Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Introduction to Cochrane Clinical Answers


Published on

Published in: Health & Medicine
  • Login to see the comments

  • Be the first to like this

Introduction to Cochrane Clinical Answers

  1. 1. Cochrane Clinical Answers Karen Pettersen September 2012
  2. 2. What are Cochrane ClinicalAnswers?—Aimed at health professionals at the point of care, mimicking the way they approach information-gathering—Data mine the high quality evidence from Cochrane systematic reviews to create short answers to a clinical question
  3. 3. How did we select which Cochranereviews to start with?• Prevalence and high morbidity of condition (including high hospitalization rates)• Recently updated reviews• Reviews that showcase Cochrane review development initiatives such as Summary of Findings tables• Interests expressed by our US Associate Editor group
  4. 4. What content areas have wedone so far?— Diabetes (using content from Metabolic & Endocrine and Wounds CRGs)— COPD (Airways Group)— Common cold, Sore throat, Flu, Otitis media (ARI & ENT Group)— Acute pain such as Migraine (Pain, Palliative & Supportive Care) CRG— Coming next: Dementia, Musculoskeletal, Neurology (starting with Stroke), Preventative medicine
  5. 5. How do we ‘build’ a CCA?• Every CCA follows a defined template designed by the Cochrane Editorial Unit• Quantitative data are automatically extracted from Data and Analysis section of Cochrane review using a program developed specifically for the purpose• Qualitative data are manually extracted from the Cochrane review by CCA Editor• Every Clinical Answer drafted by a clinician Associate Editor, edited by the CCA Editor, and signed off by David Tovey, Editor in Chief
  6. 6. The CCA website: a ‘walk through’—Design developed by Wiley web team in response to brief based on market research conducted in US and NZ by Wiley and augmented and approved by Rachel Marshall and David Tovey of the Cochrane Editorial Unit
  7. 7. New CCAs published when ready Clinical Answers updated in line with anySubject headings match those updates of the review on which they areof the Cochrane Library browse basedlist
  8. 8. Search functionality is in line New users get a sample ‘taster’ CCA towith the new Cochrane search allow them to assess content quality before purchase
  9. 9. Data are presented by comparisonwith the option to click to reveal …
  10. 10. Any known Safetyconcerns with theintervention are atthe forefront of thedisplayThis information is taken fromthe Characteristics of Includedstudies and describes peopleand interventions included inthe trials only (rather thanwhat was searched for) so thatthe clinical relevance of thedata to the patient beingtreated by the clinician can beseen immediately. Lack of datain clinically importantpopulations is also highlighted
  11. 11. Outcome data for each comparisonare displayed in a consistent format
  12. 12. ResultsAn automatically generatedsummary based on the data inthe Relative effects sectionData from the Forest plot of theCochrane review with a link tothe Forest plot graphicAbsolute effect estimated fromthe Relative effect usingcalculation formula within theprogram that extracts data fromData and Analysis section ofCochrane reviewLink to the full text of theCochrane review on which theCCA is based
  13. 13. The Editorial team— Associate editors — Most are currently practicing clinicians. They write the short answer for each Cochrane Clinical Answer, combining their clinical expertise with the randomized controlled trial data from Cochrane reviews.— Editor: Karen Pettersen — Karen joined John Wiley & Sons Ltd. in January 2012 to work on the project to develop Cochrane Clinical Answers. Karen has extensive experience of systematic reviewing, having been involved with the BMJ Publishing Group’s EBM journal, Clinical Evidence, since its inception in 1999, starting as an Information Specialist for the journal and working as Deputy Editor for five years. Karen has editorial oversight of each CCA, extracting and summarizing outcome data to supplement the python script automatic data extraction, liaising with the Associate Editors to complete the draft Clinical Answer, and responding to suggestions made by David Tovey during his sign off— Editor in Chief: David Tovey — Dr Tovey signs off each Cochrane Clinical Answer before publication.
  14. 14. Any questions?Email