Clinical Prediction Rules: Difference between revisions
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== | == What are clinical prediction rules?<br> == | ||
The intent of CPRs is to assist clinicians in making a diagnosis, establishing a prognosis, or implementing an intervention<ref>Childs JD, Cleland JA. Development and application of clinical prediction rules to improve decision making in physical therapist practice. Phys Ther. 2006;86:122–131.</ref>. It has been suggested that well-constructed CPRs can improve clinical decision making and practice, there is a lack of consensus as to what constitutes a methodologically sound CPR.<ref>Jason M Beneciuk, Mark D Bishop, Steven Z George. Clinical Prediction Rules for Physical Therapy Interventions: A Systematic Review. Phys Ther. 2009 February; 89(2): 114–124.</ref> | |||
The intent of CPRs is to assist clinicians in making a diagnosis, establishing a prognosis, or implementing an intervention<ref>Childs JD, Cleland JA. Development and application of clinical prediction rules to improve decision making in physical therapist practice. Phys Ther. 2006;86:122–131.</ref>. It has been suggested that well-constructed CPRs can improve clinical decision making and practice, there is a lack of consensus as to what constitutes a methodologically sound CPR.<ref>Jason M Beneciuk, Mark D Bishop, Steven Z George. Clinical Prediction Rules for Physical Therapy Interventions: A Systematic Review. Phys Ther. 2009 February; 89(2): 114–124.</ref> | |||
== Establishing a clinical prediction rule == | == Establishing a clinical prediction rule == | ||
The establishment of a clinical prediction rule in clinical practice requires four distinct phases: | The establishment of a clinical prediction rule in clinical practice requires four distinct phases: | ||
#Development - Identification of predictors from an observational study | #Development - Identification of predictors from an observational study | ||
#Validation - testing of the clinical prediction rule in a seperate population to see if it remains reliable | #Validation - testing of the clinical prediction rule in a seperate population to see if it remains reliable | ||
#Impact analysis - measurement of the usefulness of the rule in the clinical setting in terms of cost-benefit, patient satisfaction, time/resource allocation, etc | #Impact analysis - measurement of the usefulness of the rule in the clinical setting in terms of cost-benefit, patient satisfaction, time/resource allocation, etc | ||
# | # | ||
Revision as of 09:37, 3 October 2013
What are clinical prediction rules?
[edit | edit source]
The intent of CPRs is to assist clinicians in making a diagnosis, establishing a prognosis, or implementing an intervention[1]. It has been suggested that well-constructed CPRs can improve clinical decision making and practice, there is a lack of consensus as to what constitutes a methodologically sound CPR.[2]
Establishing a clinical prediction rule[edit | edit source]
The establishment of a clinical prediction rule in clinical practice requires four distinct phases:
- Development - Identification of predictors from an observational study
- Validation - testing of the clinical prediction rule in a seperate population to see if it remains reliable
- Impact analysis - measurement of the usefulness of the rule in the clinical setting in terms of cost-benefit, patient satisfaction, time/resource allocation, etc
CPRs
[edit | edit source]
Diagnosis[edit | edit source]
- Canadian Cervical Spine Rules
- Carpal Tunnel Syndrome
- Cervical Radiculopathy
- Deep Vein Thrombosis
- Meniscal Pathology
- Ottawa Ankle Rules
- Ottawa Knee Rules
- Pittsburgh Knee Rules
- Pulmonary Embolism
- Rotator Cuff Pathology
- Subacromial Impingement
Intervention[edit | edit source]
- Cervicothoracic Manipulation for Shoulder Pain
- CPR for Lumbar Stabilisation
- Hip Mobilization for Knee Osteoarthritis
- Manipulation for Low Back Pain
- Mechanical Traction for Low Back Pain
- Mechanical Traction for Neck Pain
- Manipulation for Patellofemoral Pain Syndrome
- Orthotics for Patellofemoral Pain Syndrome
- Patellar Taping for Patellofemoral Pain Syndrome
- Stabilization for Low Back Pain
- Thoracic Manipulation for Neck Pain
- Cervical Manipulation for Neck Pain
Resources[edit | edit source]
http://orthopedicmanualpt.com/clinical-decision-making/clinical-prediction-rules/
References[edit | edit source]
- ↑ Childs JD, Cleland JA. Development and application of clinical prediction rules to improve decision making in physical therapist practice. Phys Ther. 2006;86:122–131.
- ↑ Jason M Beneciuk, Mark D Bishop, Steven Z George. Clinical Prediction Rules for Physical Therapy Interventions: A Systematic Review. Phys Ther. 2009 February; 89(2): 114–124.
