Transcript Slide 1

http://bahrain.cochrane.org/en/index.
html
http://www.rt.ae
The Bahrain Branch of the UK Cochrane Centre
In Collaboration with
Reyada Training & Management Consultancy, Dubai-UAE
Cochrane Collaboration and Systematic Review
Workshop, 20-21 February 2007, Dubai - UAE
W01
Dr. Zbys Fedorowicz, Dr. Dunia Al Hashimi, Dr. Ahmed Al Asfoor
What is the Cochrane Collaboration
an international organisation that aims to
help people make well-informed decisions
about healthcare
How?
by preparing, maintaining and promoting
the accessibility of systematic reviews of
the effects of healthcare interventions
“It is surely a great
criticism of our
profession that we have
not organized a critical
summary, by specialty
or subspecialty, adapted
periodically, of all
relevant randomized
controlled trials.”
Archie Cochrane
Iain Chalmers
Founding Director
The Cochrane Collaboration
Formed in 1993
 15,000+ people in 80+ countries
 50 Collaborative Review Groups
 12 Centres, Fields, Method Groups and
Cochrane Consumer Network
 Cochrane Secretariat Oxford UK
Our structure
The Cochrane Collaboration
Collaborative
Review
Groups
Fields
Centres
Steering
Group
The
Consumer
Network
Methods
Groups
The Secretariat
All the Cochrane Collaboration working
groups are supported by a secretariat
based in Oxford UK.
UK Cochrane Centre (UKCC)
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Established at the end of 1992 by the NHS
Research and Development Programme
Responsible for supporting contributors to
The Cochrane Collaboration in the United
Kingdom & Ireland and since March 2005 a
branch in Bahrain.
Where are we?
COUNTRIES IN WHICH INDIVIDUALS ARE CONTRIBUTING TO
THE COCHRANE COLLABORATION
Represented in 2000, 2002 & 2003
Represented in 2002 & 2003
Represented in 2003
Bahrain Branch of the UK Cochrane Center
The first Cochrane Collaboration entity in the
Middle East established 17th March 2005
What do we do?
Role of the Bahrain Branch
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To act as a focal point for people in the region
To co-ordinate the provision of training and support to
Cochrane review authors in these countries
To develop a resource for hand searching non-English
healthcare journals and identify relevant studies to the
wider Collaboration.
To co-ordinate the translation of training and support
documents to ensure they can be accessed by target
audiences.
Why do we need
The Cochrane Collaboration?
Evidence is important. Why?
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“In 10yrs 50% of what you have been
taught will have been shown to be
wrong……………..
only problem is which 50%?”
Burwell
Dean of Harvard Medical School 1950
Evidence
Patients Choice
EBM TRIAD
Clinical
Judgment
Graph showing publication of Cochrane Protocols and Reviews in the
Cochrane Database of Systematic Reviews from Issue 1, 1995 to
present
Where will you find our evidence?
THE COCHRANE LIBRARY
The Cochrane Library is the
single most reliable source
for evidence on the effects
of health care.
The Cochrane Library is designed
to
provide
information
and
evidence to support decisions
taken in health care and to inform
those receiving care.
Which topics do we cover?
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Acute Respiratory Infection
Airways
Anaesthesia
Back
Breast Cancer
Colorectal Cancer
Consumers and Communication
Cystic Fibrosis and Genetic Disorders
Dementia and Cognitive Impairment
Depression, Anxiety and Neurosis
Developmental, Psychosocial & Learning
Problems
Drugs and Alcohol
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Ear, Nose and Throat Disorders
Effective Practice and Organization of Care
Epilepsy
Eyes and Vision
Fertility Regulation
Gynaecological Cancer
Haematological Malignancy
Heart
Hepato-Biliary
HIV/AIDS
Hypertension
Incontinence
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Oral Health
Pain, Palliative and Supportive Care
Peripheral Vascular Diseases
Pregnancy and Childbirth Group
Prostatic Diseases and Urological Cancers
Renal
Schizophrenia
Sexually Transmitted Diseases
Skin
Stroke
Tobacco Addiction
Upper Gastrointestinal and Pancreatic
Diseases
Wounds
Cochrane Fields
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Cancer
Child Health
Complementary medicine
Health care of older people
Health promotion and public health
Neurology
Primary Health Care
Rehabilitation and related therapies
Vaccines
How do we do what we do?
RCT
RCT
SYSTEMATIC
REVIEW
RCT
Meta-analysis
“STRONGER” EVIDENCE
RCT
Where are we going?
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Thousands of Cochrane reviews underway,
and results already available from more than
2000 of these, there is still a large amount of
work to be done.
At least 10,000 Cochrane reviews are needed
to cover all healthcare interventions.
Need to encourage more authors from the
region.
Implement evidence based decision-making in
our regional healthcare and medical
education.
British Invention?
First Cochrane Colloquium 1993
Cochrane Collaboration founded by 77
people from 9 countries
In 2006 10,000+ in 90+ countries
International organisation
COUNTRIES IN WHICH INDIVIDUALS ARE CONTRIBUTING TO
THE COCHRANE COLLABORATION
Represented in 2000, 2002 & 2003
Represented in 2002 & 2003
Represented in 2003
Best single
v single best
Other sources
Randomised controlled
trials
Only therapy/interventions?
COMING SOON TO A LIBRARY NEAR YOU
Diagnostic tests and screening
Clinical recommendations
X
Evidence (strength, direction)
Implications for practice/research
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Bias in systematic reviews
Yes systematic biases as in RCTs
Is it the ‘last word’?
Current best evidence
Thank you
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