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The Cochrane Collaboration Regina Kulier Geneva Foundation for Medical Education and Research February 2006

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Page 1: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

The Cochrane Collaboration

Regina KulierGeneva Foundation for Medical

Education and ResearchFebruary 2006

Page 2: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Cochrane Collaboration

An international organisation that aims to help people make well-informed decisions about healthcare by preparing, maintaining and promoting the accessibility of systematic reviews of the effects of health care interventions.

Page 3: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Archie Cochrane

“It is surely a great criticism of our profession that we have not organised a critical summary, by specialty or subspecialty, adapted

periodically, of all relevant randomised controlled trials.”

Page 4: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Principles oft the Cochrane Collaboration

• Collaboration• Building on the enthusiasm of individuals• Avoiding duplication• Minimising bias• Keeping up to date• Striving for relevance• Promoting access• Ensuring quality• Ensuring continuity• Enabling wide participation

Page 5: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Systematic review

• Structured process involving severalsteps:– Well formulated question– Comprehensive data search– Unbiased selection and abstraction process– Critical appraisal of data– Synthesis of data

Page 6: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Cochrane Collaboration

Collaborative Review Groups

Fields

The Consumer Network

Steering Group Methods

Groups

Centres

Page 7: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Cochrane Centres

• Provide training and consultation• Help organise and register review groups• Establish liaisons• Promote the collaboration

Page 8: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare
Page 9: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare
Page 10: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Review groups

Focus:Treatment of disease or health

problems• Emphasis on clinical outcomes• Emphasis on rigorous methodology

Page 11: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare
Page 12: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare
Page 13: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare
Page 14: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Review groups

Reviewers

• International group • Review relevant on specified health care

problems• Long-term commitment

Page 15: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare
Page 16: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare
Page 17: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Fields

• Represents a group, population or type ofcare that overlaps multiple review group areas

• Example: primary health care, complementary medicine, vaccines

Page 18: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Methods groups

• Develop methods and functions necessaryfor the internal functionning of theCollaboration

• Develop state of the art methods for systematic reviews

• Examples: statistical methods, economics,informatics

Page 19: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

The Consumer Network

• Provides consumer input• Helps to set priorities• Helps with dissemination

Page 20: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare
Page 21: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

Steering group

• Function– Policy making body of the Collaboration

• Who?– Elected representatives from each of the

entities

Page 22: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

How to participate?

• Join a collabrative review group, field or methods group

• Hand-search a journal • Get involved in dissemination activities

• Conduct a review!

Page 23: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

The Cochrane Collaboration

www.cochrane.org

Page 24: Regina Kulier Geneva Foundation for Medical Education and … · Cochrane Collaboration An international organisation that aims to help people make well-informed decisions about healthcare

The Cochrane Library