How rapid is a rapid review

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Presentation on various developments in rapid reviews, inlcuding Cochrane Response and TRIP Rapid Reviews.

Presented at WEB&Z meeting (Dutch medical information specilists) November 28, 2013

Published in: Health & Medicine, Education
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How rapid is a rapid review

  1. 1. How rapid is a rapid review? Bianca Kramer November 28, 2013
  2. 2. How long does it take to conduct a systematic review? Cochrane reviews 2010: 23 months (median) The Cochrane Oversight Committee. Measuring the performance of The Cochrane Library. 2012
  3. 3. Cochrane reviews in numbers 2011 New reviews published 416 Updated reviews published 468 Active reviews that are up-to-date 36,5 % The Cochrane Oversight Committee. Measuring the performance of The Cochrane Library. 2012
  4. 4. How to do a systematic review in a month (or less) ? “I see a future for Cochrane as having 2 types of systematic review: rapid systematic reviews undertaken in a significantly reduced timeframe, and a more costly systematic review” http://blog.tripdatabase.com/2013/04/a-critique-of-cochrane-collaboration.html
  5. 5. How to do a systematic review in a month (or less) ? Formulate clinical question (PICO / DDO) Systematic literature search Selection (inclusion / exclusion criteria) Critical appraisal (validity / relevance) Summarize data
  6. 6. http://innovations.cochrane.org/response
  7. 7. http://innovations.cochrane.org/sites/innovations.cochrane.org/files/CHARR%20Evidence%20Summary-Final%2024May2013.pdf
  8. 8. Cochrane Response Rapid Review example - produced in 10 weeks - 8291 references screened, 69 included In general: - 2-3 key databases, - publication date/geographical location - full-text availability - focus on SRs, RCT/cohorts if necessary
  9. 9. Cochrane Response Rapid Review example - evidence synthesis: narrative Percentage of studies that favour intervention: 0% 1-33 % 34-66 % > 67 % = = = = no effect generally ineffective mixed effects generally effective http://www.cadth.ca/en/resources/rx-for-change/interventions-professionals
  10. 10. Formulate clinical question (PICO / DDO) Systematic literature search Selection (inclusion / exclusion criteria) Critical appraisal (validity / relevance) Summarize data
  11. 11. http://www.cochrane.org/news/tags/authors/webinar-introduction-rapid-reviews-30-jan-2014
  12. 12. Superfilters Website: A Literature Searching Tool for Clinicians and Review Authors Nancy L Wilczynski, N Hobson, C Cotoi, R Brian Haynes “To develop a superfilters website that provides clinicians and review authors with the opportunity to search across several electronic databases simultaneously with empirically derived, high performance, search filters.” http://www.isehc.net/wp-content/uploads/2011/12/October-2013.pdf
  13. 13. Superfilters Website: A Literature Searching Tool for Clinicians and Review Authors Nancy L Wilczynski, N Hobson, C Cotoi, R Brian Haynes “To add „capture-mark-recapture‟ (CMR) statistical modeling to the review authors‟ superfilter site to help those searching for all available evidence to determine whether to continue or stop searching, for example, when conducting systematic reviews” http://www.isehc.net/wp-content/uploads/2011/12/October-2013.pdf
  14. 14. http://en.wikipedia.org/wiki/File:Collar_tagged_Rock_Hyrax.jpg http://en.wikipedia.org/wiki/File:Wing_tag_Great_Frigatebird.jpg
  15. 15. Formulate clinical question (PICO / DDO) Systematic literature search Selection (inclusion / exclusion criteria) Critical appraisal (validity / relevance) Summarize data
  16. 16. TRIP Rapid Reviews: Systematic Reviews in 5 minutes ?
  17. 17. TRIP Rapid Reviews: Systematic Reviews in 5 minutes ? 1) Enter domain and intervention 2) Select articles from list of TRIP search results (controlled trials) 3) ... http://blog.tripdatabase.com/2013/10/trip-rapid-reviews-systematic-reviews.html
  18. 18. http://commons.wikimedia.org/wiki/File%3AThe_Big_Red_Button_(3085157011).jpg
  19. 19. TRIP Rapid Reviews: Systematic Reviews in 5 minutes ? 4) Machine reading of abstracts (2 methods) → intervention favoured? sample size? 5) Positive/Negative score (+1/-1), corrected for sample size 6) Scores for each article averaged → final score http://blog.tripdatabase.com/2013/10/trip-rapid-reviews-systematic-reviews.html
  20. 20. Formulate clinical question (PICO / DDO) Systematic literature search Selection (inclusion / exclusion criteria) Critical appraisal (validity / relevance) Summarize data
  21. 21. Reading list: A critique of the Cochrane Collaboration http://blog.tripdatabase.com/2013/04/a-critique-of-cochrane-collaboration.html (Jon Brassey, TRIP Database) Development of Cochrane Response part 1/2 http://www.slideshare.net/JulianeRied/development-of-cochrane-response-part-1-garritty http://www.slideshare.net/JulianeRied/development-of-cochrane-response-part-ii (Chantelle Garrity, OHRI, Canada)

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