Download
1 / 38

- PowerPoint PPT Presentation


  • 299 Views
  • Updated On :
loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about '' - daniel_millan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Presentation objectives l.jpg
Presentation objectives

  • Provide an overview of Cochrane Collaboration

  • Demonstrate The Cochrane Library

  • Invite participation


Cochrane collaboration l.jpg
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.


Archie cochrane l.jpg
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.”


The cochrane collaboration l.jpg

THE COCHRANECOLLABORATION


Principles l.jpg
Principles

  • Collaboration

  • Building on the enthusiasm of individuals

  • Avoiding duplication

  • Minimising bias


Principles7 l.jpg
Principles

  • Keeping up to date

  • Striving for relevance

  • Promoting access

  • Ensuring quality

  • Continuity


Cochrane collaboration goals l.jpg
Cochrane Collaboration goals

  • To ensure high quality, up-to-date systematic reviews are available across a broad range of health care topics

  • To promote access to Cochrane reviews


Cochrane collaboration goals9 l.jpg
Cochrane Collaboration goals

  • To develop an efficient, transparent organisational structure and management system for the Cochrane Collaboration

  • To achieve sustainability of the Cochrane Collaboration


Systematic review l.jpg

Systematic review

Systematic review

Systematic review

  • Structured process involving several steps:

    • Well formulated question

    • Comprehensive data search

    • Unbiased selection and abstraction process

    • Critical appraisal of data

    • Synthesis of data


Cochrane collaboration11 l.jpg
Cochrane Collaboration

Collaborative Review Groups

Centres

Steering Group

Methods Groups

Fields

The Consumer Network


Cochrane collaboration12 l.jpg
Cochrane Collaboration

Collaborative Review Groups

Centres

Steering Group

Methods Groups

Fields

The Consumer Network


Cochrane centres l.jpg

Cochrane Centres

Canadian

Nordic

San Francisco

German

UK

Dutch

French

Iberoamerican

Italian

San Antonio

Chinese

New England

Brazilian

South African

Australasian


Cochrane centres14 l.jpg
Cochrane Centres

  • Help organise and register review groups

  • Facilitate collaboration among reviewers

  • Provide training and consultation

  • Establish liaisons

  • Promote the Cochrane Collaboration

  • Provide unique contribution


Cochrane collaboration15 l.jpg
Cochrane Collaboration

Collaborative Review Groups

Centres

Steering Group

Methods Groups

Fields

The Consumer Network


Review groups 48 registered 1 possible l.jpg
Review Groups48 registered, 1 possible

  • Focus

    • Treatment of disease or health problems

      • Emphasis on clinical outcomes

      • Emphasis on rigorous data


Review groups l.jpg

Acute respiratory infections

Airways

Anaesthesia

Back

Breast cancer

Colorectal cancer

Consumers and communication

Cystic fibrosis and genetic disorders

Dementia & cognitive improvement

Depression, anxiety & neurosis

Developmental, psychosocial and learning problems

Drugs and alcohol

Ear, nose and throat disorders

Effective practice and organisation of care

Epilepsy

Eyes and vision

Fertility regulation

Gynaecological cancer

Heart

Hepato-biliary

Review Groups


Review groups18 l.jpg

HIV/AIDS

Hypertension

Incontinence

Infectious diseases

Inflammatory bowel disease

Injuries

Lung cancer

Menstrual disorders and subfertility

Metabolic and endocrine disorders

Movement disorders

Multiple sclerosis

Muskuloskeletal

Musculoskeletal injuries

Neonatal

Neuromuscular disease

Oral health

Pain, palliative and supportive care

Peripheral vascular diseases

Pregnancy and childbirth

Prostatic diseases and urologic cancers

Renal

Schizophrenia

Review Groups


Review groups19 l.jpg

Sexually transmitted diseases

Skin

Stroke

Tobacco addiction

Upper gastrointestinal and pancreatic diseases

Wounds

Haematological malignancies (possible)

Review Groups


Review group products l.jpg
Review Group products

  • Reviews

  • Specialised register


Review groups21 l.jpg
Review Groups

  • Reviewers

    • International group

    • Review relevant trials on specified health care problems

    • Long-term commitment


Slide22 l.jpg

Collaborative Review Group process

Systematic

Reviewer

Systematic

Reviewer

Systematic

Reviewer

Editors

Review Group

Co-ordinator

Systematic

Reviewer

Systematic

Reviewer

Cochrane Database of

Systematic Reviews


Review manager revman l.jpg
Review Manager (RevMan)

  • Cochrane Collaboration software for:

    • Preparing and maintaining protocols and reviews

    • Data analysis

    • Submitting completed reviews to CDSR


Revman statistical options l.jpg
RevMan statistical options

  • Peto Method

    • Odds Ratio

  • Mantel-Haenszel fixed effect and Dersimonian/Laird random effects

    • Odds Ratio, Relative Risk, Risk Difference

    • Weighted and Standardised Mean Differences


The cochrane library l.jpg
The Cochrane Library

  • The Cochrane Database of Systematic Reviews (CDSR)

  • The Database of Abstracts of Reviews of Effectiveness (DARE)

  • The Cochrane Controlled Trials Register (CCTR)

  • The Cochrane Methodology Register


Cochrane collaboration26 l.jpg
Cochrane Collaboration

Collaborative Review Groups

Centres

Steering Group

Methods Groups

Fields

The Consumer Network


Fields 9 registered 1 possible l.jpg
Fields9 registered, 1 possible

  • Represent a population, group, or type of care that overlaps multiple Review Group areas

  • Examples: Primary Health Care, Health Care of Older Adults, Complementary Medicine, Vaccines, Rehabilitation and Related Therapies


Methods groups 11 registered 5 possible l.jpg
Methods Groups11 registered, 5 possible

  • Develop methods and products integral to internal functioning of the Collaboration

  • Develop state of the art methods for systematic reviews

  • Examples: Statistical Methods, Economics, Placebo Effects, Informatics


The consumer network l.jpg
The Consumer Network

  • Provides consumer input

  • Helps set priorities

  • Helps with dissemination


Cochrane collaboration30 l.jpg
Cochrane Collaboration

Collaborative Review Groups

Centres

Steering Group

Methods Groups

Fields

The Consumer Network


Steering group l.jpg
Steering Group

  • Function

    • Policy making body of the Cochrane Collaboration

  • Who

    • Elected representatives of each of the Collaboration entities (Review Groups, Centres, Fields, Methods Groups, the Consumer Network)


Summary of the cochrane collaboration l.jpg
Summary of The Cochrane Collaboration

  • International collaboration

  • Prepares, maintains, and disseminates systematic reviews

  • Diverse internal structure (Review Groups, Centres, Fields, Methods Groups, the Consumer Network)


How to participate l.jpg
How to participate

  • Join a Collaborative Review Group

  • Join a Field, Methods Group, or the Consumer Network

  • Handsearch a journal

  • Identify or provide funding



Future challenges l.jpg
Future challenges

  • Recruitment of large numbers of reviewers in all areas of health care

  • Clinically useful presentation of the Cochrane Database of Systematic Reviews

  • Efficient and effective communication within the Collaboration

  • Financial solvency of the organisation


The cochrane collaboration36 l.jpg

The Nordic Cochrane Centre

Rigshospitalet, dept 7112

Blegdamsvej 9

DK-2100 Copenhagen Ø

Denmark

Phone: +45 35 45 55 71 FAX: +45 35 45 70 07

E-mail: [email protected]

The Cochrane Collaboration

For more information: www.cochrane.dk


Slide37 l.jpg

THE COCHRANECOLLABORATION


ad