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Chiropractic & Manual Therapies
Published in: Chiropractic & Manual Therapies 1/2016

Open Access 01-12-2016 | Methodology

‘PICO-D Management’; a decision-aid for evidence-based chiropractic education and clinical practice

Authors: Lyndon G. Amorin-Woods, Barrett E. Losco

Published in: Chiropractic & Manual Therapies | Issue 1/2016

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Abstract

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 clinicalintervention(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.
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Metadata
Title
‘PICO-D Management’; a decision-aid for evidence-based chiropractic education and clinical practice
Authors
Lyndon G. Amorin-Woods
Barrett E. Losco
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Chiropractic & Manual Therapies / Issue 1/2016
Electronic ISSN: 2045-709X
DOI
https://doi.org/10.1186/s12998-016-0130-y

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