www.pedro.org.au

CONNECT with research:

how to get the most out of

1/10/2015

1

1. What is evidence-based physiotherapy

2. The 5 A’s

3. PICO

4. What is PEDro

5. PEDro simple search

6. PEDro advanced search

7. Accessing full-text

8. Selecting and saving search results

9. New features of PEDro

10. Additional resources

1. What is evidence-based physiotherapy

Evidence-based physiotherapy is physiotherapy

informed by relevant, high-quality research.

Whenever possible, clinical decisions should be

informed by high-quality clinical research, but

never just by clinical research. Good clinical

decisions, whether evidence-based or not, should

involve consideration of patient preferences and

therapists’ practice knowledge.

Benefits

• safer

• more effective

• produce the best possible clinical outcomes

• assist with decisions about management

• professionalism

• value for money in providing health services

patients

therapists

funders

Effects of intervention

Patient experiences

Prognosis

Diagnosis

Effects of intervention

http://www.slideshare.net/lynnkysh/keck-year-2-evidence-based-medicine-systematic-reviews

1/10/2015

1

2. The 5 A’s A

A

A

A

A

Assess

Ask

Acquire

Appraise

Apply

from the care of the patient

construct a clinical question

high-quality clinical research

validity, impact + applicability

to the care of the patient

1/10/2015

1

3. PICOP

I

C

O

Patient or problem

Intervention or treatment

Comparative intervention

Outcomefewer & more

specific search

results

more

precise

question

334 156

1,258

12

Search term Searches Results

1 low back pain 1,777 1,811

2 stroke 1,523 1,994

3 cerebral palsy 985 428

4 frozen shoulder 970 50

5 scoliosis 957 37

6 pilates 787 56

7 osteoarthritis 709 1,066

8 parkinson 692 62

9 ankle sprain 683 209

10 dry needling 632 52

11 tennis elbow 615 89

12 shoulder 597 1,010

13 multiple sclerosis 587 279

14 fisioterapia 561 35

15 ultrasound 559 673

16 neck pain 547 697

17 knee 533 2,112

18 spinal cord injury 526 234

19 kinesio taping 494 33

20 shoulder pain 443 654

PICO

elements

total

searches

0 11%

1 44%

2 35%

3 10%

4 0%

Analysis of 893,971

PEDro search commands

over a 6-month period

1/10/2015

1

4. What is PEDro • free evidence resource

• effects of physiotherapy interventions

• only indexes high-level evidence:• evidence-based clinical practice guidelines

• systematic reviews

• randomised controlled trials

• validity assessment (PEDro scale) of all trial reports

• produced on a not-for-profit basis by a registered

charity with industry funding

http://www.pedro.org.au/english/downloads/pedro-statistics/

23,823

5,308

517

http://www.pedro.org.au/english/downloads/pedro-statistics/

http://www.pedro.org.au/english/downloads/pedro-statistics/

1/10/2015

1

5. PEDro simple search• truncation (*)

• leading (eg, *feedback)

• trialing (eg, parkinson*)

• phrase searching (“ ”)

• use English characters

• omit parentheses

• words automatically combined with “and”

• add/remove terms if yield is to high/low

334 156

1,258

12

PICO

elements

total

searchessimple advanced

0 11% 9% 12%

1 44% 55% 32%

2 35% 32% 28%

3 10% 3% 18%

4 0% 1% 0%

Analysis of 893,971

PEDro search commands

over a 6-month period

Operand % simple

Phrase searching 3%

Truncation 2%

Boolean operators 19%

Non-ASCII characters 3%

Parentheses 1%

Search

Simple 74%

Advanced 26%

1/10/2015

1

6. PEDro advanced search

• 13 fields (4 free text, 6 lists, 3 date/number)

• truncation (*), phrase searching (“ ”), use

English characters, omit parentheses

• words within text fields automatically

combined with “and”

• can combine fields with AND or OR

• add/remove fields if yield is to high/low

In people with stroke with urinary

incontinence, what is the effect of adding

pelvic floor exercise to usual care on the

loss of urine compared to usual care?

Analysis of 893,971

PEDro search commands

over a 6-month period

Operand % advanced

Phrase searching 3%

Truncation 4%

Boolean operators 15%

Non-ASCII characters 2%

Parentheses 1%

Field % searches

Abstract & Title 80%

Therapy 29%

Method 27%

Body Part 26%

Problem 22%

Subdiscipline 19%

Published since 17%

Topic 9%

Author/Association 6%

Title Only 4%

Score Of At Least 4%

New Records Added Since < 1%

Source < 1%

N fields % searches

1 39%

2 24%

3 15%

4 10%

5-13 12%

1/10/2015

1

7. Accessing full-textPubMed Central

Maastricht CEBP

DOI link

PubMed

publisher

most likely to be free

least likely to be free

1/10/2015

1

8. Selecting and saving search results• select records in 2 places:

• “Search Results”

• “Detailed Search Results”

• view selected records with “Display Selected

Records” hyperlink

• email results to yourself with “Email results”

hyperlink

• saving search results as an RIS file will be available

soon

1/10/2015

1

9. New features of PEDro

• Subscribe to the PEDro newsletter

• Evidence in your inbox

• PEDro blog

• PEDro social media

• Accepting donations

1/10/2015

1

10. Additional resources

https://www.youtube.com/channel/UCOz1EVhtpOMMQRzRioGIOtQ

http://www.pedro.org.au/english/search-help/