Introduction to the Cochrane Collaboration in Middle East (WONCA)


Published on

A plenary presentation in the WONCA Congress 2008 in Istanbul, Turkey on the Cochrane activities done or ongoing in Middle East

Published in: Health & Medicine, Business
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide
  • Introduction to the Cochrane Collaboration in Middle East (WONCA)

    1. 1. It started with an email…. WONCA EUROPE 4-7 Sep 2008, Istanbul, Turkey Mona Nasser DDS Researcher Department of Health Information, IQWIG
    2. 2. IQWiG: I nstitut für Q ualität und W irtschaftlichkeit i m G esundheitswesen Institute for Quality and Efficiency in Health Care <ul><li>On 1 June 2004, the Institute was established in the course of the Health Care Reform as an institution of the Foundation for Quality and Efficiency in Health Care </li></ul><ul><li>Evaluation of pharmaceuticals, surgical procedures, diagnostic tests, clinical practice guidelines and aspects of disease management programs, following the principles of evidence-based medicine. It also publishes health information for patients and the general public . </li></ul>
    3. 3. <ul><li>Started as a group of volunteers </li></ul><ul><li>Undertaking a number of Cochrane reviews </li></ul><ul><li>Promoting EBM </li></ul><ul><li>Trying to develop a structure </li></ul><ul><li>An established secretariat in SBMU </li></ul><ul><li>Administration and website support </li></ul><ul><li>A more established basis for influencing policy </li></ul>Iranian Cochrane Informal Network (ICInet)
    4. 4. <ul><li>Outline </li></ul><ul><li>The network of Cochrane Contributors in Iran, Bahrain and Turkey, Middle East and the Rest of the world </li></ul><ul><li>How we established the network and what have we done? </li></ul><ul><li>The work in the department of health information in IQWIG – an example of using evidence to inform public </li></ul>
    5. 5. Bahrain Branch of the UK Cochrane Centre Iranian Cochrane Informal Network
    6. 6. The network of Cochrane Contributors in Middle East
    7. 7. More than 20 ongoing Cochrane reviews… Management of the fractured edentulous atrophic mandible Antihistamines as an adjunct to topical nasal steroids for intermittent and persistent allergic rhinitis in children Resorbable versus titanium plates for orthognathic surgery Local consensus processes: effects on professional practice and health care outcomes Acyclovir for treating primary herpetic gingivostomatitis Carnitine supplementation for treating people with inborn errors of metabolism Blood transfusions for treating acute chest syndrome in people with sickle cell disease Epidural steroids for radicular back pain ………
    8. 8. With authors from more than 10 countries… United Kingdom Bahrain Iran Turkey United States Singapore Switzerland Brazil Germany Australia Norway Jordan …
    9. 9. Collaboration with researchers from more than 20 countries… United Kingdom Bahrain Iran Turkey United States Singapore Switzerland Brazil Germany Australia Norway Jordan Canada South Africa Spain Argentina Netherlands Italy Portugal New Zealand Russia Thailand Columbia … .
    10. 11. Networking involves making contacts and encouraging reciprocal information exchange and voluntary collaboration. … . process of networking is more important than the development of a structured network……… . (Paul Starkey)
    11. 12. <ul><li>Collaboration , </li></ul><ul><li>Building on the enthusiasm of individuals , </li></ul><ul><li>Avoiding duplication , </li></ul><ul><li>Minimising bias </li></ul><ul><li>Keeping up to date , </li></ul><ul><li>Striving for relevance , </li></ul><ul><li>Promoting access , </li></ul><ul><li>Ensuring quality , . </li></ul><ul><li>Continuity , </li></ul><ul><li>Enabling wide participation </li></ul>10 principles of The Cochrane Collaboration
    12. 13. Collaborative Review Groups Fields The Consumer Network Centres Steering Group Methods Groups
    13. 14. Becoming mentors Getting involved in a more complex projects Interested individuals Attending introductory training classes Getting in contact with a mentor Starting a systematic review (mentor-mentee) Training during the review Finishing the review
    14. 15. Evidence Producers Policymakers Trialists Health professionals Patients Public Health workers Journalists
    15. 16. Innvaer S, Vist G, Trommald M, Oxman A. Health policy-makers' perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002 Oct;7(4):239-44. Review. … ..The most commonly reported (by health policy makers) facilitators (to the use of evidence) were personal contact (with the researchers) …. The most commonly reported (by health policy makers) barriers (to the use of evidence) were absence of personal contact ….
    16. 17. <ul><li>Integrating EBM and EBD in Medical and Dental Education </li></ul><ul><li>Establishing links with international organizations that work in developing links e.g. INCLEN </li></ul><ul><li>Working with international organizations on improving access to health information e.g. HIFA2015 </li></ul>
    17. 18. The following items are not covered by any completed Cochrane Reviews in Issue 3, 2007 <ul><li>Gastrointestinal Cancer: Screening, psychosocial and palliative care </li></ul><ul><li>Esophagus Cancer: Prevention, Screening, Supportive care, psychosocial and palliative care </li></ul><ul><li>Bladder Cancer: Prevention, Screening, Supportive care, psychosocial and palliative care. </li></ul><ul><li>Lung Cancer: Screening </li></ul><ul><li>Leukaemia: Prevention, Screening, Psychosocial and palliative care. </li></ul><ul><li>Metastatic Breast Cancer: Prevention, Screening, Supportive Care. </li></ul><ul><li>Cervix Uteri: Psychosocial and palliative care. </li></ul><ul><li>Endometrial: Prevention, Screening, Supportive care, psychosocial and palliative care. </li></ul>Nasser M, Lodge M, Fedorowicz Z. The Relevance of Cochrane Reviews to the Cancer Priorities in Iran. Cochrane Colloquium, Sao Paulo, Brazil, October 2007
    18. 21. Prioritizing Cochrane Review Topics Relevant to Low- and Middle-Income Countries <ul><li>Peter Tugwell, Vivian Robinson, Zulma Ortiz, Mona Nasser, Elizabeth Waters, Jodie Doyle, Andy Oxman </li></ul>1) Identify what priority-setting approaches are underway by Cochrane entities already and whether/how these can inform priorities for systematic reviews of relevance to LMIC 2) Explore different methods of identifying priorities for systematic reviews for specific audiences, recognizing that priorities may be different (eg for policy-makers, for practitioners).  We might convene small working groups of practitioners to identify priorities for systematic reviews at a national or regional level 3) Map existing systematic reviews to identified priorities to identify gaps/needs for new systematic reviews, as well as showing whether the Cochrane Database of Systematic Reviews already answers high-priority questions relevant to LMIC
    19. 22. Overcoming the distance Healthcare Professionals And Consumers Primary Research
    20. 23. An ancient problem?
    21. 24. Helping people to make decisions about their own health?
    22. 25. Identifying health topics that are relevant to patients and public Identifying high quality systematic reviews Providing understandable evidence based health information
    23. 26. Fact sheets for patients (printable in pdf format for a clinical practice) Simple films Patients‘ stories, quizzes, newsletter Detailed articles on broad health topics What do we have on our website?
    24. 27. Overcoming the distance Patient and public Evidence
    25. 28.
    26. 29. [email_address]