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Cochrane 10 years HELEN WORTHINGTON.ppt

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Cochrane 10 years HELEN WORTHINGTON.ppt

  1. 1. Evidence for up-to-date clinical dental practice – a review of 10 years of the Cochrane Oral Health Group 30 th -31 st May 2006, Manchester Cochrane Oral Health Group - 10 years on Own logo Review of 10 years
  2. 2. Cochrane Oral Health Group <ul><li>Include all randomised controlled trials of oral health broadly conceived to include the prevention, treatment and rehabilitation of oral, dental and craniofacial diseases and disorders </li></ul>
  3. 3. Oral Health Group: Background <ul><li>Aug ‘96 UK Base established </li></ul><ul><li>Dec ‘96 Part-time Co-ordinator </li></ul><ul><li>appointed </li></ul><ul><li>Mar ‘97 New reviews underway </li></ul><ul><li>July ‘97 Funding secured </li></ul><ul><li>Feb ‘98 Official opening </li></ul><ul><li>May ’06 10 year symposium </li></ul>
  4. 4. Editors <ul><li>Bill Shaw </li></ul><ul><li>Helen Worthington </li></ul><ul><li>Jayne Harrison </li></ul><ul><li>Jan Clarkson </li></ul><ul><li>Marco Esposito </li></ul><ul><li>Ian Needleman </li></ul><ul><li>Paul Coulthard </li></ul><ul><li>Valeria Marinho </li></ul><ul><li>Anne-Marie Glenny </li></ul><ul><li>Lee Hooper </li></ul>
  5. 5. Editorial Base Staff <ul><li>Review Group Co-ordinator </li></ul><ul><li>Trials Search Co-ordinator (P/T) </li></ul><ul><li>Administrator </li></ul><ul><li>Lecturer in Evidence Based Oral Health Care </li></ul><ul><li>Senior Research Fellow (Jan 06) </li></ul>
  6. 6. Achievements <ul><li>Worldwide network of 624 members from 40 countries </li></ul><ul><li>International panel of referees </li></ul><ul><li>Set up OHG Trials Register </li></ul><ul><li>(approx 20,000 entries) </li></ul><ul><li>Established handsearching programme </li></ul><ul><li>Input into NICE, HTA, SIGN, vCOHI & ADA </li></ul><ul><li>NIDCR award </li></ul>
  7. 7. Funding <ul><li>Base- salaries (DoH) </li></ul><ul><li>NIDCR </li></ul><ul><li>Italian Government </li></ul><ul><li>NICE </li></ul><ul><li>DoH UK (vCOHI) </li></ul>
  8. 8. NIDCR Funded Project <ul><li>To undertake </li></ul><ul><ul><li>New reviews on treatment of oral cancer </li></ul></ul><ul><ul><li>Update/new reviews on oral care for patients with cancer </li></ul></ul><ul><li>First NIH funding of Cochrane Reviews </li></ul><ul><li>Unusual to fund group totally outside US </li></ul>
  9. 9. Progress of Oral Health Group
  10. 10. Number of Reviews by Collaborative Review Groups (CRGs)
  11. 11. Status of OHG Reviews ( The Cochrane Library, Issue 2, April 2006) <ul><li>52 reviews published </li></ul><ul><li>9 reviews out with referees </li></ul><ul><li>69 protocols published </li></ul><ul><li>14 protocols out with referees </li></ul><ul><li>34 titles registered </li></ul>
  12. 12. <ul><li>Structured process involving several steps: </li></ul><ul><ul><li>Well formulated question </li></ul></ul><ul><ul><li>Comprehensive data search </li></ul></ul><ul><ul><li>Unbiased selection and abstraction process </li></ul></ul><ul><ul><li>Critical appraisal of data </li></ul></ul><ul><ul><li>Synthesis of data </li></ul></ul>Systematic review
  13. 13. OHG Editorial Process <ul><li>Register title </li></ul><ul><li>Prepare protocol </li></ul><ul><li>Editorial and external review of protocol </li></ul><ul><li>Protocol entered on Cochrane Library </li></ul><ul><li>Identify trials </li></ul><ul><li>Complete systematic review </li></ul><ul><li>Peer review of systematic review </li></ul><ul><li>Systematic review entered on Library </li></ul><ul><li>Regularly updated </li></ul>
  14. 14. Title <ul><li>[Intervention] for [disease] in [patients] </li></ul><ul><li>Treating periodontal disease for preventing preterm birth in pregnant women </li></ul><ul><li>Surgical techniques for the removal of mandibular wisdom teeth </li></ul>
  15. 15. Objectives <ul><li>To assess the effects of treating periodontal disease in pregnant women in order to prevent preterm birth, with the primary aim of reducing fetal, infant, childhood and maternal morbidity and mortality. </li></ul><ul><li>To compare the relative benefits and risks of different surgical techniques for removing mandibular wisdom teeth. </li></ul>
  16. 16. Criteria for considering studies for this review <ul><li>Types of studies </li></ul><ul><li>Types of participants </li></ul><ul><li>Types of intervention </li></ul><ul><li>Types of outcome measures </li></ul>
  17. 17. Search methods for identification of studies <ul><li>Searched databases </li></ul><ul><li>Language </li></ul><ul><li>Unpublished studies </li></ul><ul><li>Handsearching </li></ul>
  18. 18. Methods of the review <ul><li>Study selection </li></ul><ul><li>Quality assessment </li></ul><ul><li>Data extraction </li></ul><ul><li>Data synthesis </li></ul>
  19. 19. <ul><li>Potential conflict of interest </li></ul>

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