? Is the intervention a medication, diagnostic test, questionnaire, surgical procedure, type of food, time, etc? Be specific. |
Comparison/control | What is the main alternative? E.g. is there a control or alternative management strategy or intervention that you are particularly interested to compare? Sometimes, when you want to know if the intervention above is better than doing nothing, the comparator will be “no intervention”. |
Outcome | What are you trying to achieve, measure, improve, effect? E.g. what are the patient-relevant consequences of the intervention? Be as clear as you can here. |
Type of Study Design and/or Type of Question |
What is the ideal study design to answer your question? What type of individual studies do you realistically hope to find? Identify the question scenario: therapy, diagnosis, prognosis, harm, etiology, quality of life, cost-effectiveness, etc. These are optional but they might be important in limiting your results From RCVS Knowledge EBVM Tookit Asking an Answerable Question |
You might want to try out this tool to help you get started.
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