regina kulier geneva foundation for medical education and … · cochrane collaboration an...
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The Cochrane Collaboration
Regina KulierGeneva Foundation for Medical
Education and ResearchFebruary 2006
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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.
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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.”
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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
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Systematic review
• Structured process involving severalsteps:– Well formulated question– Comprehensive data search– Unbiased selection and abstraction process– Critical appraisal of data– Synthesis of data
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Cochrane Collaboration
Collaborative Review Groups
Fields
The Consumer Network
Steering Group Methods
Groups
Centres
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Cochrane Centres
• Provide training and consultation• Help organise and register review groups• Establish liaisons• Promote the collaboration
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Review groups
Focus:Treatment of disease or health
problems• Emphasis on clinical outcomes• Emphasis on rigorous methodology
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Review groups
Reviewers
• International group • Review relevant on specified health care
problems• Long-term commitment
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Fields
• Represents a group, population or type ofcare that overlaps multiple review group areas
• Example: primary health care, complementary medicine, vaccines
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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
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The Consumer Network
• Provides consumer input• Helps to set priorities• Helps with dissemination
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Steering group
• Function– Policy making body of the Collaboration
• Who?– Elected representatives from each of the
entities
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How to participate?
• Join a collabrative review group, field or methods group
• Hand-search a journal • Get involved in dissemination activities
• Conduct a review!
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The Cochrane Collaboration
www.cochrane.org
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The Cochrane Library