PICOT question --- 3/8/22
Levels of Evidence Flow Chart
Description
Title: Levels of Evidence Flow Chart
Steps to Randomly Controlled Trial (RCT) Level 2
1. Does the article discuss one study or multiple studies?
2. If the answer is one study then question: Was there a control group and one or more intervention groups?
3. If the answer is yes then question: Were individuals randomly assigned to groups?
4. If the answer is yes then it is a Randomly Controlled Trial (RCT) Level 2.
Steps to Controlled Trial Level 3
1. Does the article discuss one study or multiple studies?
2. If the answer is one study then question: Was there a control group and one or more intervention groups?
3. If the answer is yes then question: Were individuals randomly assigned to groups?
4. If the answer is no then it is a Controlled Trial Level 3.
Steps to Case Control Study Level 4
1. Does the article discuss one study or multiple studies?
2. If the answer is one study then question: Was there a control group and one or more intervention groups?
3. If the answer is no then question: Does the study compare two or more groups over time?
4. If the answer is yes then question: Does the study retrospectively compare two groups using existing data as control?
5. If the answer is yes then it is a Case Control Study Level 4.
Steps to Cohort Study Level 4
1. Does the article discuss one study or multiple studies?
2. If the answer is one study then question: Was there a control group and one or more intervention groups?
3. If the answer is no then question: Does the study compare two or more groups over time?
4. If the answer is yes then question: Does the study retrospectively compare two groups using existing data as control?
5. If the answer is no then question: Does the study compare the outcomes of two groups over time?
6. If the answer is yes then it is a Cohort Study Level 4.
Description continued
Title: Levels of Evidence Flow Chart
Steps to Single Descriptive or Qualitative Study Level 6
1. Does the article discuss one study or multiple studies?
2. If the answer is one study then question: Was there a control group and one or more intervention groups?
3. If the answer is no then question: Does the study compare two or more groups over time?
4. If the answer is no then question: Was the study descriptive or qualitative?
5. If the answer is yes then it is a Single Descriptive or Qualitative Study Level 6.
Steps to Expert Opinion Level 7
1. Does the article discuss one study or multiple studies?
2. If the answer is one study then question: Was there a control group and one or more intervention groups?
3. If the answer is no then question: Does the study compare two or more groups over time?
4. If the answer is no then question: Was the study descriptive or qualitative?
5. If the answer is no then question: Was the article the opinion of an expert?
6. If the answer is yes then in it an Expert Opinion Level 7.
Steps to Systematic Review, Meta-Analysis of RCT’s; Evidence Based Clinical Practice Guidelines Level 1.
1. Does the article discuss one study or multiple studies?
2. If the answer is multiple studies then question: Did the study analyze RCT’s and/or propose clinical practice guidelines?
3. If the answer is yes then it is a Systematic Review, Meta-Analysis of RCT’s; Evidence Based Clinical Practice Guidelines Level 1.
Steps to Systematic Review of Descriptive and/or Qualitative Studies Level 5.
1. Does the article discuss one study or multiple studies?
2. If the answer is multiple studies then question: Did the study analyze RCT’s and/or propose clinical practice guidelines?
3. If the answer is no then it is a Systematic Review of Descriptive and/or Qualitative Studies Level 5.
Lansing Community College Library May 2019
Does the article discuss one study or multiple studies??
One study
Was there a control group and one or more intervention groups?
Multiple studies
Did the study analyze RCT's and/or propose clinical practice guidelines?
Yes
Were individuals randomly assigned to groups?
No
Yes
No
Randomly Controlled Trial (RCT)
Level 2
Controlled Trial
Level 3
Does the study compare two or more groups over time?
Yes
No
Yes
No
Systematic review, meta-analysis of RCT's; Evidence-based clinical practice guidelines
Level 1
Systematic review of descriptive and/or qualitative studies
Level 5
Does the study retrospectively compare two groups using existing data as control?
Yes
Case Control Study
Level 4
No
Does the study compare the outcomes of two groups over time?
Yes
Cohort study
Level 4
Was the study descriptive or qualitative?
Yes
No
A single descriptive or qualitative study
Level 6
Was the article the opinion of an expert?
Yes
Expert opinion
Level 7