title: 'PICO-D Management'; a decision-aid for evidence-based chiropractic education and clinical practice.
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.
authors.affiliation: School of Health Professions, Discipline of Chiropractic 90 South St Murdoch, Perth, 6150 Western Australia.
authors.forename: Lyndon G
authors.initials: LG
authors.lastname: Amorin-Woods
authors.affiliation: School of Health Professions, Discipline of Chiropractic 90 South St Murdoch, Perth, 6150 Western Australia.
authors.forename: Barrett E
authors.initials: BE
authors.lastname: Losco
keywords: Algorithms; Chiropractic; Evidence-based practice; Practice guidelines