Clinical Scenario

1. Clinical Scenario

2. Step 1: Ask an answerable clinical question--P. I. C. O. Patient / Problem : Intervention / Exposure: Comparison: Outcome:

3. PICO Question: • Patient / Problem : • Intervention / Exposure: • Comparison: • Outcome:

4. Step 2: Effective searches for the best Evidence

5. 搜尋策略的設計表 SEARCH STRATEGY DESIGN TABLE

6. 實際搜尋 ACTUAL SEARCHES

7. Step 3: Critically appraise that evidence for its validity and importance

8. A. Are the results of this economic analysis valid?

9. 本文獻： □Yes □No □Unclear 評論Comment： 1. Is this report asking an economic question----:That compares all well-defined courses of action?:With a specified point of view from which the costs and outcomes are being viewed?

10. 本文獻： □Yes □No □Unclear 評論Comment： 2. Does this economic analysis cite valid evidence on the efficacy of the alternatives?

11. 本文獻： □Yes □No □Unclear 評論Comment： 3. Does this economic analysis identify all the costs and effect we think it should and select credible and accurate measures for them?

12. 本文獻： □Yes □No □Unclear 評論Comment： 4. Was the type of analysis appropriate for the question posed?

13. 5. Was the robustness of the conclusion tested?

14. B. Are the valid results from this economic analysis important ?

15. 6. Are the resulting costs or costs/unit of health gained impressive ? 本文獻： □Yes □No □Unclear 評論Comment：

16. 7. Are the conclusions unlikely to change with sensible changes in costs and outcomes ? 本文獻： □Yes □No □Unclear 評論Comment：

17. C. Are the valid results from this economic analysis applicable to our patient/practice ?

18. 8. Do the costs in the economic analysis apply in our setting ? 本文獻： □Yes □No □Unclear 評論Comment：

19. 8. Do the costs in the economic analysis apply in our setting ? 本文獻： □Yes □No □Unclear 評論Comment：

20. 9.Are the treatments likely to be effective in our setting ?